Current Challenges in Breast Implantation

Abstract

Breast implantation (BI) is the most common plastic surgery worldwide performed among women. Generally, BI is performed both in aesthetic and oncoplastic procedures. Recently, the prevalence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) or breast implant illness (BII) has aroused concerns. As a result, several countries, like Australia, Korea or the United Kingdom, introduced national registries dedicated to the safety and quality of BI surgeries. This narrative review aimed to focus on the clinical challenges, management and the current state of knowledge of BI. Both short and long-term outcomes of BI are determined by various alternatives and differences, which surgeons must consider during the planning and performing breast augmentation along with further complications or risk of reoperation. Proper preoperative decisions and aspects of surgical technique emerged to be equally important. The number of performed breast reconstructions is increasing, providing the finest aesthetic results and improving patient’s quality of life. Choice of prosthesis varies according to individual preferences and anatomical variables. A newly diagnosed cases of BIA-ALCL with lacking data on prevention, diagnosis, and treatment are placing it as a compelling medical challenge. Similarly, BII remains one of the most controversial subjects in reconstructive breast surgery due to unspecified diagnostic procedures, and recommendations.

Triplane technique for breast reconstruction after breast cancer surgery: A case series report

“…For patients who cannot or are unwilling to undergo breast-conserving surgery, breast reconstruction has become a preferred choice for more patients, leading to an increasing number of post-mastectomy breast reconstructions. [5] Breast reconstruction methods include autologous breast reconstruction and implant-based breast reconstruction. [6] Implant-based breast reconstruction has advantages such as shorter operative time, faster patient recovery and elimination of donor site morbidity compared to autologous breast reconstruction.…”

“…For patients who cannot or are unwilling to undergo breast-conserving surgery, breast reconstruction has become a preferred choice for more patients, leading to an increasing number of post-mastectomy breast reconstructions. [5]…”

How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations

“…7,8 Although the literature is abundant in detailing contributing factors to prosthesis-associated complications, even the most recently published articles reveal a paucity of evidence specifically investigating implant volume as an independent risk-factor. 9 This is especially of interest, considering that patients usually have a predetermined preference of their desired volume and that on average, US surgeons use larger implants than many of their international colleagues. 10 The aim of this study was to assess the relationship between implant volume and the development of complications in the context of primary augmentation mammaplasty.…”

Linfoma anaplásico de células gigantes asociado a implantes mamarios, una enfermedad desconocida

“…Se plantean hallazgos radiológicos sugestivos de esta enfermedad, lo que permite al radiólogo aportar información al equipo tratante para el diagnóstico y la planificación quirúrgica en caso de ser necesario. segundo lugar, en las mamoplastias de aumento estético (7)(8)(9)(10). Debido al riesgo de malignidad, esta afección debe ser conocida por parte del personal sanitario.…”