Breast Augmentation


Breast Augmentation, Breast Implant, Breast Prosthesis Implantation

  • Management
  • Post-Operative
  1. Home Measures
    1. Displacement massage starting day 3 to 5 after surgery
  2. Return to Work
    1. Normal activities may be resumed at 1-2 weeks
    2. Avoid strenuous activity for 3-4 weeks
  • Complications
  1. General
    1. Longterm complications typically occur within 8 years of implant
    2. Complications requiring repeat surgery in 24%
    3. Higher Incidence of complication post Mastectomy
    4. Lower complication Incidence with Breast enhancement
  2. Breast Pain
    1. Shooting pain, burning and general discomfort is common following surgery
    2. Treat with Oral Analgesics (Acetaminophen, Ibuprofen)
  3. Bleeding or hematoma (first 24 hours)
    1. Presents with painful, unilateral Breast swelling
    2. Contact plastic surgeon who performed the original procedure
    3. Patient may need to return to the operating room (hematoma removal, stop bleeding)
  4. Wound Infection
    1. Erythema is normal (not infected) at incision site if <1-2 cm from incision
    2. Antibiotics intravenous or oral depending on severity
    3. Breast Implant typically need to be removed and the cavity washed out
    4. No implant replacement until after at least 6 months
  5. Wound Seroma
    1. Persistent fluid pocket at surgical site
    2. Drainage under Ultrasound by surgery or by Intervention Radiology
  6. Implant rejection
    1. Presents with a sudden firmness at the implant
  7. Breast Implant associated anaplastic large cell Lymphoma
    1. Lymphoma that may originally appear similar to Cellulitis
  8. Chest Trauma to Breast Implant
    1. Evaluate for other chest injuries
    2. Breast Implant evaluation (confirming intact) is by non-emergent MRI
  9. Other complications
    1. Capsular contracture
    2. Implant Rupture
  • References
  1. Claudius and LoTempio in Herbert (2018) EM:Rap 18(10): 17-8
  2. Gabriel (1997) N Engl J Med 336:677-82 [PubMed]