Adjunctive Procedures and Informed Consent with Breast Implant Explantation

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Breast Implant Management

Background:

• Breast augmentation and reconstruction using implants have a complex history.
• Current breast implant management requires awareness of literature, its limitations, and patient/media influences.

Purpose of the Study:

• To review and analyze adjuvant treatments for optimizing well-being during breast implant explantation without replacement.

Main Methods:

• Literature review and analysis of adjuvant treatments for breast implant explantation.

Main Results:

• Evidence for adjunctive management of systemic concerns, capsule, and soft tissue is variable and often contradictory.
• Few approaches are strongly evidenced; many are defensible but impacted by issues like breast implant illness.
• Plastic surgeons must provide explantation surgery to address patient health and wishes, adapting approaches to individual needs.

Conclusions:

• Surgical techniques, timing, and indications for breast implant explantation will continue to evolve.
• Ongoing research is necessary to optimize treatment for patients with breast implant complications.