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Late hematoma after breast implantation
Michael Brickman1, Natalie N Parsa, Fereydoun Don Parsa
1Department of Surgery, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI, USA.
Aesthetic Plastic Surgery
|June 1, 2004
Summary
A rare case of late breast hematoma occurred 9 years after breast augmentation without trauma. Chronic inflammation from polyurethane implants was the likely cause of this uncommon complication.
Area of Science:
- Plastic Surgery
- Medical Device Complications
- Inflammatory Response
Background:
- Breast augmentation mammaplasty is a common cosmetic procedure.
- Hematomas are a known complication, typically occurring early post-surgery.
- Late-onset complications after breast implantation are infrequently reported.
Observation:
- A patient presented with a spontaneous breast hematoma 9 years post-augmentation mammaplasty.
- No history of trauma or anticoagulant use was reported.
- The patient had polyurethane-coated breast implants.
Findings:
- Late spontaneous breast hematoma is a very rare complication of breast implantation.
- A chronic inflammatory reaction to polyurethane-coated implants is the suspected etiology.
- This contrasts with the more common early postoperative hematoma.
Implications:
- Highlights the potential for delayed complications from breast implants.
- Suggests the need for vigilance regarding late inflammatory responses to implant materials.
- May inform patient counseling and long-term follow-up protocols for augmentation mammaplasty patients.