Related Experiment Video
Updated: Nov 8, 2025
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Revisional Breast Surgery: Are Surgical Plans Changed if the Patient Has a Textured Device?
Maurizio Nava1, Roy De Vita1, Giuseppe Catanuto1
1From G.Re.T.A., the Group for Reconstructive and Therapeutic Advancements; the Department of Plastic Surgery, National Cancer Institute "Regina Elena"; the Multidisciplinary Breast Unit, Azienda Ospedaliera Cannizzaro; and Breast Reconstructive Surgery, Valduce Hospital.
Revision surgery for breast implants does not require a different approach for patients with textured devices. Current evidence suggests standard surgical methods are appropriate for revision procedures, regardless of implant surface texture.
Area of Science:
- Plastic and Reconstructive Surgery
- Breast Surgery
- Medical Device Research
Background:
- Revision surgery is common after breast implant procedures.
- Textured breast implants are widely used.
- The impact of implant surface texture on revision surgery is debated.
Purpose of the Study:
- To evaluate evidence regarding surgical approaches for revision breast implant surgery.
- To determine if textured breast devices necessitate different revision surgical techniques.
- To synthesize current literature on managing complications in breast implant revision.
Main Methods:
- Systematic review of 31 studies on revision breast implant surgery.
- Analysis of studies with evidence levels ranging from 4 to 5.
- Inclusion of both aesthetic and reconstructive breast surgery cases.
Main Results:
- No included studies recommended distinct surgical approaches for textured breast devices.
- Evidence does not support modifying revision surgery based on implant texture.
- Standardized, evidence-based approaches are applicable.
Conclusions:
- No change in surgical approach is warranted for revision breast implant surgery in patients with textured devices.
- Proper preoperative assessment and management of complications are key.
- Current evidence supports consistent surgical strategies irrespective of implant surface texture.
