Evidence map›Paper›PMID 34602940›Full record

ArticleBreast care (Basel, Switzerland)2021

Implant Replacement or Removal: What Happens after Capsular Contracture? A German Study Examining Breast Implant Revision Surgery and Patient Choices in 946 Cases.

Shafreena Kühn, Mara Anna Georgijewitsch, Andrej Wehle, Moritz Billner, Lara Küenzlen, Jens Rothenberger, Ulrich Michael Rieger

Open access · bronzeAbstract read
In one paragraph

Article in Breast care (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Revision Mastopexy in Aesthetic Breast Surgery.Aesthetic plastic surgery · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Shafreena KühnDepartment of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, Academic Teaching Hospital Goethe University, Frankfurt am Main, Germany.
Mara Anna GeorgijewitschDepartment of Surgery, Schlosspark Hospital, Berlin, Germany.
Andrej WehleDepartment of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, Academic Teaching Hospital Goethe University, Frankfurt am Main, Germany.
Moritz BillnerDepartment of Plastic, Reconstructive and Hand Surgery, Nurnberg South Hospital, Nuremberg, Germany.
Lara KüenzlenDepartment of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, Academic Teaching Hospital Goethe University, Frankfurt am Main, Germany.
Jens RothenbergerDepartment of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, Academic Teaching Hospital Goethe University, Frankfurt am Main, Germany.
Ulrich Michael RiegerDepartment of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, Academic Teaching Hospital Goethe University, Frankfurt am Main, Germany.
Goethe University Frankfurt · DENuremberg Hospital · DESchlosspark-Klinik · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCapsular contracture most often leads to implant revision surgery for aesthetic or reconstructive purposes. However, little is known about which operation is chosen when revision surgery has to be performed. We performed analysis of revision indications and performed revision surgery considering implant removal or replacement and additional surgical procedures. To our knowledge, this study presents the largest German single-center analysis regarding implant revision surgery after the onset of complications.

methodsRetrospective 10-year data analysis of a single-center population undergoing breast implant revision surgery.

resultsCapsular contracture was the most frequent finding before reoperation, both removal and replacement (

conclusionSignificant differences are observed for reconstructive and aesthetic patients regarding indication leading to revision surgery, time of revision surgery, and the type of performed revision surgery itself. After implant removal, more than 60% of aesthetic patients undergo mastopexy, more than half of reconstructive patients choose autologous breast reconstruction, and over a quarter of patients choose no additional surgical procedures.

Indexed as

Breast augmentationBreast surgeryCapsular contractureImplantsMastopexy

Identifiers

PMID34602940
PMCPMC8436706
OpenAlexW3196001917

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.