Uno Kayoko, Suzuki Yushi, Nakamura Yukie, Kishi Kazuo
Department of Plastic and Reconstructive Surgery, Ofuna Chuo Hospital, 6-2-24 Ofuna, Kanagawa Kamakura 247-0056, Japan.
Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Tokyo Shinjuku 160-8582, Japan.
JPRAS Open. 2025 Aug 6;45:449-453. doi: 10.1016/j.jpra.2025.08.007. eCollection 2025 Sep.
Several complications have been reported following copolyamide filler injections for breast augmentation leading many countries to issue warnings regarding the use of nonabsorbable fillers. While previous reports have described breast complications necessitating surgical intervention after filler injections, none have explicitly documented the continuation of postoperative breastfeeding. Here, we report a rare case in which a woman with a history of breast augmentation using AQUALIFT developed mastitis following childbirth and the initiation of breastfeeding. Despite requiring surgical removal of the AQUALIFT, she successfully continued breastfeeding owing to a strong desire and commitment to regular milk expression throughout the perioperative period. Nevertheless, the carcinogenicity and toxicity of copolyamide, its presence in breast milk, and its effects on breastfed infants remain unclear. While various authorities have issued warnings concerning the use of fillers for breast augmentation, a significant number of women have already undergone this procedure. As these women reach childbearing age, further research is required to evaluate the safety of breastfeeding after filler-based augmentation.
据报道,聚酰胺共聚物填充剂用于隆乳术后出现了多种并发症,导致许多国家就不可吸收填充剂的使用发布了警告。虽然此前的报告描述了填充剂注射后需要手术干预的乳房并发症,但均未明确记录术后母乳喂养的情况。在此,我们报告一例罕见病例,一名有使用AQUALIFT隆乳史的女性在分娩并开始母乳喂养后发生了乳腺炎。尽管需要手术取出AQUALIFT,但由于她在围手术期有强烈的意愿并坚持定期挤奶,她成功地继续进行了母乳喂养。然而,聚酰胺共聚物的致癌性和毒性、其在母乳中的存在情况及其对母乳喂养婴儿的影响仍不清楚。尽管各有关当局已就使用填充剂隆乳发出警告,但仍有大量女性接受了这一手术。随着这些女性达到生育年龄,需要进一步研究以评估基于填充剂的隆乳术后母乳喂养的安全性。