Evidence map›Paper›PMID 40670655›Full record

ArticleAesthetic plastic surgery2025

A Long-Term Single-Center Study: Motivations and Strategies in Implant Management for Breast Augmentation Revision Surgery.

Zhaoyu Chen, Yang Sun, Hui Weng, Jing Tong, Jie Yang, Rongrong Wang, Jiaming Sun

Registry-linked trialAbstract read
In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07765953 (Thirteen-Year Trends in Primary Aesthetic Breast Augmentation, Implant Replacement, and Explantation), which is not on this map. Not yet cited in PubMed.

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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.

NCT07765953 completednot on this map

Thirteen-Year Trends in Primary Aesthetic Breast Augmentation, Implant Replacement, and Explantation: A Prospective Observational Cohort Study

Typeobservational_patient_registrySponsorResearch IncRan2012 to 2024Enrolled22,642ConditionsAesthetic Breast Surgery, Breast ImplantsArmsPrimary Aesthetic Breast Augmentation, Breast Implant Replacement, Definitive Breast Implant Removal
3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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.

Zhaoyu ChenDepartment of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China.
Yang SunDepartment of Medical Records Management and Statistics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Hui WengDepartment of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China.
Jing TongDepartment of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China.
Jie YangDepartment of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China.
Rongrong WangDepartment of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China. Wangrongrong1988@126.com.
Jiaming SunDepartment of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China. sunjm1592@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRevision surgery after breast augmentation is performed for various reasons. Understanding the causes and patients' attitudes toward implant management (removal or replacement) is critical for improving outcomes.

methodsA retrospective review of medical records from 2015 to 2023 was conducted, categorizing patients by the reasons for revision surgery and implant management approach. Demographic information, implant duration, and postoperative satisfaction were collected, followed by statistical analysis of trends and outcomes.

resultsA total of 133 patients (mean age 43.1) were included: 93 in the medical, 32 in the aesthetic, and 8 in the psychological groups. Of these, 94 opted for implant removal, and 39 chose replacement. Reasons for revision did not significantly influence implant management decisions. No significant differences were found in age, implant duration, or BMI across groups, whether categorized by reason for revision surgery or implant management. Common issues in the medical group included capsular contracture and implant rupture, while the aesthetic group cited shape dissatisfaction. Over 80% of patients reported high satisfaction with post-revision outcomes.

conclusionsImplant management decisions were not significantly affected by revision reasons or demographic factors. While medical complications primarily drive revision surgery, many patients seek surgery for subjective reasons. These findings highlight the need for comprehensive patient education, psychological support, and personalized surgical planning, with both implant removal and replacement achieving high satisfaction. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Breast ImplantationBreast ImplantsDevice RemovalMotivationPatient SatisfactionPostoperative ComplicationsReoperationAdultEstheticsFemaleFollow-Up StudiesHumansMiddle AgedProsthesis FailureRetrospective StudiesTime FactorsBreast augmentationImplant removalImplant replacementRevision surgery

Identifiers

PMID40670655
PMCPMC12738617

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