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A Prescription for Progress: The Aesthetic Society Welcomes Plastic Surgery Cores and Allied Professionals.

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Symptom Improvement After Explantation With No Capsulectomy for Systemic Symptoms Associated With Breast Implants.

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Commentary on: Standardized Photography of Female Genitalia and Anatomical Evaluations.

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Explantation: Techniques and Outcomes.

Melinda Haws1, Marisa Lawrence2

  • 1Private Practice, Nashville, TN, USA; Department of Plastic Surgery, Vanderbilt University Medical Center.

Clinics in Plastic Surgery
|March 13, 2026
PubMed
Summary
This summary is machine-generated.

Breast implant removal is increasing. Surgeons must decide on capsulectomy type and address post-explant deformities with aesthetic contouring, like fat grafting, based on patient goals and surgeon expertise.

Keywords:
Autoaugmentation mastopexyCapsulectomyExplantationFat grafting

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Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Reconstructive Surgery

Background:

  • Rising demand for breast implant removal (explantation) necessitates standardized surgical approaches.
  • Post-explantation deformities like ptosis and soft tissue deficits are common challenges.
  • Capsulectomy techniques and aesthetic reconstruction require careful consideration.

Purpose of the Study:

  • To outline considerations for breast implant explantation and capsulectomy.
  • To discuss management strategies for post-explantation aesthetic deformities.
  • To emphasize patient-centered decision-making in breast revision surgery.

Main Methods:

  • Review of current surgical practices for breast implant removal.
  • Discussion of techniques for capsulectomy (en bloc vs. piecemeal).
  • Exploration of aesthetic contouring options including tissue rearrangement and fat grafting.

Main Results:

  • Surgical decisions regarding capsulectomy should be individualized.
  • Aesthetic deformities require tailored reconstructive approaches.
  • Patient desires and surgeon judgment are crucial for optimal outcomes.

Conclusions:

  • Careful planning for breast implant explantation and capsulectomy is essential.
  • Addressing aesthetic deformities post-explantation improves patient satisfaction.
  • Shared decision-making ensures appropriate surgical plan selection.