Abstract:
BACKGROUND:Concerns about the safety of silicone breast implants have existed for years, but a causal relationship between systemic complaints and SBI has not been proven. Nevertheless, women are worried and even request explantation. OBJECTIVES:This study aimed to review the explantation procedures performed, focusing on patient-reported symptoms preoperatively, the effect of explantation, and the effect of breast reconstruction on these symptoms. METHODS:A retrospective chart review was performed for patients who had undergone explantation between 2010 and 2020 at Maastricht University Medical Center. Patients excluded were those who had undergone tissue expander (TE) removal, TE to implant exchange, and direct implant exchange. RESULTS:More than half of the patients undergoing explantation reported complaints, mostly pain. Some 15% reported suggested implant-related systemic complaints. Breast implant illness (BII) was found to be the fifth most common indication for explantation (11.2%). A history of either allergies or implant rupture resulted in higher odds ratios of having BII (OR=2.1 and 2.1, respectively). Subjective improvement of BII after explantation was reported in about 60%. CONCLUSIONS:A relatively low prevalence of suggested BII exists among women undergoing explantation; one in nine procedures was performed for this reason. Allergy and implant rupture may increase the likelihood of having BII. About 60% of BII patients experienced an improvement in their complaints after implant removal. Autologous breast reconstruction appears a good alternative. Prospective studies into health complaints and quality of life should be performed to confirm the effectiveness of explantation as a therapy for BII.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Miseré RML,van der Hulst RRWJdoi
10.1093/asj/sjaa337subject
Has Abstractpub_date
2020-11-30 00:00:00eissn
1090-820Xissn
1527-330Xpii
6012399pub_type
杂志文章abstract::Gluteal augmentation with fat has become one of the most common cosmetic procedures worldwide. Gluteal augmentation is designed to increase the volume and contour of the gluteal region. Intramuscular lipoinjection has been linked to multiple reports of severe complications, including death due to macro fat embolism (M...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz151
更新日期:2019-08-22 00:00:00
abstract:BACKGROUND:Despite the rapid increase in the number of publications pertaining to COVID-19, there is a lack of data examining patient outcomes following elective procedures performed during this pandemic. OBJECTIVES:The purpose of this investigation was to examine the postoperative outcomes of patients who underwent e...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa180
更新日期:2021-01-25 00:00:00
abstract::Efforts to improve lipoplasty results through the application of focused energy continue to arouse interest. The author's initial experience with power-assisted lipoplasty indicates that this technique is safe, fast, and capable of producing results equal or superior to those achieved through use of traditional lipopl...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2001.113641
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Vaginal agenesis, a rare condition, is treated by various surgical techniques to achieve neovaginal reconstruction. The main difference between the approaches lies in the graft material used to cover the newly formed cavity. OBJECTIVES:The purpose of this retrospective study was to describe the surgical pro...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjaa147
更新日期:2020-11-19 00:00:00
abstract:BACKGROUND:Studies have shown that scarring is a primary reason for patient dissatisfaction with reduction mammaplasty. OBJECTIVES:The authors prospectively evaluated patient preferences for the 3 most common breast reduction scar patterns: horizontal, vertical, and Wise. METHODS:Sixty-six patients were recruited for...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13495868
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:The size and weight of hypertrophied breast can cause both physical and psychological problems. Although the majority of these problems can be solved with breast reduction surgery, the particular problem of development of brassiere strap grooves on the shoulders due to the weight of the breasts cannot be cor...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv007
更新日期:2015-07-01 00:00:00
abstract:Background:While recent studies have reported modest to no difference in breast aesthetics for shaped and round implant types in breast augmentations, the anatomy and biomechanics in the setting of breast reconstruction is different. Objectives:Accordingly, we endeavored to evaluate whether two implant types impacted ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx210
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:Transgender patients may seek nonsurgical methods for facial masculinization and feminization as an adjunct or alternative to undergoing surgical procedures. OBJECTIVES:The authors reviewed the existing literature regarding this topic and provided an overview of nonsurgical techniques for facial masculiniza...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjy253
更新日期:2019-04-08 00:00:00
abstract:Background:Labiaplasty has become an increasingly popular procedure. However, the psychological outcomes of this procedure, such as the effects on women’s sex lives and psychological well-being, have received little attention from researchers to date. In addition, the investigation of factors which predict satisfaction...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjw190
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:It is well established that abdominoplasty confers a uniquely high risk of venous thromboembolism (VTE) complications. However, chemoprophylaxis is not routinely utilized due to the risk of bleeding complications. Fondaparinux, a factor Xa inhibitor FDA approved in 2001 for postoperative VTE prophylaxis, has...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz184
更新日期:2019-10-15 00:00:00
abstract::The author provides his perspective on resurfacing procedures in dark-skinned patients, advising a cautious approach to laser resurfacing. Laser complications in Fitzpatrick skin types III to VI, including hyperpigmentation, hypopigmentation, and scarring, are well documented. Unlike chemical peeling and dermabrasion,...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.09.019
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:The advantages of dual-plane, partially submuscular breast implants are well documented. Standard conversion techniques to dual-plane positioning use marionette sutures and internal capsulorrhaphy sutures from the lower edge of the pectoralis major muscle to the anterior capsule or breast fascia within the s...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2008.12.005
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Cryolipolysis has been shown to be a safe and effective noninvasive procedure for the reduction of localized subcutaneous fat. OBJECTIVES:The authors examine the safety, efficacy, and procedural growth of cryolipolysis (via the CoolSculpting device; Zeltiq, Pleasanton, California) in a single plastic surger...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13494757
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:YouTube is increasingly being utilized as a major educational resource by patients. It is important for plastic surgeons to understand the quality and characteristics of videos that patients are likely to view about procedures of interest. OBJECTIVES:The aim of this study was to evaluate the quality of the ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz268
更新日期:2020-04-14 00:00:00
abstract:BACKGROUND:Techniques for augmentation mammaplasty commonly involve incisions through at least a portion of the pectoralis major muscle. The effects of implant position and surgical release of the muscle origin have not been thoroughly addressed. OBJECTIVE:In this study the authors report on a group of female athletes...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.02.005
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:Improvements in skin erythema and elasticity have been observed with topical application of platelet-rich plasma after fractional laser (FXD) treatment. Injections of nanofat via small needles into the dermis improves tissue thickness, discoloration and wrinkle depth. OBJECTIVES:The aim of this study was to...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz240
更新日期:2020-07-13 00:00:00
abstract:BACKGROUND:Upper eyelid ectropion occurs as a post-blepharoplasty complication or involution change, and it causes dry eye symptoms that cannot be resolved with conservative management. OBJECTIVES:The aim of this study is to describe the authors' surgical technique of anatomical correction of upper eyelid ectropion, i...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa143
更新日期:2021-01-01 00:00:00
abstract::The retaining ligaments of the face are important in understanding concepts of facial aging and rejuvenation. They are located in constant anatomic locations where they separate facial spaces and compartments. Their superficial extensions form subcutaneous septa that separate facial fat compartments. Their main signif...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1177/1090820X13495405
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Deep lines, facial folds, retracted scars, and contour depressions on all areas of the body have typically been resistant to efforts at release. OBJECTIVE:A method using a wire dissector to achieve complete release or subcision of these subdermal attachments with access only through the needle insertion sit...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.05.004
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:"Medical tourism" has gained popularity over the past few decades. This is particularly common with patients seeking elective cosmetic surgery in the developing world. However, the risk of severe and unusual infectious complications appears to be higher than for patients undergoing similar procedures in the ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjw047
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Several growth factors and hyaluronic acid are implicated in fetal scarless healing. Whether these factors can be applied to an adult scar to improve scar characteristics is unknown. OBJECTIVES:This study compared the efficacy and safety of SKN2017B, a proprietary topical cream consisting of selective synth...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/asj/sjy185
更新日期:2019-02-15 00:00:00
abstract:BACKGROUND:Modern facelift techniques have benefited from a "repopularization" of shorter incisions, limited skin elevation, and more limited dissection of the superficial musculoaponeurotic system (SMAS) and platysma in order to shorten postoperative recovery times and reduce surgical risks for patients. OBJECTIVES:T...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11424146
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Knowledge of topographic skin thickness is important to plastic surgery of the face as it may guide resection and restoration in oncologic, aesthetic, and reconstructive procedures. OBJECTIVE:The purpose of this study is to report the relative thickness of the face throughout 39 distinct subunits. METHODS:...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv079
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Lips are considered a key element of facial attractiveness due to their central position in the face and their elemental role in verbal and nonverbal communication. OBJECTIVES:The authors sought to provide clinically relevant information on the 3-dimensional pathway of the superior and inferior labial arter...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa137
更新日期:2020-11-19 00:00:00
abstract:BACKGROUND:Given the wide application of autologous fat grafting, a new emphasis on fat processing techniques has emerged in an effort to limit unpredictable degrees of resorption often seen with this procedure. With the growing interest in regenerative medicine, approaches to supplement fat grafts with adipose-derived...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13487371
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Masculinization of the face is a common finding in facelift patients. It is attributed to deflation and decent of the midface-jowls coupled with skin laxity. Fullness is evident lateral to the jowl in small percentage due to prominent buccal fat pad. OBJECTIVES:To examine the anatomy of the buccal fat pad, ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa015
更新日期:2020-01-22 00:00:00
abstract:Background:The efficacy of facial muscle exercises (FMEs) for facial rejuvenation is controversial. In the majority of previous studies, nonquantitative assessment tools were used to assess the benefits of FMEs. Objectives:This study examined the effectiveness of FMEs using a Pao (MTG, Nagoya, Japan) device to quantif...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx238
更新日期:2018-04-06 00:00:00
abstract:Background:Seroma is the most common complication of abdominoplasty. Certain modifications to abdominoplasty may reduce the risk of seroma. Objectives:The authors evaluated the incidence of seroma for 3 abdominoplasty techniques: preservation of Scarpa's fascia, placement of progressive tension (or quilting) sutures, ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
doi:10.1093/asj/sjx051
更新日期:2017-10-16 00:00:00
abstract:BACKGROUND:The number of facelifts performed in the United States has steadily increased over the past decade. Moreover, the risk of venous thromboembolism in plastic surgery has been established in recent studies. OBJECTIVES:The authors investigate the overall complication rate in a single-center series to identify r...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X12442213
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Volume loss and muscular hyperactivity are two major components of the aging process that contribute to the formation of the folds and wrinkles. Tear trough deformity is one of the most difficult depressions to correct surgically. OBJECTIVE:The authors evaluate the results of periorbital filling with hyalur...
journal_title:Aesthetic surgery journal
pub_type: 临床试验,杂志文章
doi:10.1177/1090820X10395505
更新日期:2011-02-01 00:00:00