ArticleEplasty2022
Breast Implant Illness: Treatment Using Total Capsulectomy and Implant Removal.
Article in Eplasty, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Breast Implant Illness: Symptoms, Outcomes with Explantation and Potential Etiologies-A Systematic Review and Meta-analysis.Aesthetic plastic surgery · 2025Pooled it
- Heavy Metals in Breast Implants and Implications for Breast Implant Illness: A Systematic Review of the Literature.Aesthetic plastic surgery · 2025Pooled it
- Comprehensive Systematic Review of Breast Implant Illness: Symptoms, Management, and Long-Term Outcomes.Aesthetic plastic surgery · 2025Pooled it
- Capsulectomy at Explant: Rethinking Spinal Cord Stimulator Infected Generator Pocket Management in the Immunocompromised-A Case Series.Pain practice : the official journal of World Institute of Pain · 2026Article
- Patient-Reported Symptom Changes Following Breast Implant Explantation with Total Capsulectomy: A Prospective Case Series of 50 Patients.Healthcare (Basel, Switzerland) · 2026Article
- Breast implant explantation and capsulectomy in symptomatic patients. Is there any improvement with the procedure? Systematic review and meta-analysis.JPRAS open · 2026Review
- Clinical Outcomes in Women with Breast Implant Illness After Removal Surgery: Experience from a Latin American Center.Aesthetic plastic surgery · 2026Observational
- Long-term Follow-up of Remnant Capsules After Implant Removal Without Capsulectomy: An Animal Model Study.Aesthetic surgery journal · 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
- Findings Consistent with a Breast Implant-associated Somatic System Disorder (BIA-SSD) Among Patients Self-reporting Breast Implant Illness.Plastic and reconstructive surgery. Global open · 2024Article
- Medical Specialist Care Utilization Prior to the Explantation of Cosmetic Silicone Breast Implants: A Nationwide Retrospective Data Linkage Study.Aesthetic plastic surgery · 2024Article
- Article
- The Problem of Diagnostic Criteria of Breast Implant Illness in Women After Breast Reconstruction: Review and Discussion of a Case.Aesthetic plastic surgery · 2024Review
- Complications of Aesthetic and Reconstructive Breast Implant Capsulectomy: An Analysis of 7486 Patients Using Nationwide Outcomes Data.Aesthetic surgery journal · 2024Article
- The "Octopus Head" Dermoglandular Flap: A Novel Technique for Breast Tissue Rearranging after Implant Removal.Plastic and reconstructive surgery. Global open · 2024Article
- Drainless Implant Removal: A Technique to Minimize Breast Disfigurement After Explantation.Eplasty · 2024Article
- Article
- Biofilm-derived oxylipin 10-HOME-mediated immune response in women with breast implants.The Journal of clinical investigation · 2023Article
- Exploring Factors Associated with Implant Removal Satisfaction in Breast Implant Illness Patients: A PRO BREAST-Q Study.Plastic and reconstructive surgery. Global open · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Breast implant illness (BII) is extramammary systemic symptoms that are caused by breast implants. The emergence of this controversial topic has spurred patients with breast implants who are experiencing these symptoms to seek implant removal, hoping to feel better. This article presents novel outcomes and suggestions for plastic surgeons in managing BII using total capsulectomy and breast implant removal. Methods: In this retrospective cohort study conducted between 2016 and 2020, medical records of all patients undergoing breast implant removal were reviewed. Inclusion criteria consisted of all patients with history of breast implant placement presenting with mastodynia and capsular contracture on physical examination. Patients with history of implant-based reconstruction following mastectomy and patients who underwent implant exchange were excluded. All patients underwent bilateral implant removal and total capsulectomies. Results: A total of 200 patients who fulfilled the inclusion criteria were identified. Average age was 45.5 (range: 29-73) years and average body mass index was 26.28 (range: 19-36.8), with an average follow-up time of 5 months postoperatively. Of patients with a presentation of BII, 96% reported improved or complete resolution of their systemic symptoms after implant removal and total capsulectomy. A positive microbial culture was found in 68.5% of patients, and all culture-positive patients reported improvement post-treatment. The most common organisms found were Conclusions: Our study shows that implant removal with capsulectomy drastically improves BII symptoms. Further large prospective cohort studies are needed to better understand this entity.
Indexed as
Identifiers
35602522PMC9097901W4285741842What OpenQuestion holds
Registered trials
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.