title: Progressive fat necrosis after breast augmentation with autologous lipotransfer: a cause of long-lasting high Fever and axillary lymph node enlargement.
abstract: Breast augmentation with autologous fat transfer has been widely practiced. However, this procedure is not exempt from complications even after technique refinement. This article aims to describe a case of long-lasting high fever, axillary node enlargement, and upper extremity dysfunction caused by liponecrosis after breast fat injection. Radiological and histological examination confirmed liponecrosis in bilateral breasts. Aspiration, drainage, and irrigation were performed along with empirical antibiotic treatment. The patient has made a full recovery from the operation. Liponecrosis, one of the complications after autologous fat grafting to the breast, may present widely different symptoms and signs. Even experienced surgeons should not underestimate it and caution should be used to maintain safety during and after the procedure.
  
  
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authors.affiliation: The Third Department, Plastic Surgery Hospital, Peking Union Medical College and the Chinese Academy of Medical Sciences, No 33, Ba-Da-Chu Road, Shijingshan District, Beijing, 100144, People's Republic of China.
authors.forename: XiuQi
authors.initials: X
authors.lastname: Li
authors.forename: Xin
authors.initials: X
authors.lastname: Guo
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018450:Disease Progression; D004322:Drainage / Q000379:methods; D005218:Fat Necrosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D005260:Female; D005334:Fever / Q000175:diagnosis / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D015187:Lipectomy / Q000379:methods; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000209:etiology; D008279:Magnetic Resonance Imaging / Q000379:methods; D016462:Mammaplasty / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D018570:Risk Assessment; D013997:Time Factors; D014182:Transplantation, Autologous / Q000009:adverse effects; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents