Not All Breast Explants Are Equal: Contemporary Strategies in Breast Explantation Surgery.
Journal
Plastic and reconstructive surgery
ISSN: 1529-4242
Titre abrégé: Plast Reconstr Surg
Pays: United States
ID NLM: 1306050
Informations de publication
Date de publication:
01 04 2021
01 04 2021
Historique:
entrez:
29
3
2021
pubmed:
30
3
2021
medline:
18
9
2021
Statut:
ppublish
Résumé
Breast implant removal and replacement has been a common secondary breast procedure in the long-term maintenance of breast augmentation, but more recently growing concerns about silicone-related systemic illness, breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), and changing perceptions of aesthetic beauty have seen breast implant removal without replacement become increasingly requested by patients. Explantation can be challenging, especially when performed with a total capsulectomy. Currently, there is no evidence regarding whether a partial or total capsulectomy has any effect on BIA-ALCL risk mitigation in patients that have textured implants without disease. Total capsulectomy with incomplete resection of a mass can contribute to hyperprogression of BIA-ALCL and death. There have also been cases of BIA-ALCL diagnosed years after removal of the textured device and "total capsulectomy." Therefore, the common practice of simple prophylactic capsulectomy in a textured implant to mitigate future disease has not been established and at the current time should be discouraged. In addition, aesthetic outcomes can be quite variable, and patients should have appropriate preoperative counseling regarding the indications and contraindications for explantation, associated risks, financial implications, and postoperative appearance. The authors review salient aspects related to the planning and management of breast implant removal.
Identifiants
pubmed: 33776030
doi: 10.1097/PRS.0000000000007784
pii: 00006534-202104000-00007
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
808-818Informations de copyright
Copyright © 2021 by the American Society of Plastic Surgeons.
Références
Spear SL, Parikh PM, Goldstein JA. History of breast implants and the Food and Drug Administration. Clin Plast Surg. 2009;36:15–21, v.
Cole NM. Consequences of the U.S. Food and Drug Administration-directed moratorium on silicone gel breast implants: 1992 to 2006. Plast Reconstr Surg. 2018;141:1137–1141.
American Society of Plastic Surgeons. 2010 report of the 2009 statistics. Available at: https://www.plasticsurgery.org/documents/News/Statistics/2009/plastic-surgery-statistics-full-report-2009.pdf . Accessed July 1, 2019.
American Society of Plastic Surgeons. 2018 national plastic surgery statistics. Available at: https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-report-2018.pdf . Accessed July 1, 2019.
Headon H, Kasem A, Mokbel K. Capsular contracture after breast augmentation: An update for clinical practice. Arch Plast Surg. 2015;42:532–543.
Spear SL, Murphy DK; Allergan Silicone Breast Implant U.S. Core Clinical Study Group. Natrelle round silicone breast implants: Core Study results at 10 years. Plast Reconstr Surg. 2014;133:1354–1361.
Blount AL, Martin MD, Lineberry KD, Kettaneh N, Alfonso DR. Capsular contracture rate in a low-risk population after primary augmentation mammaplasty. Aesthet Surg J. 2013;33:516–521.
Calobrace MB, Stevens WG, Capizzi PJ, Cohen R, Godinez T, Beckstrand M. Risk factor analysis for capsular contracture: A 10-year Sientra study using round, smooth, and textured implants for breast augmentation. Plast Reconstr Surg. 2018;141(Sientra Shaped and Round Cohesive Gel Implants):20S–28S.
Liu X, Zhou L, Pan F, Gao Y, Yuan X, Fan D. Comparison of the postoperative incidence rate of capsular contracture among different breast implants: A cumulative meta-analysis. PLoS One. 2015;10:e0116071.
Coroneos CJ, Selber JC, Offodile AC II, Butler CE, Clemens MW. US FDA breast implant postapproval studies: Long-term outcomes in 99,993 patients. Ann Surg. 2019;269:30–36.
Wan D, Rohrich RJ. Revisiting the management of capsular contracture in breast augmentation: A systematic review. Plast Reconstr Surg. 2016;137:826–841.
Lee HK, Jin US, Lee YH. Subpectoral and precapsular implant repositioning technique: Correction of capsular contracture and implant malposition. Aesthetic Plast Surg. 2011;35:1126–1132.
Maxwell GP, Gabriel A. Non-cross-linked porcine acellular dermal matrix in revision breast surgery: Long-term outcomes and safety with neopectoral pockets. Aesthet Surg J. 2014;34:551–559.
Swanson E. Open capsulotomy: An effective but overlooked treatment for capsular contracture after breast augmentation. Plast Reconstr Surg Glob Open. 2016;4:e1096.
Collis N, Litherland J, Enion D, Sharpe DT. Magnetic resonance imaging and explantation investigation of long-term silicone gel implant integrity. Plast Reconstr Surg. 2007;120:1401–1406.
Seigle-Murandi F, Lefebvre F, Bruant-Rodier C, Bodin F. Incidence of breast implant rupture in a 12-year retrospective cohort: Evidence of quality discrepancy depending on the range. J Plast Reconstr Aesthet Surg. 2017;70:42–46.
Ikeda DM, Borofsky HB, Herfkens RJ, Sawyer-Glover AM, Birdwell RL, Glover GH. Silicone breast implant rupture: Pitfalls of magnetic resonance imaging and relative efficacies of magnetic resonance, mammography, and ultrasound. Plast Reconstr Surg. 1999;104:2054–2062.
Hold PM, Alam S, Pilbrow WJ, et al. How should we investigate breast implant rupture? Breast J. 2012;18:253–256.
Maisel Lotan A, Retchkiman M, Tuchman I, Binenboym R, Gronovich Y. Analysis of 109 consecutive explanted breast implants: Correlation between suspected implant rupture and surgical findings. Aesthetic Plast Surg. 2016;40:739–744.
Peters W, Smith D, Fornasier V, Lugowski S, Ibanez D. An outcome analysis of 100 women after explantation of silicone gel breast implants. Ann Plast Surg. 1997;39:9–19.
Melmed EP. A review of explantation in 240 symptomatic women: A description of explantation and capsulectomy with reconstruction using a periareolar technique. Plast Reconstr Surg. 1998;101:1364–1373.
Rohrich RJ, Kenkel JM, Adams WP, Beran S, Conner WC. A prospective analysis of patients undergoing silicone breast implant explantation. Plast Reconstr Surg. 2000;105:2529–2537; discussion 2538–2543.
de Boer M, Colaris M, van der Hulst RRWJ, Cohen Tervaert JW. Is explantation of silicone breast implants useful in patients with complaints? Immunol Res. 2017;65:25–36.
Rohrich RJ, Kaplan J, Dayan E. Silicone implant illness: Science versus myth? Plast Reconstr Surg. 2019;144:98–109.
Magnusson MR, Cooter RD, Rakhorst H, McGuire PA, Adams WP Jr, Deva AK. Breast implant illness: A way forward. Plast Reconstr Surg. 2019;143(A Review of Breast Implant-Associated Anaplastic Large Cell Lymphoma):74S–81S.
American Society for Aesthetic Plastic Surgery. Breast implant illness: Frequently asked questions/talking points. Available at: https://www.surgery.org/sites/default/files/downloads/BII-Talking-Points-FINAL-1.15.19.pdf . Accessed July 1, 2019.
Mccarthy CM, Loyo-berríos N, Qureshi AA, et al. Patient Registry and Outcomes for Breast Implants and anaplastic Large Cell Lymphoma Etiology and Epidemiology (PROFILE): Initial report of findings, 2012-2018. Plast Reconstr Surg. 2019;143(A Review of Breast Implant-Associated Anaplastic Large Cell Lymphoma):65S–73S.
U.S. Food and Drug Administration. Medical device reports of breast implant-associated anaplastic large cell lymphoma. Available at: https://www.fda.gov/medical-devices/breast-implants/medical-device-reports-breast-implant-associated-anaplastic-large-cell-lymphoma . Accessed July 1, 2019.
Leberfinger AN, Behar BJ, Williams NC, et al. Breast implant-associated anaplastic large cell lymphoma: A systematic review. JAMA Surg. 2017;152:1161–1168.
Clemens MW, Medeiros LJ, Butler CE, et al. Complete surgical excision is essential for the management of patients with breast implant-associated anaplastic large-cell lymphoma. J Clin Oncol. 2016;34:160–168.
Tevis S, Hunt KH, Clemens MW. Stepwise en-bloc resection of breast implant associated ALCL with oncologic considerations. Aesthet Surg J Open Forum. 2019112.
McGuire PA, Deva AK, Glicksman CA, Adams WP, Haws MJ. Management of asymptomatic patients with textured surface breast implants. Aesthet Surg J Open Forum. 2019;1:1–3.
Collins MS, Miranda RN, Medeiros LJ, et al. Characteristics and treatment of advanced breast implant-associated anaplastic large cell lymphoma. Plast Reconstr Surg. 2019;143(A Review of Breast Implant-Associated Anaplastic Large Cell Lymphoma):41S–50S.
Paydar KZ, Kohan E, Hansen SL, Roostaeian J, Gradinger GP. Long-term effects of breast aging in patients undergoing explantation: Analysis of breast aesthetics from before augmentation to after explantation. Ann Plast Surg. 2013;70:427–431.
Cohen R, Irwin L, Newton-John T, Slater A. #bodypositivity: A content analysis of body positive accounts on Instagram. Body Image. 2019;29:47–57.
Del Vecchio DA. “SIEF”—Simultaneous implant exchange with fat: A new option in revision breast implant surgery. Plast Reconstr Surg. 2012;130:1187–1196.
Dickson JK, Gorman M, Palmer J. The V-Y capsulotomy release for correcting capsular contracture. J Plast Reconstr Aesthet Surg. 2015;68:1768–1769.
Hidalgo DA, Sinno S. Current trends and controversies in breast augmentation. Plast Reconstr Surg. 2016;137:1142–1150.
Gurunluoglu R, Kubek E, Arton J. Dual pedicle mastopexy technique for reorientation of volume and shape after subglandular and submuscular breast implant removal. Eplasty. 2013;13:e48.
Loghavi S, Medeiros LJ, Javadi S, et al. Breast implant-associated anaplastic large cell lymphoma with bone marrow involvement. Aesthet Surg J. 2018;38.
Collis N, Sharpe DT. Recurrence of subglandular breast implant capsular contracture: Anterior versus total capsulectomy. Plast Reconstr Surg. 2000;106:792–797.
Netscher DT. Aesthetic outcome of breast implant removal in 85 consecutive patients. Plast Reconstr Surg. 2004;113:1057–1059.
Rohrich RJ, Parker TH III. Aesthetic management of the breast after explantation: Evaluation and mastopexy options. Plast Reconstr Surg. 2007;120:312–315.
Graf RM, Closs Ono MC, Pace D, Balbinot P, Pazio ALB, de Paula DR. Breast auto-augmentation (mastopexy and lipofilling): An option for quitting breast implants. Aesthetic Plast Surg. 2019;43:1133–1141.
Abboud MH, Dibo SA. Immediate large-volume grafting of autologous fat to the breast following implant removal. Aesthet Surg J. 2015;35:819–829.
Mess SA. Lipoaugmentation following implant removal preferred by plastic surgeons and the general public. Plast Reconstr Surg Glob Open. 2018;6:e1882.
Gurunluoglu R, Shafighi M, Schwabegger A, Ninkovic M. Secondary breast reconstruction with deepithelialized free flaps from the lower abdomen for intractable capsular contracture and maintenance of breast volume. J Reconstr Microsurg. 2005;21:35–41.
Hönig JF, Frey HP, Hasse FM, Hasselberg J. Inferior pedicle autoaugmentation mastopexy after breast implant removal. Aesthetic Plast Surg. 2010;34:447–454.
Kirwan L, Wazir U, Mokbel K. Breast auto-augmentation: A versatile method of breast rehabilitation. A retrospective series of 107 procedures. Arch Plast Surg. 2015;42:438–445.
Gurunluoglu R. Reply: Outcomes analysis of patients undergoing autoaugmentation after breast implant removal. Plast Reconstr Surg. 2014;133:218e–220e.