Elective Implant Removal and Replacement in Asymptomatic Aesthetic Patients with Textured Devices

Plast Reconstr Surg. 2021 May 1;147(5S):14S-23S. doi: 10.1097/PRS.0000000000008041.

Abstract

The management of patients with breast implants requires secondary procedures through the life of the implant, sometimes in the early postoperative period and more commonly many years after the initial surgery. In performing revisional procedures, removal and replacement of the implants is often required for a variety of reasons. With growing concerns of implant safety, implant exchange or removal with or without a capsulectomy has been increasingly requested by patients. In particular, textured breast implants have been under increased scrutiny secondary to their association with breast implant-associated anaplastic large cell lymphoma. Unfortunately, to date, there are no data and very little guidance as to the appropriate management of patients currently with textured implants as well as patients with a history of having had textured implants placed in the past. The surgeon must not only consider the appropriate management of patients with uncomplicated, asymptomatic textured devices but also consider the appropriate management when faced with another indication for revisional surgery and the need determine the appropriate course of action. An algorithm for the management of the explantation patient in general will be introduced in this review with a focus on the rationale, planning, and management of patients with an uncomplicated, asymptomatic textured implants.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Asymptomatic Diseases
  • Breast Implantation / methods*
  • Breast Implants / adverse effects*
  • Breast Neoplasms / etiology
  • Breast Neoplasms / surgery
  • Device Removal / methods*
  • Elective Surgical Procedures / methods*
  • Esthetics
  • Female
  • Humans
  • Lymphoma, Large-Cell, Anaplastic / etiology
  • Lymphoma, Large-Cell, Anaplastic / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Prosthesis Design
  • Reoperation
  • Risk Assessment
  • Surface Properties