Breast augmentation surgery is the most common cosmetic surgery in the United States, and seroma is a known complication of breast augmentation. However, late seroma is a rare event and is most associated with textured implants. A 29-year-old woman with a remote history of breast implantation presented to the plastic surgery clinic for evaluation of a swollen breast, which began 24 h postpartum. Magnetic resonance imaging revealed peri-implant fluid maintained within the fibrous capsule. The patient was managed conservatively and the swelling self-resolved without recurrence. The authors report the first known case of a late seroma associated with pregnancy, occurring nine years postoperatively.
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