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CC-BY 4.0 · Surg J (N Y) 2018; 04(01): e46-e51
DOI: 10.1055/s-0038-1637000
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Recurrent 8-Year Ongoing Unilateral Breast Seroma Formation after PIP Implant Removal—A Case Report and Review of the Literature

Sonja Kästner
1   Center for Plastic and Aesthetic Surgery, Ocean Clinic Marbella, Marbella, Málaga, Spain
,
Felix Julian Paprottka
1   Center for Plastic and Aesthetic Surgery, Ocean Clinic Marbella, Marbella, Málaga, Spain
,
Phillipp Gonser
2   Department of Otolaryngology, Head and Neck Surgery, Eberhard Karls University Tuebingen, Tuebingen, Germany
,
Manuel De Villegas López
3   Center for Histopathology, Anatomía Patológica Marbella, Marbella, Spain
,
Kai Oliver Kaye
1   Center for Plastic and Aesthetic Surgery, Ocean Clinic Marbella, Marbella, Málaga, Spain
› Author Affiliations
Further Information

Publication History

27 October 2017

25 January 2018

Publication Date:
26 March 2018 (online)

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Abstract

Late seroma formation is a rare complication after implant-based breast enlargement surgery and even less frequent after implant removal. This case report presents a case of painful recurrent seroma formation after the removal of a ruptured Poly Implants Prothèse implant.

A 52-year-old patient presented herself in our clinic with a clinical history of recurrent unilateral seroma of the right breast over a period of 8 years after the initial unilateral implant removal. Removal of the remaining implant and complete bilateral capsulectomy was performed. Intraoperative findings revealed a macroscopically thickened capsule with signs of chronic inflammation on the affected side. The clinical history and the macroscopic appearance of the capsule demanded histopathological exclusion of a possible anaplastic large cell lymphoma.

Histopathological and microbiological analysis of the capsule and encapsulated material revealed no signs of malignancy or infection. Immediate soft tissue reconstruction of the breast was successfully performed using autologous fat transfer. An aesthetically satisfying result regarding symmetry and volume was achieved, and no further seroma formation was observed within a 6-month follow-up period.

Level of evidence: V, Case Report.

Keywords

ALCL - late seroma - breast augmentation - PIP - implants - capsular contracture - autologous fat transfer - breast reconstruction - implant rupture

Presentation of This Work

05/2017: VDÄPC (German Aesthetic Surgery Meeting), Berlin, Germany


09/2017: DGPRÄC (German and Austrian Plastic Surgery Meeting), Graz, Austria


Financial Support and Industry Affiliations

There was no financial support of any kind contributing to this publication. No grants were accepted/used for this publication. None of the authors has any personal or institutional financial interest in the drugs, materials, or devices described in this submission.


Ethical Statement

The research project with all its procedures is in accordance with the national law and the World Medical Association Declaration of Helsinki (1964), with its ethical principles for medical research involving human subjects and subsequent amendments.