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KMID : 1037220220280020079
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Archives of Aesthetic Plastic Surgery
2022 Volume.28 No. 2 p.79 ~ p.83
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Bilateral periareolar hyperpigmentation after augmentation mammoplasty: a case report and literature review
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Yang Eun-Jung
Lee Sang-Soo
Choi Bong-Kyoon
Hong Sung-Ran
Kim Young-Seok
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Abstract
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Complications arising from breast augmentation procedures are broadly categorized as either surgery-related or prosthesis-related. Many reports have described complications associated with breast augmentation. However, to date, periareolar post-inflammatory hyperpigmentation (PIH) after breast augmentation has not been reported. Herein, we report a case of PIH after augmentation mammoplasty using a silicone implant through the periareolar approach. A 35-year-old woman, who underwent bilateral breast augmentation using a periareolar approach, presented with bilateral periareolar tissue changes, with dark brown, irregular macules appearing 6 weeks postoperatively. Based on clinical symptoms and histological examination, the lesion was diagnosed as PIH. Topical hydroquinone and retinoic acid were applied for 8 weeks after the pigmentation appeared. After 6 months of observation, the pigmentation faded. To summarize, we report a case of pigmentation around the bilateral nipples after periareolar breast augmentation along with a literature review.
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KEYWORD
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Nipples, Breast, Hyperpigmentation, Mammoplasty, Surgical wound
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