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Malygin S.E.

Institute of Plastic Surgery and Cosmetology

Melnikov D.V.

Institute of Plastic Surgery and Cosmetology;
Sechenov First Moscow State Medical University

Gotovtseva U.A.

Institute of Plastic Surgery and Cosmetology

Kovaleva K.A.

Institute of Plastic Surgery and Cosmetology

Breast implant removal: indications and technical considerations

Authors:

Malygin S.E., Melnikov D.V., Gotovtseva U.A., Kovaleva K.A.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2024;(1): 48‑54

DOI: 10.17116/plast.hirurgia202401148

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Table of contents

To cite this article:

Malygin SE, Melnikov DV, Gotovtseva UA, Kovaleva KA. Breast implant removal: indications and technical considerations. Plastic Surgery and Aesthetic Medicine. 2024;(1):48‑54. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202401148

 
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OBJECTIVE

To analyze the technical approaches to breast implant removal with optimal aesthetic results.

MATERIAL AND METHODS

We assessed the indications for this surgery and surgical techniques depending on duration of implantation, admissibility of mastopexy and preferences of surgeons.

RESULTS

There were a few complications and high patient satisfaction with postoperative aesthetic results.

CONCLUSION

We developed the optimal approaches for aesthetic problems in patients undergoing breast implant removal.

Keywords:

breast implants removal
mastopexy
breast implant illness

Authors:

Malygin S.E.

Institute of Plastic Surgery and Cosmetology

Melnikov D.V.

Institute of Plastic Surgery and Cosmetology;
Sechenov First Moscow State Medical University

Gotovtseva U.A.

Institute of Plastic Surgery and Cosmetology

Kovaleva K.A.

Institute of Plastic Surgery and Cosmetology

Received:

29.09.2023

Accepted:

21.10.2023

List of references:

  1. Plastic Surgery Statistics Report 2020. ASPS National Clearinghouse of Plastic Surgery Procedural Statistics. https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf
  2. Aesthetic Plastic Surgery National Databank Statistics 2020—2021. The Aesthetic Society. https://cdn.theaestheticsociety.org/media/statistics/2021-TheAestheticSocietyStatistics.pdf
  3. Magnusson MR, Cooter RD, Rakhorst H, McGuire PA, Adams WP Jr, Deva AK. Breast Implant Illness: A Way Forward. Plast Reconstr Surg. 2019; 143(3S A Review of Breast Implant-Associated Anaplastic Large Cell Lymphoma):74S-81S. PMID: 30817559. https://doi.org/10.1097/PRS.0000000000005573
  4. Colaris MJL, de Boer M, van der Hulst RR, Cohen Tervaert JW. Two hundreds cases of ASIA syndrome following silicone implants: A comparative study of 30 years and a review of current literature. Immunol Res. 2017; 65(1):120-128.  https://doi.org/10.1007/s12026-016-8821-y
  5. Atiyeh B, Emsieh S. Breast Implant Illness (BII): Real Syndrome or a Social Media Phenomenon? A Narrative Review of the Literature. Aesthetic Plast Surg. 2022;46(1):43-57. Epub 2021 July 06. PMID: 34231017. https://doi.org/10.1007/s00266-021-02428-8
  6. Sondén ECB, Sebuødegård S, Korvald C, Lømo J, Schlichting E, Brandal SHB, Hofvind S. Kosmetiske brystimplantater og brystkreft [Cosmetic breast implants and breast cancer]. Tidsskr Nor Laegeforen. 2020;140(3). PMID: 32105043. (In Norwegian). https://doi.org/10.4045/tidsskr.19.0266
  7. Breast Implants: Reports of Squamous Cell Carcinoma and Various Lymphomas in Capsule Around Implants: FDA Safety Communication. Date Issued: September 08, 2022. Update: March 08, 2023. https://www.fda.gov/medical-devices/safety-communications/breast-implants-reports-squamous-cell-carcinoma-and-various-lymphomas-capsule-around-implants-fda
  8. Cronin TD, Gerow FJ. Augmentation Mammaplasty: A New “Natural Feel” Prosthesis. Excerpta Medica International Congress. 1963;66:41-49. 
  9. FDA Update on the Safety of Silicone Gel-Filled Breast Implants. Center for Devices and Radiological Health U.S. Food and Drug Administration. June 2011. https://www.fda.gov/files/medical%20devices/published/Update-on-the-Safety-of-Silicone-Gel-Filled-Breast-Implants-%282011%29.pdf
  10. Gurunluoglu R, Sacak B, Arton J. Outcomes analysis of patients undergoing autoaugmentation after breast implant removal. Plast Reconstr Surg. 2013;132:304-315.  https://doi.org/10.1097/PRS.0b013e31829e7d9e
  11. Serritzlev MS, Lorentzen AK, Matthiessen L W, Hölmich LR. Capsular contracture in patients with prior breast augmentation undergoing breast conserving therapy and irradiation. J Plast Surg Hand Surg. 2020;54(4):225-232.  https://doi.org/10.1080/2000656X.2020.1755299
  12. Rohrich RJ, Beran SJ, Restifo RJ, Copit SE. Aesthetic management of the breast following explantation: evaluation and mastopexy options. Plast Reconstr Surg. 1998;101(3):827-837. PMID: 9500406. https://doi.org/10.1097/00006534-199803000-00039
  13. Hönig JF, Frey HP, Hasse FM, Hasselberg J. Inferior pedicle autoaugmentation mastopexy after breast implant removal. Aesthetic Plast Surg. 2010;34(4):447-454. Epub 2010 Feb 21. PMID: 20174800; PMCID: PMC2906718. https://doi.org/10.1007/s00266-010-9471-4
  14. Graf RM, Closs Ono MC, Pace D, Balbinot P, Pazio ALB, de Paula DR. Breast Auto-augmentation (Mastopexy and Lipofilling): An Option for Quitting Breast Implants. Aesthetic Plast Surg. 2019;43(5):1133-1141. Epub 2019 May 07. PMID: 31065751. https://doi.org/10.1007/s00266-019-01387-5
  15. Mess SA. Lipoaugmentation following Implant removal preferred by plastic surgeons and the general public. Plast Reconstr Surg Glob Open. 2018;6(8): e1882. PMID: 30324064; PMCID: PMC6181509. https://doi.org/10.1097/GOX.0000000000001882
  16. Mangialardi ML, Ozil C, Lepage C. One-Stage Mastopexy-Lipofilling after Implant Removal in Cosmetic Breast Surgery. Aesthetic Plast Surg. 2022; 46(4):1542-1550. https://doi.org/10.1007/s00266-021-02727-0

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