Silicone breast prostheses implantation and explanation

Area of Science:

• Plastic Surgery
• Biomaterials Science

Background:

• Breast implants have been utilized for augmentation and reconstruction for three decades.
• Standard surgical techniques ensure successful placement of mammary prostheses.
• A fibrous capsule naturally forms around all breast implants.

Purpose of the Study:

• To review the indications for breast implant explantation.
• To discuss complications associated with breast implants.
• To outline alternatives for post-explantation breast reconstruction.

Main Methods:

• Literature review of breast implant surgery, complications, and explantation.
• Analysis of standard techniques for mammary prosthesis placement.
• Overview of reconstructive options following implant removal.

Main Results:

• Capsular contracture, the hardening and tightening of the fibrous capsule, is the most frequent complication.
• Indications for explantation include rupture, infection, extrusion, siliconoma, pain, contracture, malposition, patient fear, and systemic symptoms.
• Alternative reconstruction methods include myocutaneous flaps and free tissue transfers.

Conclusions:

• Capsular contracture is a primary concern in breast implant surgery.
• Explantation is indicated for a range of complications and patient-related factors.
• Various advanced reconstructive techniques exist for patients undergoing explantation.