Replacement of shaped textured implants with round smooth implants in breast reconstruction: Long-term outcomes Journal Article
| Authors: | Ayyala, H. S.; Afifi, T.; Castel, N.; McCarthy, C.; Cordeiro, P. G. |
| Article Title: | Replacement of shaped textured implants with round smooth implants in breast reconstruction: Long-term outcomes |
| Abstract: | Background: The number of patients undergoing exchange of textured implants for smooth devices has greatly increased because of concern over breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL). The authors examined long-term patient- and surgeon-reported outcomes in terms of aesthetics, comfort, and complications. Methods: Patients who underwent reconstruction with shaped, textured implants replaced with round, smooth implants between 1994 and 2022 and who had a minimum follow-up of 1 year were included. Patient-reported outcomes were collected using the BREAST-Q Reconstruction module and a survey evaluating aesthetics and comfort. Surgeon-reported outcomes included evaluation of aesthetics and capsular contracture. Results: A total of 530 patients were reviewed, and 307 patients were included. Pairwise comparison of BREAST-Q data demonstrated that psychosocial well-being (72.68 to 76.45; P = 0.0075) and physical well-being (78.79 to 81.88; P = 0.0078) increased significantly. Overall breast satisfaction (61.94 to 67.27; P = 0.0082) and sexual well-being (53.89 to 57.98; P = 0.0002) were also significantly higher in parallel with a clinically meaningful increase in BREAST-Q score of 5.33 and 4.09 points, respectively. Most patients felt they appeared better (56.4%) or similar (27.3%) and were more comfortable (54.4%) or similar (39.4%) after the exchange procedure. The senior surgeon (P.G.C.) rated 40.1% of patients as having a better aesthetic grade after replacement and 50.3% as the same; 36.8% of patients were rated as having a decrease in Baker capsular contracture grade; 2.9% of patients experienced a perioperative complication; and there were no reconstructive failures. Conclusion: Exchange of textured to smooth implants is safe, does not sacrifice aesthetic outcome, and provides a more comfortable and satisfactory outcome for patients with minimal complications. Copyright © 2023 by the American Society of Plastic Surgeons. |
| Keywords: | adult; treatment outcome; aged; middle aged; patient satisfaction; retrospective studies; follow up; follow-up studies; breast neoplasms; retrospective study; postoperative complication; postoperative complications; breast tumor; reoperation; surgery; breast endoprosthesis; esthetics; breast implants; patient reported outcome measures; epidemiology; breast augmentation; breast implantation; etiology; prosthesis design; adverse event; lymphoma, large-cell, anaplastic; anaplastic large cell lymphoma; patient-reported outcome; devices; procedures; humans; human; female |
| Journal Title: | Plastic and Reconstructive Surgery |
| Volume: | 154 |
| Issue: | 2 |
| ISSN: | 0032-1052 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2024-08-01 |
| Start Page: | 265 |
| End Page: | 271 |
| Language: | English |
| DOI: | 10.1097/prs.0000000000011001+ |
| PUBMED: | 37606913 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Source: Scopus |
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