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Chronic abscess formation following mesh mastopexy: case report
J M Dixon1, I Arnott, M Schaverien
1Edinburgh Breast Unit and Breakthrough Research Unit, Western General Hospital, Edinburgh EH4 2XU, UK.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|December 29, 2009
Summary
This case study highlights a rare complication of mastopexy using polypropylene mesh, detailing chronic breast abscess formation. It underscores the importance of considering foreign body reactions with synthetic materials in breast surgery.
Area of Science:
- Plastic Surgery
- Surgical Complications
- Biomaterials
Background:
- Mastopexy aims to correct breast ptosis through tissue redistribution and skin tightening.
- Recurrent ptosis is a common challenge, leading to the use of internal supports.
- Synthetic mesh has been explored for breast support, with reported low complication rates.
Observation:
- This article presents a case of chronic breast abscess.
- The abscess developed following mastopexy utilizing polypropylene mesh.
- Radiological and operative findings are detailed.
Findings:
- Chronic breast abscess formation occurred after polypropylene mesh mastopexy.
- Concerns regarding synthetic mesh include foreign body reaction, infection, and oncological surveillance.
- This case illustrates a potential serious complication associated with mesh use.
Implications:
- The use of synthetic mesh in mastopexy carries risks, including infection and foreign body reactions.
- Careful patient selection and awareness of potential complications are crucial.
- Further research may be needed to evaluate long-term safety and efficacy of mesh in breast procedures.