Galactorrhea, although a fairly common condition in a gravid or recently postpartum female, is rarely seen as a complication of breast augmentation or reduction. Although sporadic cases have been documented in the literature after cosmetic and reconstructive breast surgery, documented evidence of the cause of the abnormal lactation, save the identification of a pituitary prolactinoma, remains speculative at best. This case report involves a 32 y.o. Hispanic female who underwent elective bilateral subpectoral saline breast augmentation and developed massive galactorrhea in the immediate postoperative period.
Get full access to this article
View all access options for this article.
References
1.
Majdak-ParedesEJShafighiMDuringVSterneGD. An unusual case of galactorrhea in a postmenopausal woman complicating breast reduction. J Plast Reconstr Aesthet Surg. November 16, 2007, doi:10.1016/j.bjps.2007.10.019.
2.
InguenaultCCapon-DegardinNMartinot-DuquennoyV, Galactorrhea after mammary plastic surgery. Ann Chir Plast Esthet. 2005;50:171–175.
3.
KanhaiRCHageJJKarimRB, Exceptional presenting conditions and outcome of augmentation mammoplasty in male-to-female transsexuals. Ann Plast Surg. 1999;43:476–483.
4.
CaputyGCFlowersRS. Copious lactation following augmentation mammoplasty: An uncommon but not rare condition. Asthet Plast Surg. 1994;18:393–397.
LetsonGWMooreDC. Galactorrhea secondary to chest wall surgery in an adolescent. J Adolesc Health Care. 1984;5:277–278.
7.
ShinSHRosenPP. Pregnancy-like (pseudolactational) hyperplasia: A primary diagnosis in mammographically detected lesions of the breast and its relationship to cystic hypersecretory hyperplasia. Am J Pathol. 2000;24:1670–1674.
8.
GuptaSC. A critical review of contemporary procedures for mammary reduction. Br J Plast Surg. 1965;18:328–335.
9.
KatsurenEIshikawaSHondaK, Galactorrhoea and amenorrhoea due to an intradural neurinoma originating from a thoracic intercostals radical. Clin Endocrinol (Oxf). 1997;46:631–636.
10.
FinnisWABirdCEWilsonDL. Metoclopramide hydrochloride and galactorrhea. Can Med Assoc J. 1976;115:845.
11.
YuenBH. Hyperprolactinemia in women of reproductive age, etiology, diagnosis and management. Can Fam Physician. 1992;38:367–379.
12.
JosimovicsJBLavenharMADevanesanMMSestaHJWilchinsSASmithAC. Heterogeneous distribution of serum prolactin values in apparently healthy young women, and the effects of oral contraceptive medication. Fertil Steril. 1987;47:785–791.
13.
BruckJC. Galactorrhea: A rare complication following reduction mammoplasty. Ann Plast Surg. 1987;19:384–385.
14.
Mendez-GrainoFFernandezCBurriezaPL. Galactorrhea after reduction mammoplasty. Plast Reconstr Surg. 1990;85:645–646.
15.
BronsonD. Galactorrhea after reduction mammoplasty. Plast Reconstr Surg. 1989;83:580.
16.
SongIC. Galactorrhea after reduction mammoplasty. Plast Reconstr Surg. 1989;84:857.
17.
BentleyMGhaliSAsplundOA. Galactorrhea causing severe skin breakdown following breast reduction. Br J Plast Surg. 2004;57:682–684.
18.
SerriOChikCLEhudUEzzatS. Diagnosis and management of hyperprolactinemia. Can Med Assoc J. 2003;169:575–581.
