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Breast implant illness (BII) symptoms significantly improve after explantation and capsulectomy. Surgical intervention reduces symptom frequency and severity, offering a standardized treatment for BII patients.

Keywords:
breast augmentationbreast implant complicationsbreast implant illnessbreast implantscapsulectomy

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Area of Science:

  • Plastic Surgery
  • Symptomatology
  • Patient Health Outcomes

Background:

  • Breast implant illness (BII) is a recognized condition characterized by diverse symptoms linked to breast implants.
  • The morbidity associated with BII necessitates effective treatment strategies.

Purpose of the Study:

  • To evaluate the efficacy of breast implant explantation with total capsulectomy in alleviating BII symptoms.
  • To identify potential co-factors influencing BII and its treatment outcomes.

Main Methods:

  • A single-center, single-arm, retrospective cohort study.
  • Data from 229 patients undergoing breast implant removal between 2018 and 2021 were analyzed.
  • Symptom improvement was assessed using primary and secondary endpoints.

Main Results:

  • A significant reduction in overall symptom frequency was observed post-surgery.
  • Average symptom scores decreased from 3.5 to 1.9 (a 1.6-point reduction).
  • Explantation and capsulectomy eliminated an average of 2.8 BII symptoms per patient.

Conclusions:

  • Breast implant illness is a genuine clinical entity impacting numerous patients with breast implants.
  • Breast implant explantation and total capsulectomy demonstrate significant effectiveness in reducing BII severity.
  • Standardized surgical treatment offers a viable approach for managing breast implant illness.