There was a recent study done to investigate the incidence of galactorrhea and galactocoel following Breast Augmentation. The study involved 832 patients. In this group 8 patient’s experienced galactorrhea. They all wre bilateral and 3 presented with a galactocoele. Using a peri-aerolar incision increased the incidence.
The average time from surgery to occurrence was about 18 days. The main culprit is increased production of prolactis which is a hormone that leads to increased milk production. If there is an increase in prolactin levels use a dopomine agonist such as bromocriptine. Usually galactorrhea is bilateral with a milky discharge. Aspiration of a galactocoele may be necessary. Usually with appropriate therapy patients return to normal in a matter of weeks.