Zucal Isabel, Cresta Ester, De Pellegrin Laura, Weinzierl Andrea, Harder Yves
Department of Plastic, Reconstructive and Aesthetic Surgery and Hand Surgery, University Hospital of Lausanne (CHUV), 1005 Lausanne, Switzerland.
Department of Plastic, Reconstructive and Aesthetic Surgery, Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.
J Clin Med. 2025 Aug 24;14(17):5978. doi: 10.3390/jcm14175978.
: The breast implant exchange/explantation rate has been increasing in recent years due to various types of long-term complications or adverse effects, such as implant migration, rippling, or capsular contracture. To reduce complications such as migration and/or implant-pocket mismatch, surgical meshes may provide implant support. Here, we present a case series about the use of a non-absorbable synthetic bra-shaped mesh in revision surgery of the breast, using implants that do not adhere to the surrounding tissues. : In this retrospective case series, eight patients underwent breast revision surgery between 2021 and 2024 due to implant-related long-term complications following aesthetic surgery. Surgical revision included implant exchange, total or partial capsulectomy, creation of a pre-pectoral implant pocket for the new implant, and positioning of the non-absorbable synthetic mesh, acting as an internal support for the implants. BREAST-Qs were collected from all patients. : Of the eight patients included, the following symptoms were observed: symptomatic capsular contracture ( = 3), implant migration ( = 4), and breast animation deformity ( = 2). After revision surgery, during the follow-up period of 6-42 months, neither infection nor seroma occurred. No implant-related complications were registered. The BREAST-Q analysis revealed the highest patient satisfaction in the domain "satisfaction with the implants" (median score 87.5%). : In revision surgery after breast augmentation, the synthetic, non-absorbable and titanized pocket-like mesh may provide implant support and avoid recurrence of complications related to implant position. However, due to the small and heterogeneous patient group, larger studies are needed to validate these preliminary findings.
近年来，由于各种长期并发症或不良反应，如植入物移位、波纹形成或包膜挛缩，乳房植入物置换/取出率一直在上升。为了减少诸如移位和/或植入物-腔隙不匹配等并发症，手术网片可能会为植入物提供支撑。在此，我们展示了一系列病例，内容是关于在乳房修复手术中使用不可吸收的合成胸罩形状网片，所使用的植入物不与周围组织粘连。
在这个回顾性病例系列中，8名患者在2021年至2024年期间因美容手术后与植入物相关的长期并发症而接受了乳房修复手术。手术修复包括植入物置换、全部或部分包膜切除术、为新植入物创建胸肌前植入腔隙，以及放置不可吸收的合成网片，作为植入物的内部支撑。收集了所有患者的BREAST-Q数据。
在纳入的8名患者中，观察到了以下症状：有症状的包膜挛缩（n = 3）、植入物移位（n = 4）和乳房动态畸形（n = 2）。修复手术后，在6至42个月的随访期内，未发生感染或血清肿。未记录到与植入物相关的并发症。BREAST-Q分析显示，在“对植入物的满意度”领域患者满意度最高（中位数得分87.5%）。
在隆胸后的修复手术中，合成的、不可吸收的和钛化的袋状网片可能会为植入物提供支撑，并避免与植入物位置相关的并发症复发。然而，由于患者群体规模小且异质性大，需要更大规模的研究来验证这些初步发现。
