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Secondary augmentation mammaplasties and periprosthetic infection: a three-year retrospective review
1Mrumarkhan@aol.com
Background:
Secondary or revision surgery following primary augmentation mammaplasty is common. There are several published studies on the incidence and prevention of infection after primary augmentation mammaplasty, but there is a paucity of information on the incidence of periprosthetic infection after secondary or revision augmentation mammaplasty procedures.
Objectives:
The author evaluates the incidence of periprosthetic infection in a series of revision and secondary mammaplasty patients from his practice.
Methods:
A retrospective review was performed of the charts for 92 consecutive patients who underwent bilateral secondary mammaplasty with the author between July 2008 and April 2011. Each breast was taken as a single unit, for a total of 184 breasts. The data were compiled and compared with previous studies related to periprosthetic infection following primary augmentation mammaplasty.
Results:
The average age of the patients was 35.8±7.9 years (range, 19-54 years). One patient developed unilateral periprosthetic infection in her left breast. This incidence of 0.54% was comparable to infection incidence of 0.5% for primary augmentation mammaplasty previously reported by the author.
Conclusions:
In this series, there was no higher incidence of infection seen in secondary augmentation mammaplasty than was seen in previous studies on primary mammaplasty.
Level Of Evidence:
4.
Insights
Revision augmentation mammaplasty shows a low incidence of periprosthetic infection, similar to primary procedures. This study found no increased infection risk in secondary breast augmentation patients.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Secondary or revision augmentation mammaplasty is frequently performed.
- Limited data exists on periprosthetic infection rates after revision breast augmentation.
Purpose of the Study:
- To determine the incidence of periprosthetic infection in patients undergoing secondary augmentation mammaplasty.
- To compare infection rates between primary and revision augmentation mammaplasty procedures.
Main Methods:
- Retrospective chart review of 92 consecutive patients (184 breasts) undergoing secondary bilateral mammaplasty.
- Data collected from July 2008 to April 2011.
- Comparison with author's prior data on primary augmentation mammaplasty infection rates.
Main Results:
- One case of unilateral periprosthetic infection was observed, yielding an incidence of 0.54%.
- This rate is comparable to the 0.5% incidence reported for primary augmentation mammaplasty.
- The average patient age was 35.8 years.
Conclusions:
- Secondary augmentation mammaplasty did not demonstrate a higher incidence of periprosthetic infection compared to primary augmentation mammaplasty.
- The findings suggest revision breast augmentation is as safe as primary procedures regarding infection risk.
