Ramos-Gallardo G, Cuenca-Pardo J, Vélez-Benítez E, Vega-Sánchez MA

Language: Spanish
References: 18
Page: 8-13
PDF size: 1801.98 Kb.

ABSTRACT

Although breast implant placement is a very popular procedure, an increasing number of patients inquire about implant removal and the different options to improve tissue appearance after explantation. A retrospective study was carried out on patients who underwent breast implant explantation with or without mastopexy between September 1, 2022, and August 30, 2024. A total of 29 patients were included, with a mean age of 51.2 years (range 29-76); nine patients had comorbidities. The most frequent procedure was implant explantation with capsulectomy and mastopexy in 14 patients; explantation and capsulectomy in nine patients; and explantation alone in six patients. In addition, three patients underwent fat grafting. Patients with ASIA syndrome reported limited symptom improvement (2.3 on a 1-5 scale). We concluded that explantation can be performed together with capsulectomy, mastopexy, or fat grafting. The primary reason was the patient's desire to no longer have breast implants. Patients with a history of ASIA syndrome may undergo the procedure after evaluation by a specialist.

REFERENCES

1. Ramos-Gallardo G, Vélez-Benítez E, Cuenca-Pardo J, Cárdenas-Camarena L, Ramírez-Montañana A, Carballo-Zarate A et al. What is the process for breast implant manufacturing? Inside eight breast implant factories. Aesthetic Plast Surg 2020; 44 (6): 2063-2074. doi: 10.1007/s00266-020-01844-6.

2. Ramos-Gallardo G, Carballo-Zarate AA, Cuenca-Pardo J, Cárdenas-Camarena L, Solano-Genesta M, Beltrán JAC et al. What is the evidence of lymphoma in patients with prostheses other than breast implants? Aesthetic Plast Surg 2020; 44 (2): 286-294.

3. Kabir R, Stanton E, Sorenson TJ, Hemal K, Boyd CJ, Karp NS et al. Breast implant illness as a clinical entity: a systematic review of the literature. Aesthet Surg J 2024; 44 (9): NP629-NP636. doi: 10.1093/asj/sjae095.

4. Tervaert JWC, Shoenfeld Y, Cruciani C, Scarpa C, Bassetto F. Breast implant illness: Is it causally related to breast implants? Autoimmun Rev 2023; 23 (1): 103448. doi: 10.1016/j.autrev.2023.103448.

5. Ramos-Gallardo G, Cuenca-Pardo J, Cardenas-Camarena L, Sánchez-Cervantes O. Morbidity induced by the infiltration of foreing substance into the buttocks: a systematic review. J Plast Reconstr Aesthet Surg 2024; 91: 135-153.

6. Keane G, Chi D, Ha AY, Myckatyn TM. En bloc capsulectomy for breast implant illness: a social media phenomenon? Aesthet Surg J 2021; 41 (4): 448-459. doi: 10.1093/asj/sjaa203.

7. Feng LJ, Kumar A. Reply: does a capsulectomy really improve pulmonary function in women with breast implant illness? Plast Reconstr Surg Glob Open 2021; 9 (11): e3902. doi: 10.1097/GOX.0000000000003902.

8. Suh LJ, Khan I, Kelley-Patteson C, Mohan G, Hassanein AH, Sinha M. Breast implant-associated immunological disorders. J Immunol Res 2022; 2022: 8536149. doi: 10.1155/2022/8536149.

9. Bresnick SD. Self-reported breast implant illness: the contribution of systemic illnesses and other factors to patient symptoms. Aesthet Surg J Open Forum 2023; 5: ojad030. doi: 10.1093/asjof/ojad030.

10. Suri K, Billick S. Breast implant illness through a psychiatric lens. Aesthetic Plast Surg 2023; 48 (4): 559-567. doi: 10.1007/s00266-023-03692-6.

11. Lee M, Ponraja G, McLeod K, Chong S. Breast implant illness: a biofilm hypothesis. Plast Reconstr Surg Glob Open 2020; 8 (4): e2755.

12. García S, Lena T. Enfermedad asociada a implantes mamarios; ¿Cuál es la evidencia actual? Cir Plast iberolatinoam 2021; 47 (2): 119-134.

13. McGuire P, Glicksman C, Magnusson MR, Deva AK. Systemic symptoms associated with breast implants (SSBI): current evidence shows benefit of implant removal with or without capsulectomy. Aesthet Surg J 2023; 43 (9): 1057-1060. doi: 10.1093/asj/sjad165.

14. Lee MA. Reply: breast implant illness, biofilm, and the role of capsulectomy. Plast Reconstr Surg Glob Open 2020; 8 (8) :e2994. doi: 10.1097/GOX.0000000000002994.

15. Ramos-Gallardo G, Ríos-Lara y López RL, Cuenca-Pardo J, Cárdenas-Camarena L, Contreras-Bulnes L, Vélez BE et al. Manejo del seroma crónico en pacientes con implantes de mama en relación con el diagnóstico de linfoma anaplásico de células gigantes. Cir Plast 2019; 29 (1): 147-162.

16. Abi-Rafeh J, Safran T, Winocour S, Dionisopoulos T, Davison P, Vorstenbosch J. Complications of capsulectomies: an analysis of the American College of Surgeons National Surgical Quality Improvement Program database. Aesthet Surg J Open Forum 2022; 4: ojac025. doi: 10.1093/asjof/ojac025.

17. Calobrace MB, Mays C. An algorithm for the management of explantation surgery. Clin Plast Surg 2021; 48 (1): 1-16. doi: 10.1016/j.cps.2020.09.005.

18. Triana L, Aggarwal N, Liscano E. Explantation mastopexy using long superior dermoglandular flap: a retrospective analysis of our technique. Aesthetic Plast Surg 2025; 49 (11): 3092-3099. doi: 10.1007/s00266-025-04659-5.