Late seroma after silicone breast implants: three different forms of presentation, evolution, and approach

Background: Late seromas after augmentation mammaplasty are uncommon, can manifest without a defined cause, and can be treated by implant removal or replacement. This study aimed to analyze three cases of this complication that occurred 1–10 years postoperatively and were treated differently. Methods: Data of three patients who developed late seroma after breast implant placement were analyzed. In this report, we present data on the indication for implant placement, time without complications, implant type, and the analytical results of the removed or drained material. Results: Two patients underwent bilateral implant removal, although only one side was affected, and the implant was replaced with another of the same type and volume in the third patient. One case of sterile pus was diagnosed. Conclusions: Before undergoing breast implant surgery, patients should be informed of the implications of their decisions, such as the possible need to remove or replace them, re sulting in more surgical procedures and/or new scars.