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Breast implant reverse surgery: A step-by-step approach.

Barbara Pompei1, Vendela Grufman2, Giovanni Zoccali3

  • 1Department of Plastic and Reconstructive Surgery, Ente Ospedaliero Cantonale, Lugano, Switzerland.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|May 15, 2023
PubMed
Summary
This summary is machine-generated.

Breast implant removal surgery is increasingly popular, with most patients satisfied post-explantation. A new algorithm standardizes "reverse surgery" techniques for better outcomes.

Keywords:
Breast reshapingBreast surgeryImplant removalReverse surgery

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Breast augmentation popularity is declining.
  • Breast implant removal requests have significantly increased.
  • Implant-related issues are a primary driver for explantation.

Purpose of the Study:

  • To investigate patient satisfaction after breast implant removal without exchange.
  • To categorize "reverse surgery" techniques.
  • To develop a standardized algorithm for explantation procedures.

Main Methods:

  • 77 women undergoing breast implant removal were divided into four groups based on surgical technique.
  • Procedures included simple removal, removal with lipofilling, removal with mastopexy, and removal with mastopexy and lipofilling.
  • An algorithm was developed to guide surgeons in selecting the appropriate "reverse" surgery.

Main Results:

  • The majority of patients reported high satisfaction following explantation.
  • Capsulectomy was infrequently performed, with capsules often utilized for fat grafting.
  • Analysis of patient groups informed the algorithm for standardized surgical approaches.

Conclusions:

  • A trend towards breast implant removal and "reverse surgery" is evident in plastic surgery.
  • The developed algorithm provides general rules for surgeons performing explantation.
  • Surgeon-patient communication and alternative breast augmentation methods may be impacted by these trends.