Arch Aesthetic Plast Surg.
2022 Apr;28(2):79-83. 10.14730/aaps.2021.00220.
Bilateral periareolar hyperpigmentation after augmentation mammoplasty: a case report and literature review
- Affiliations
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- 1Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea
- 2Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- 3CBK BIOLAB Inc., Pleasanton, CA, USA
- 4Department of Pathology, CHA Ilsan Medical Center, CHA University, Goyang, Korea
- KMID: 2529520
- DOI: http://doi.org/10.14730/aaps.2021.00220
Abstract
- 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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