Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique
Abstract Background Implant-based breast augmentation is one of the most popular plastic surgery procedures performed worldwide. As the number of patients who have breast implants continues to rise, so does the number of those who request breast implant removal without replacement. There is little i...
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Published in | Aesthetic surgery journal. Open forum Vol. 5; p. ojad037 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
US
Oxford University Press
11.01.2023
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Subjects | |
Online Access | Get full text |
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Summary: | Abstract
Background
Implant-based breast augmentation is one of the most popular plastic surgery procedures performed worldwide. As the number of patients who have breast implants continues to rise, so does the number of those who request breast implant removal without replacement. There is little in the current scientific literature describing total intact capsulectomy and simultaneous mastopexy procedures.
Objectives
Here, the authors present their current method using the mammary imbrication lift and fixation technique after explant and total capsulectomy.
Methods
Between 2016 and 2021, a total of 64 patients (mean age: 42.95 years; range, 27-78 years) underwent the described mammary imbrication lift and fixation technique with bilateral breast implant removal and total capsulectomy.
Results
Mean follow-up was 6.5 months (range, 1-36 months). Postoperative complications included minor cellulitis in 1 patient (1.6%), late onset hematoma with infection in 1 patient (1.6%), fat necrosis and pulmonary embolism in 1 patient with prior history of thromboembolic events (1.6%), and breast scar irregularity in 4 patients (6.2%) who required subsequent minor scar revision or steroid injections. Two patients (1.6%) underwent revision surgery with bilateral breast fat grafting to improve shape and add volume.
Conclusions
The mammary imbrication lift and fixation technique described here can safely and simultaneously be performed with a total intact capsulectomy and explant procedure. This technique avoids wide undermining, intentionally opening the capsule, performing subtotal capsulectomy, and preserving blood supply to the breast tissue and nipple with low complication rates.
Level of Evidence: 3 |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Ms Townsend is a medical student, F.I.U. Herbert Wertheim College of Medicine, Miami, FL, USA. Dr Lampert is a plastic surgeon in private practice in Miami, FL, USA. Dr Bouz is a plastic surgery resident, F.I.U. Herbert Wertheim College of Medicine, Miami, FL, USA. Dr Shah is a research fellow, F.I.U. Herbert Wertheim College of Medicine, Miami, FL, USA. Ms Nichols is a nurse practitioner in private practice in Miami, FL, USA. |
ISSN: | 2631-4797 2631-4797 |
DOI: | 10.1093/asjof/ojad037 |