Liponecrotic cysts after augmentation mammaplasty with fat injections

A 26-year-old woman underwent breast augmentation with fat injections from trochanteric liposuction. After one year firm lumps developed in both breasts. Surgical treatment included excising the cysts through an inframammary approach. Volume replacement consisted of a silicone gel prosthesis inserted through an axillary retropectoral approach. In a second stage, a supra-areolar dermopexy was done to centralize the nipple-areola complex.