Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique
Abstract BackgroundImplant-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 witho...
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| Format: | Article |
| Language: | English |
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Oxford University Press
2023-04-01
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| Series: | Aesthetic Surgery Journal Open Forum |
| Online Access: | https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojad037 |
| _version_ | 1797788940718047232 |
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| author | Joshua A Lampert Alexandra N Townsend Sunny Shah Antoun Bouz Natasha Nichols |
| author_facet | Joshua A Lampert Alexandra N Townsend Sunny Shah Antoun Bouz Natasha Nichols |
| author_sort | Joshua A Lampert |
| collection | DOAJ |
| description |
Abstract
BackgroundImplant-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.
ObjectivesHere, the authors present their current method using the mammary imbrication lift and fixation technique after explant and total capsulectomy.
MethodsBetween 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.
ResultsMean 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.
ConclusionsThe 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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| first_indexed | 2024-03-13T01:43:40Z |
| format | Article |
| id | doaj.art-5a4b67250b284e98b09ced66b697287d |
| institution | Directory Open Access Journal |
| issn | 2631-4797 |
| language | English |
| last_indexed | 2024-03-13T01:43:40Z |
| publishDate | 2023-04-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Aesthetic Surgery Journal Open Forum |
| spelling | doaj.art-5a4b67250b284e98b09ced66b697287d2023-07-03T10:54:44ZengOxford University PressAesthetic Surgery Journal Open Forum2631-47972023-04-01510.1093/asjof/ojad037Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation TechniqueJoshua A LampertAlexandra N TownsendSunny ShahAntoun Bouzhttps://orcid.org/0000-0002-8793-2729Natasha Nichols Abstract BackgroundImplant-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. ObjectivesHere, the authors present their current method using the mammary imbrication lift and fixation technique after explant and total capsulectomy. MethodsBetween 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. ResultsMean 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. ConclusionsThe 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 https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojad037 |
| spellingShingle | Joshua A Lampert Alexandra N Townsend Sunny Shah Antoun Bouz Natasha Nichols Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique Aesthetic Surgery Journal Open Forum |
| title | Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique |
| title_full | Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique |
| title_fullStr | Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique |
| title_full_unstemmed | Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique |
| title_short | Safely Shaping the Breast After Implant Removal and Total Intact Capsulectomy Using the Mammary Imbrication Lift and Fixation Technique |
| title_sort | safely shaping the breast after implant removal and total intact capsulectomy using the mammary imbrication lift and fixation technique |
| url | https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojad037 |
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