Low-intensity laser therapy for benign fibrotic lumps in the breast following reduction mammaplasty.
OBJECTIVE
Fibrotic masses in the breast secondary to fat necrosis or hematoma are a complication of breast reduction mammaplasty. The treatment commonly recommended for this condition is early surgical debridement of necrotic tissue from the entire area, which causes scarring. This case report describes the use of low-intensity laser therapy for fibrotic lumps following reduction mammaplasty.


METHODS
The patient was a 46-year-old woman who had breast reduction surgery 80 days prior to referral for physical therapy. At the time of referral, the largest mass was 8.0 cm in diameter. The patient reported pain and said she was distressed about the breast disfigurement. Laser irradiation was initiated at an energy density (ED) of 20 J/cm2 and a pulse repetition rate of 5,000 pulses per second. The laser settings were adjusted during the 8-month treatment period. The final ED was 50 J/cm2.


RESULTS
The mass was 33% of its original size after 3 treatments over the initial 11-day period. Pain relief was immediate. The rate of resolution decreased after the initial period. The patient had some tissue thickening at the time of discharge after 6 months of treatment.


CONCLUSIONS
This case demonstrates the potential use of laser therapy as a treatment for benign breast lumps following mammaplasty.
Department of Physical Therapy, University of Toronto, Mount Sinai Hospital, Ontario, Canada. e.nussbaum@utoronto.ca
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Nussbaum
D005218:Fat Necrosis / Q000209:etiology / Q000473:pathology*; D005260:Female; D005355:Fibrosis; D006406:Hematoma / Q000209:etiology / Q000473:pathology*; D006801:Humans; D053685:Laser Therapy; D016462:Mammaplasty; D008875:Middle Aged; D011183:Postoperative Complications / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome