Breast Revision Surgery
別名: 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.
主要な事実
| 項目 | 値 | 出典 |
|---|---|---|
| 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)時点 2023年12月15日 | [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 complications時点 2023年12月15日 | [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 complications時点 2023年12月15日 | [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 alternative時点 2023年12月15日 | [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 link時点 2019年8月4日 | [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 |
概要
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.
検証済みプロバイダー
有料掲載は明示されます。検証は支払いと無関係です。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.
プロバイダーを見る参考文献
独立出典比率 100% (9/9)- レベル C · organizationBreast Implant Removal — American Society of Plastic Surgeons · 閲覧日 2026年11月12日 · 根拠ページ
- レベル A · governmentRisks and Complications of Breast Implants — U.S. Food and Drug Administration · 閲覧日 2026年11月12日 · 根拠ページ
- レベル 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) · 閲覧日 2026年11月12日 · 根拠ページ
- レベル A · government[안전성정보] 식약처, 유방보형물 이식환자 안전관리 대책 마련 — 식품의약품안전처 · 閲覧日 2026年11月12日 · 根拠ページ
- レベル D · news식약처, 엘러간 인공유방 회수… "희귀암 유발 가능성" — 한국일보 · 閲覧日 2026年11月12日 · 根拠ページ
- レベル B · journalThe Case for Breast Implant Removal or Replacement Without Capsulectomy — Aesthetic Plastic Surgery (Swanson E.), via PubMed Central · 閲覧日 2026年11月12日 · 根拠ページ
- レベル A · governmentBreast enlargement (implants) — NHS (UK National Health Service) · 閲覧日 2026年11月12日 · 根拠ページ
- レベル C · organizationBreast Augmentation — American Society of Plastic Surgeons · 閲覧日 2026年11月12日 · 根拠ページ
- レベル C · organizationFat Transfer Breast Augmentation — American Society of Plastic Surgeons · 閲覧日 2026年11月12日 · 根拠ページ