Sequestered fluid and breast implant malposition

Area of Science:

• Plastic Surgery
• Biomedical Engineering

Background:

• Submuscular augmentation mammaplasty can lead to serosanguineous fluid collection.
• A fluid meniscus may persist, potentially causing implant malposition.

Purpose of the Study:

• To investigate the etiology of implant malposition after augmentation mammaplasty.
• To propose a method for preventing prosthesis displacement due to fluid accumulation.

Main Methods:

• Observation of fluid meniscus formation in the periprosthetic space.
• Analysis of tissue accommodation and prosthesis displacement.
• Evaluation of suction drain efficacy.

Main Results:

• A serosanguineous fluid meniscus can persist for weeks.
• This fluid can create a space allowing prosthesis displacement.
• Small suction drains effectively circumvented implant malpositions.

Conclusions:

• Persistent fluid meniscus is a cause of implant malposition post-mammaplasty.
• Routine use of small suction drains is recommended to prevent this complication.