Breast silicone explant: a multicenter longitudinal study

Valente, Denis Souto; Itikawa, William Massami; Catherino, Fabiana; VottoJúnior, Ricardo; Groth, Anne Karoline

doi:10.5935/2177-1235.2022rbcp0026-en

Cited by 2 publications

(1 citation statement)

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“…Due to the increasing concern from patients about the risks of adverse events following breast augmentation with implants, such as breast implant-associated anaplastic large cell lymphoma and Autoimmune Syndrome Induced by Adjuvants, or simply changes of aesthetic preference, explantation of breast implant surgery became an emerging surgical field [1][2][3]. Evidence suggests that breast explantation effectively improves silicone-related complaints and that the body's self-satisfaction increases with the placement of breast implants and remains increased after their removal [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Laser-Assisted Liposuction for Autologous Fat Grafting Following Elective Breast Explant Surgery

Valente¹,

Gazzi²,

Tuon³

et al. 2022

AJSCCR

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Background: The demand for breast implant removal increased globally. This study assessed an infrared diode laser's intraoperative and immediate postoperative features for fat harvesting when autologous breast lipograft is performed following breast explantation surgery. Methods: A prospective analytical nested case-control study was conducted comparing patients submitted to laser-assisted liposuction (cases, n=5) and conventional liposuction (controls, n=10). The analytical variables collected included the duration of surgery, the total volume of aspirated fat, the total volume of fat injected into the breasts, the time elapsed between the end of the surgery and the request for the first dose of analgesia, the total number of analgesics requested in the recovery room, and visual analogue scale for pain administered 6 hours after surgery. Results: In the transoperative period, cases have significantly increased rates of surgery time, total volume of aspirated fat, and total volume of fat injected into their breasts. Regarding pain, controls showed significantly higher consumption of analgesics, requested pain medication earlier, and obtained higher rates on the visual analogue scale. Conclusion: Patients submitted to laser-assisted liposuction had lower pain scores and used fewer analgesics than patients who did not use intraoperative lasers.

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Section: Introductionmentioning

confidence: 99%

Laser-Assisted Liposuction for Autologous Fat Grafting Following Elective Breast Explant Surgery

Valente¹,

Gazzi²,

Tuon³

et al. 2022

AJSCCR

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Asia Syndrome and Breast Implants, Report of A Case and Review of The Literature

Victor Manuel

2023

JCIM

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Background: Over the past decades, evidence has accumulated that autoimmune symptoms can be triggered by exposure to environmental immunostimulatory factors that act as adjuvants in genetically susceptible individuals, with several unexplained symptoms. Adjuvant-induced autoimmune/autoinflammatory Syndrome (ASIA) was described in 2011 by Shoenfeld and Agmon-Levin and defined the diagnostic criteria. However, the association of this syndrome with silicone breast implants is controversial. Objective: To describe a case of ASIA syndrome in a silicone breast implant carrier and review of the literature. Clinical Case: JKT 36-year-old woman with luminal infiltrating ductal carcinoma; with negative extension studies, a conservative mastectomy of the skin and areola was performed with immediate reconstruction with an implant with a breast prosthesis and hormone therapy; Her follow-up was torpid with fatigue, pain in the arm, depression and sleep disturbances and affected breast skin, without infection. As she did not respond to conservative management, it was decided to remove the prosthesis, resection of the capsule and skin, due to the suspicion of the syndrome. From ASIA, as there was no involvement or persistence of breast cancer, with immediate improvement. Method: Bibliographic review of original articles written in English on cases of ASIA syndromes, associated with silicone breast implants from their description to the present. Results: Until 2019, 126 cases of ASIA syndrome due to silicone breast prostheses and implants were reported. Removal of the prosthesis improves symptoms. Conclusion: ASIA syndrome is recent, it is still considered an evolving concept, it is necessary to identify risk factors for the development of autoimmune phenomena in individuals who will receive some type of adjuvant to prevent cases of this syndrome.

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Breast silicone explant: a multicenter longitudinal study

Cited by 2 publications

References 0 publications

Laser-Assisted Liposuction for Autologous Fat Grafting Following Elective Breast Explant Surgery

Laser-Assisted Liposuction for Autologous Fat Grafting Following Elective Breast Explant Surgery

Asia Syndrome and Breast Implants, Report of A Case and Review of The Literature

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