Issue: Vojnosanit Pregl 2017; Vol. 74 (No. 2)

Breast augmentation with silicone implants performed without drainage – retrospective analysis of 726 cases

Authors:
Nenad Stepić, Jovana Končar, Milica Rajović, Sanja Novaković, Marijan Novaković

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Background/Aim. Breast augmentation has been one of the
most popular aesthetic procedures. Early complications, like infection,
seroma, hematoma and capsular contracture like ones of
the most frequent long term complications, might be related to
wound drainage. The aim of the study was to investigate the rate
of the complications of breast augmentation procedure performed
without drainage. Methods. Retrospective analysis of all patients
who had underwent breast augmentation in the period of
2003–2013 was performed. From the medical history of the patients,
data related to their demographic characteristics, surgical
technique and the rate of complications were collected. Wound
drainage had not been used in any of the patients. The patients
were followed at the discharge, after 7 days, three months and
yearly thereafter. Wound seroma, wound hemathoma, wound infection
and capsular contracture were followed. Results. There
were 726 patients with the average age of 28.5 (22–48) years.
Breast augmentation using silicone implants was performed with
inframammary approach using subglandular and submuscular
technique. The average implant size was 339 (200–520) cc. Subglandular
augmentation had 545 (75%) of the patients while 181
(25%) received an implant in submuscular plane: completely
submuscularly in 95/726 (13%) and by dual plane technique in
86/726 (12%) of the patients. In early postoperative period, there
were no infection, five (0.7%) seromas and eight (1.1%) hematoma
(five of them required surgical evacuation). There was no
statistically significant difference between the two surgical
techniques in terms of complication rate. During follow-up, there
were three (0.4%) capsular contractures. Conclusion. The incidence
of complications in our group of patients after breast augmentation
is low even though no drainage was used. Still, further
randomized trials are needed to prove the role of drainage in
prevention of complications after breast augmentation.