Late seroma in breast reconstructions and mammoplasty with silicone implants: a case report and literature review

Scala, Fernanda Dinelli; Polizzi, Roberto Junqueira; Casali, Thaís Gomes; Santos, Fernanda Zanatta Freitas; Squarisi, José Mauro De Oliveira; Freitas, Danillo Irineu Brito Vieira

doi:10.5935/2177-1235.2015rbcp0180

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“…Late seroma was defined as occurring more than 12 months postoperatively. [10][11][12] The complication category of "asymmetry" included implant displacement (bottoming out or laterally), double bubble, contour deformity, high riding implants, low inframmamary fold, and rippling. The frequency of complications was computed in regard to breasts affected.…”

Section: Data Collectionmentioning

confidence: 99%

How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations

Médor

Bouhadana

Churchill

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: There is no consensus regarding implant size as an independent risk factor for complications in primary breast augmentation. Choosing appropriate implant volume is an integral part of the preoperative planning process. The current study aims to assess the relationship between implant size and the development of complications following augmentation mammaplasty. Methods: A retrospective chart review of patients undergoing primary breast augmentation at the Westmount Institute of Plastic Surgery between January 2000 and December 2021 was conducted. Demographics, implant characteristics, surgical technique, postoperative complications, and follow-up times were recorded. Univariate logistic regression was used to identify independent predictors, which were then included in multivariate logistic regressions of implant volume and implant volume/body mass index (BMI) ratio regarding complications. Results: A total of 1017 patients (2034 breasts) were included in this study. The average implant volume used was 321.4 ± 57.5 cm3 (range: 110–605). Increased volume and volume/BMI ratio were associated with a significant increase in risk of implant rupture (odds ratio = 1.012, P < 0.001 and 1.282, P < 0.001 respectively). Rates of asymmetry were significantly associated with increases in implant volume and volume/BMI ratio (odds ratio = 1.005, P = 0.004 and 1.151, P < 0.001, respectively). No single implant volume or volume/BMI ratio above which risks of complications significantly increase was identified. Conclusions: Implant rupture and postoperative asymmetries are positively correlated with bigger implant volumes. Implant size could likely be a useful independent predictor of certain complications, especially in patients with high implant to BMI ratios.

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Section: Data Collectionmentioning

confidence: 99%