ArticleAesthetic surgery journal2022
Self-Reported Health Complaints in Women Undergoing Explantation of Breast Implants.
Article in Aesthetic surgery journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Breast Implant Illness: Symptoms, Outcomes with Explantation and Potential Etiologies-A Systematic Review and Meta-analysis.Aesthetic plastic surgery · 2025Pooled it
- Breast implant illness after reconstruction with silicone breast implants.Journal of the National Cancer Institute · 2025Article
- Safety and Performance of Postmarketing Breast Implants: An Integrated Review with Technovigilance Data.Journal of clinical medicine · 2025Article
- The Occurrence of Health Symptoms in General Practice Before and After the Explantation of Cosmetic Breast Implants.Aesthetic surgery journal · 2025Article
- Defining Breast Implant Illness: A Systematic Review and Meta-analysis of Patient-reported Symptoms.Plastic and reconstructive surgery. Global open · 2025Article
- Medical Specialist Care Utilization Prior to the Explantation of Cosmetic Silicone Breast Implants: A Nationwide Retrospective Data Linkage Study.Aesthetic plastic surgery · 2024Article
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- Article
- Longevity of Post-Explantation Systemic Symptom Improvement and Potential Etiologies: Findings From the ASERF Systemic Symptoms in Women-Biospecimen Analysis Study: Part 4.Aesthetic surgery journal · 2023Article
- Neuroimaging in Breast Implant Illness: An fMRI Pilot Study.Aesthetic surgery journal · 2023Article
- Contextualizing Breast Implant Removal Patterns with Google Trends: Big Data Applications in Surgical Demand.Plastic and reconstructive surgery. Global open · 2022Article
- Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With Capsulectomy.Aesthetic surgery journal. Open forum · 2022Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConcerns about the safety of silicone breast implants (SBIs) have existed for years, but a causal relation between systemic complaints and SBIs has not been proven. Nevertheless, some women are worried and even request explantation.
objectivesThis 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.
methodsA retrospective chart review was performed for patients who had undergone explantation between 2010 and 2020 at Maastricht University Medical Center. Patients who had undergone tissue expander removal, tissue expander-implant exchange, or direct implant exchange were excluded.
resultsMore than half of the patients undergoing explantation reported complaints, mostly pain. Some 15% reported systemic complaints they believed were implant related. 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 (odd ratios, 2.1 and 2.1, respectively). Subjective improvement of BII after explantation was reported by about 60% of patients.
conclusionsA relatively low prevalence of suggested BII exists among women undergoing explantation; 1 in 9 procedures were 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. LEVEL OF EVIDENCE: 4:
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