[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-447346-105":59,"doc-detail-447346-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","breast-infection-after-nipple-piercing-in-augmented-breasts-a-case-report-and-review-of-literature","Breast infection after nipple piercing in augmented breasts - a case report and review of literature","","Breast augmentation is among the most frequently performed aesthetic procedures worldwide. Postoperative infections are uncommon, yet implant-associated infections can be severe and difficult to manage. Nipple piercings are a recognized source of local infection, but their implications in patients with implants are poorly characterized. This report documents a 23-year-old woman who developed rapid left breast pain, erythema, and purulent drainage after bilateral nipple piercing, with ultrasound showing a multiloculated abscess.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/breast-infection-after-nipple-piercing-in-augmented-breasts-a-case-report-and-review-of-literature/447346/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/breast-infection-after-nipple-piercing-in-augmented-breasts-a-case-report-and-review-of-literature/447346.png","ImageObject",300,407,{"name":92,"@type":93},"OmBimo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What condition developed after nipple piercing in augmented breasts in the reported case?","Question",{"text":113,"@type":114},"A rapidly progressive left breast infection with pain, erythema, and purulent drainage developed after bilateral nipple piercing in a woman with breast implants.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What did imaging and cultures show in the case report?",{"text":118,"@type":114},"Ultrasound revealed a multiloculated abscess; aspiration cultures grew Streptococcus pyogenes, while intraoperative cultures from both implant pockets were sterile.",{"name":120,"@type":111,"acceptedAnswer":121},"How was the infection managed and what was the outcome?",{"text":122,"@type":114},"Urgent abscess drainage and bilateral explantation were performed, after which the patient recovered fully with antibiotic therapy.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},447346,1790871717,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962090893581,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Case RepoRts in plastiC suRgeRy and Hand suRgeRy 2026, Vol. 13, no. 1, 2610520  \n[https://doi.org/10.1080/23320885.2025.2610520](https://doi.org/10.1080/23320885.2025.2610520)  \nCASE REPORT     \nBreast infection after nipple piercing in augmented breasts: a case report and review of literature  \nOri Bergera,b, Roei Singoldaa, Ehab Madaha, Ehud Arada and Yoav Barneaa  \nadepartment of plastic and Reconstructive surgery, tel-aviv sourasky Medical Center, affiliated with the gray Faculty of Medical & Health sciences, tel-aviv university, tel-aviv, israel; bdepartment of plastic surgery, Barzilai Medical Center, ashkelon, israel  \nABSTRACT  \nBreast augmentation is among the most frequently performed aesthetic procedures worldwide. Although postoperative infections are uncommon, breast implant-associated infections can be severe and challenging to treat. Nipple piercings, increasingly popular among young women, are a recognized source of local infection, yet their implications in patients with implants remains poorly characterized. This report describes a case of breast infection following nipple piercing in a woman with breast implants and to review the relevant literature. A 23-year-old woman with a history of subpectoral breast augmentation underwent bilateral nipple piercing and subsequently developed rapidly progressive left breast pain, erythema and purulent drainage. Ultrasound revealed a multiloculated abscess. Aspiration cultures grew Streptococcus pyogenes, while intraoperative cultures from both implant pockets were sterile. Despite the absence of direct pocket involvement, her clinical deterioration warranted urgent abscess drainage and bilateral explantation, after which she recovered fully on antibiotic therapy. A targeted literature review identified four published cases of breast or chest implant infections associated with nipple piercing. Reported infections occurred 2–50 weeks after piercing and most involved Staphylococcus or Streptococcus species. Management ranged from antibiotics alone to explantation, though follow-up in most reports was limited. Breast infections following nipple piercing in augmented patients are rare but potentially severe. Significant soft-tissue infections may necessitate explantation, even when pockets appear uninvolved. Patients considering nipple piercing after augmentation should be counseled about these risks, and further systematic reporting is needed to guide prevention and treatment strategies.  \nIntroduction  \nARTICLE HISTORY  \nReceived 28 August 2025 Accepted 23 December 2025  \nKEYWORDS  \nBreast infection; breast implant; piercing; implant explantation; case report  \nBreast augmentation with implants is among the most frequently performed cosmetic procedures worldwide, with numbers steadily rising each year [1] . Epidemiologic data suggest that approximately 3–4% of adult women have breast implants, the majority (about 75%) for cosmetic indications [2,3] . While generally safe, implant infections remain a severe complication. Large series report overall infection rates of roughly 0.5–2% after breast augmentation, with late-onset infections representing an important subset within this range [1,4–8] . These late infections are often associated with secondary bacteremia, where pathogens from other body sites seed the implant via the bloodstream [1] . Additionally, invasive procedures elsewhere in the body or pre-existing conditions may predispose individuals to infection [1], and  \nthe implant surface can harbor bacterial biofilms, further increasing risk once seeding occurs [9] .  \nNipple piercing has also become increasingly popular, particularly among women, and represents a plausible portal of entry for bacteria into deeper breast tissue. Survey data indicate that about 10% of adult women have piercings at non-earlobe sites, and among these, roughly 9% involve the nipple,  \nCONTACT yoav Barnea  [ybarnea@gmail.com](ybarnea@gmail.com)  department of plastic & Reconstructive surge","cbCaiql9k1ypxavj","https://ap.wps.com/l/cbCaiql9k1ypxavj","pdf",686400,"English","# Introduction\n## Article history\n## Keywords\n# Case report and clinical presentation\n## Imaging and cultures\n## Treatment and outcome\n# Literature review\n## Reported cases and management\n# Discussion\n## Clinical implications and counseling","[{\"question\":\"What condition developed after nipple piercing in augmented breasts in the reported case?\",\"answer\":\"A rapidly progressive left breast infection with pain, erythema, and purulent drainage developed after bilateral nipple piercing in a woman with breast implants.\"},{\"question\":\"What did imaging and cultures show in the case report?\",\"answer\":\"Ultrasound revealed a multiloculated abscess; aspiration cultures grew Streptococcus pyogenes, while intraoperative cultures from both implant pockets were sterile.\"},{\"question\":\"How was the infection managed and what was the outcome?\",\"answer\":\"Urgent abscess drainage and bilateral explantation were performed, after which the patient recovered fully with antibiotic therapy.\"}]","Breast infection after nipple piercing in augmented breasts - a case report and review of literature | PDF",1790719861,18]