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Galactorrhea/Galactocele After Breast Augmentation: A Systematic Review
Sanjeev Chaand Sharma1, Narendra Nath Basu2
1From the Birmingham Medical School, College of Medical and Dental Sciences, University of Birmingham, Edgbaston.
Annals of Plastic Surgery
|February 22, 2020
Summary
Galactorrhea and galactocele after breast augmentation are rare. Periareolar incisions and subglandular implants may increase risk, with symptoms typically appearing within 3 months. A combined treatment approach offers the fastest resolution.
Area of Science:
- Plastic Surgery
- Endocrinology
- Reproductive Health
Background:
- Galactorrhea and galactocele are rare complications following breast augmentation.
- Understanding risk factors and management is crucial for patient care.
Purpose of the Study:
- To review cases of galactorrhea and galactocele post-breast augmentation.
- To determine potential risk factors associated with these complications.
- To explore effective management strategies for this rare condition.
Main Methods:
- A systematic literature review was conducted in July 2019.
- Searches included major databases: Pubmed, Embase, and Google Scholar.
- Analysis of 19 articles comprising 38 women with these complications.
Main Results:
- The average age of affected women was 28 years.
- Common factors included periareolar incisions (48%) and subglandular implants (57%).
- Symptom onset averaged 61 days, with 72% experiencing bilateral symptoms.
Conclusions:
- Periareolar incisions, subglandular implants, hormonal contraceptive use, and recent breastfeeding may be risk factors.
- Symptom onset typically occurs within 3 months post-augmentation.
- A composite treatment approach (antibiotics, dopamine agonist, surgical drainage, implant removal) showed the fastest symptom resolution.
