Axillary Fistula and Scar Contracture due to Uncontrolled Chronic Infection after Trans-Axillary Augmentation Mammaplasty

The degree of deformity depends on the promptness and efficacy of treatment. Deformities will vary from small contour irregularities in the helical rim to complete absence of the ear. Reconstruction should not be attempted for a minimum of 6 months after complete resolution of the infection [4,5]. Reconstruction is individualized for the deformity and may consist of simple scar revision, cartilage sculpting, or complete reconstruction of the ear with cartilage grafts and flaps. Most commonly, a local skin envelope can be salvaged and can be unfurled and wrapped over shaped cartilage grafts taken from the opposite ear. Reconstructive complexity may escalate if initial reconstructions are inadequate. The consequences of ear cartilage piercing include infection and potential loss of the ear. As such, patients should be counseled about these risks when considering the procedure.