Abstract
We report the case of a 55-year-old female patient who attended our clinic for the presence of a scar retraction in the upper pole of the left breast as a complication of breast augmentation. In the scar area, we observed an orifice that probing revealed to be a fistula. The patient was referred to surgical intervention under general anesthesia to obtain scar contracture release using autologous fat graft; one month after autologous fat injection, following healing of the fistula, the patient underwent a second surgical procedure to replace the left breast implant. Unexpectedly, two weeks after the surgical procedure, complete healing of the breast fistula within the scar area was observed; this observation was confirmed during the second surgical step for left breast implant repositioning, when we observed the absence of the fistula orifice in the breast implant cavity. Upon clinical examination at 1-year followup, tissue integrity was preserved. The patient's satisfaction was excellent. We have observed a possible additional effect of fat graft.
Highlights
To our knowledge, a significant increase in the number of interventions for breast augmentation has occurred in recent years
We present the case of 55-year-old woman who attended our clinic for a scar retraction in the upper pole of the left breast; the scar retraction occurred as a complication of a breast augmentation previously performed elsewhere
The patient reported that the left breast implant had been removed about 6 months before by the same surgeon who performed the breast augmentation to allow the healing of the fistula
Summary
A significant increase in the number of interventions for breast augmentation has occurred in recent years. Complications related to this procedure, including capsular contracture and implant malposition, have not decreased; less frequent, but more serious complications, are infection and extrusion of breast implant [1]
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