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.


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