title: [Lactation after breast plastic surgery: literature review].
abstract: The occurrence of lactation is a rare complication of breast plastic surgery. During the course of his practice, the plastic surgeon will probably encounter this complication. The goal of this article is to carry out a literature review of all published galactorrhea and/or galactocele cases following a breast-reduction or a breast-augmentation, representing a total of 34 cases reported in 21 articles. The physiopathology of this complication is linked to an inappropriate secretion of prolactin in a surgical context. The factors favoring this complication would be the number of pregnancies, a history of recent and extensive nursing, and the intake of certain medicines such as an oestro-progestative pill. The main symptom of this complication is the occurrence of a uni- or bilateral galactorrhea, on average 12.6 days after the surgery. The main differential diagnosis is a postoperative infection. The explorations presented a hyperprolactinemia in 69% of cases. No biological inflammatory syndrome was reported. A fluid collection evoking a galactocele was visible on the ultrasound in 65% of cases. One case of prolactin-secreting pituitary adenoma was reported. Depending on the case, the treatment varied from a simple surveillance to the association of a dopamine agonist, an antibiotic therapy, and a surgical revision. A diagnostic and therapeutic management strategy is proposed.
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, centre hospitalier de Gonesse, 25, rue Bernard-Février, 95500 Gonesse, France. Electronic address: jbouhassira@gmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Bouhassira
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, centre hospitalier de Gonesse, 25, rue Bernard-Février, 95500 Gonesse, France.
authors.forename: K
authors.initials: K
authors.lastname: Haddad
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, centre hospitalier de Gonesse, 25, rue Bernard-Février, 95500 Gonesse, France.
authors.forename: B
authors.initials: B
authors.lastname: Burin des Roziers
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, centre hospitalier de Gonesse, 25, rue Bernard-Février, 95500 Gonesse, France.
authors.forename: J
authors.initials: J
authors.lastname: Achouche
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, centre hospitalier de Gonesse, 25, rue Bernard-Février, 95500 Gonesse, France.
authors.forename: S
authors.initials: S
authors.lastname: Cartier
mesh_terms: D047688:Breast Cyst / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D005687:Galactorrhea / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006966:Hyperprolactinemia / Q000209:etiology; D016462:Mammaplasty / Q000009:adverse effects*
keywords: Augmentation mammaire; Breast augmentation; Breast reduction; Galactocele; Galactocèle; Galactorrhea; Galactorrhée; Hyperprolactinemia; Hyperprolactinémie; Réduction mammaire