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Topic: Aesthetic Surgery of the Breast

Pathogenesis, presentation and

classification of late autoinflation of the

breasts: case report and literature search

Umar Daraz Khan
Aesthetic Plastic Surgeon, Reshape House, West Malling, Kent ME19 6QR, UK.
Address for correspondence: Mr. Umar Daraz Khan, Aesthetic Plastic Surgeon, Reshape House, 2-4 High Street, West Malling, Kent ME19
6QR, UK. E-mail: Mrumarkhan@aol.com

ABSTRACT
Aim: Autoinflation of the breast following mammoplasty using breast implants can be divided into early
and late. Early autoinflation of the breast is commonly due to haematoma. Late autoinflation of the breast
is an uncommon complication and its true incidence is not known due to the paucity of its reporting.
Methods: A retrospective review was performed of the available charts for 2,772 consecutive bilateral
primary, secondary augmentation mammoplasties and mastopexy with augmentation mammoplasties
by the author between April 1999 and February 2015. Each breast was taken as a single unit for a total of
5,544 breasts. Results: There were 2,334 patients in primary augmentation mammoplasty, 258 in secondary
augmentation mammoplasty and 180 in simultaneous mastopexy with augmentation mammoplasty.
There were three autoinflation of breasts due to late seromas identified in the series. All patients presented
at least six months following augmentation mammoplasty and all had textured implants place in muscle
splitting submuscular pocket. There was no late seroma noted in secondary augmentation mammoplasty
or simultaneous mastopexy with augmentation mammoplasty. All patients were treated conservatively
without a recurrence. Conclusion: Late autoinflation of the breast due to seroma is an uncommon clinical
complication and can be treated conservatively in the first instance.

Key words:
Anaplastic large cell lymphoma; autoinflation of the breast; haematoma; seroma of breast; anaplastic
large cell lymphoma

INTRODUCTION The accumulation of fluid was minimal and did not lead
to swelling of the breast nor was it the reason for revision
Since the introduction of implants in 1962, augmentation surgery. [3,4]
mammoplasty has become a widely accepted procedure for
aesthetic and reconstructive reasons. An estimated five Autoinflation of the breast is a clinical condition that can be
[1]
to 10 million women have breast implants worldwide. defined as a sudden or spontaneous swelling of the breast
[2]
Early and late complications following mammoplasty are following augmentation mammoplasty due to collection
many. It is beyond the scope of this article to address all
the arising complications. Intracapsular fluid is a common This is an open access article distributed under the terms of the Creative Commons
finding and has been reported with an incidence of 15%. Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix,
tweak and build upon the work non-commercially, as long as the author is credited
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How to cite this article: Khan UD. Pathogenesis, presentation and
classification of late autoinflation of the breasts: case report and
DOI: literature search. Plast Aesthet Res 2016;3:31-5.
10.20517/2347-9264.2015.94
Received: 23-08-2015; Accepted: 04-12-2015
© 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc. 31