Breast Revision Surgery
يعرف أيضا باسم: breast implant removal, explant, 가슴 재수술
Breast revision surgery corrects or changes the result of a previous breast augmentation, such as implant removal, replacement or fat grafting after implants.
What is breast revision surgery?
Breast revision surgery corrects or changes the result of a previous breast augmentation. Common reasons are capsular contracture, implant rupture, position or size change and personal preference. Options include implant replacement, implant removal with or without a lift, and fat grafting after implant removal. Revision is generally more complex than the original surgery.
حقائق أساسية
| المحمول | القيمة | المصدر |
|---|---|---|
| Implant removal methods | Implant removed alone with the scar capsule left in place, or implant removed with part or all of the capsule (en bloc resection is the more extensive option)حتى تاريخ 15 ديسمبر 2023 | [2]governmentRisks and Complications of Breast ImplantsU.S. Food and Drug Administration |
| Implant lifespan (FDA position) | Breast implants are not considered lifetime devices; the longer they are in place, the greater the chance of complicationsحتى تاريخ 15 ديسمبر 2023 | [2]governmentRisks and Complications of Breast ImplantsU.S. Food and Drug Administration |
| Insurance coverage (US) | Some insurers do not cover implant removal or replacement, even when there are complicationsحتى تاريخ 15 ديسمبر 2023 | [2]governmentRisks and Complications of Breast ImplantsU.S. Food and Drug Administration |
| Screening for silent rupture | MRI is the most effective method; ultrasound is an acceptable alternativeحتى تاريخ 15 ديسمبر 2023 | [2]governmentRisks and Complications of Breast ImplantsU.S. Food and Drug Administration |
| Surgical management of confirmed BIA-ALCL | Complete removal of the implant with the intact surrounding capsule (en bloc capsulectomy); some cases also need chemotherapy or radiation | [3]journalRecognizing and Managing Breast Implant Complications: A Review for Healthcare Providers Who Treat Women Who Underwent Breast Implant–Based SurgeryInternational Journal of Women's Health (via PubMed Central) |
| MFDS position on preventive removal (Korea) | Preventive removal is not recommended for patients without symptoms; patients with suspected and confirmed BIA-ALCL are registered for tracking | [4]government[안전성정보] 식약처, 유방보형물 이식환자 안전관리 대책 마련식품의약품안전처 |
| Korean recall of textured implants | MFDS recalled Allergan textured breast implants and advised a halt to their use over a possible BIA-ALCL linkحتى تاريخ 4 أغسطس 2019 | [5]news식약처, 엘러간 인공유방 회수… "희귀암 유발 가능성"한국일보 |
| Share of revisions due to capsular contracture (registries) | 25.0–36.7 (Swedish, Australian and Dutch registry data) % | [3]journalRecognizing and Managing Breast Implant Complications: A Review for Healthcare Providers Who Treat Women Who Underwent Breast Implant–Based SurgeryInternational Journal of Women's Health (via PubMed Central) |
| Share of revisions due to rupture (registries) | 12.2–23.4 (Swedish, Australian and Dutch registry data) % | [3]journalRecognizing and Managing Breast Implant Complications: A Review for Healthcare Providers Who Treat Women Who Underwent Breast Implant–Based SurgeryInternational Journal of Women's Health (via PubMed Central) |
| 10-year silicone implant rupture rate after revision augmentation | 5.2 (compared with 7.8 for primary augmentation and 9.8 for primary reconstruction) % | [3]journalRecognizing and Managing Breast Implant Complications: A Review for Healthcare Providers Who Treat Women Who Underwent Breast Implant–Based SurgeryInternational Journal of Women's Health (via PubMed Central) |
| Evidence for routine capsulectomy | A 2021 review argues there is no evidence that removing the capsule during implant replacement lowers later BIA-ALCL or breast implant illness risk, and notes higher surgical risk; this is one author's view | [6]journalThe Case for Breast Implant Removal or Replacement Without CapsulectomyAesthetic Plastic Surgery (Swanson E.), via PubMed Central |
| Common reasons | Capsular contracture, rupture, position or size change, personal preference | [1]organizationBreast Implant RemovalAmerican Society of Plastic Surgeons |
نظرة عامة
Breast revision surgery is a second or later operation on a breast that has already had surgery. It is most often done to fix implant problems after augmentation or reconstruction. It may include removing the implant (explantation), with or without cutting the scar capsule around it (capsulotomy) or removing part or all of it (partial, total or en bloc capsulectomy). It may also include exchanging the implant or adding a breast lift (mastopexy) or fat grafting. The US FDA states that breast implants are not lifetime devices and that the chance of complications needing more surgery rises over time. Confirmed BIA-ALCL is treated by removing the implant together with its capsule. Neither the FDA nor Korea's MFDS recommends routine preventive removal in people without symptoms. Readers should check the surgeon's credentials, the implant's make and surface type, imaging results and insurance coverage.
مزودون موثقون
القوائم المدفوعة موسومة بوضوح. التحقق مستقل عن الدفع.SC301의원
SC301의원 (SC301 Clinic) is a plastic surgery clinic in Gangnam, Seoul, South Korea whose official site presents SVF (stromal vascular fraction) fat grafting for the breast and face, liposuction, lifting and cell banking as its main services.
عرض المزودالمراجع
نسبة المصادر المستقلة 100% (9/9)- المستوى C · organizationBreast Implant Removal — American Society of Plastic Surgeons · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل
- المستوى A · governmentRisks and Complications of Breast Implants — U.S. Food and Drug Administration · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل
- المستوى B · journalRecognizing and Managing Breast Implant Complications: A Review for Healthcare Providers Who Treat Women Who Underwent Breast Implant–Based Surgery — International Journal of Women's Health (via PubMed Central) · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل
- المستوى A · government[안전성정보] 식약처, 유방보형물 이식환자 안전관리 대책 마련 — 식품의약품안전처 · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل
- المستوى D · news식약처, 엘러간 인공유방 회수… "희귀암 유발 가능성" — 한국일보 · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل
- المستوى B · journalThe Case for Breast Implant Removal or Replacement Without Capsulectomy — Aesthetic Plastic Surgery (Swanson E.), via PubMed Central · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل
- المستوى A · governmentBreast enlargement (implants) — NHS (UK National Health Service) · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل
- المستوى C · organizationBreast Augmentation — American Society of Plastic Surgeons · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل
- المستوى C · organizationFat Transfer Breast Augmentation — American Society of Plastic Surgeons · تاريخ الاطلاع 12 نوفمبر 2026 · صفحة الدليل