Evidence map›Paper›PMID 41748774›Full record

SynthesisAesthetic plastic surgery2026

Breast Envelope Complications After Revision Breast Implant Surgery: A Systematic Review.

Domenico Pagliara, Federica Grieco, Laurenza Schiavone, Marzia Salgarello, Alberto Rancati

Abstract readSystematic ReviewReview
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Domenico PagliaraPlastic-Reconstructive and Lymphedema Microsurgery Center, Mater Olbia Hospital, Olbia, Italy.
Federica GriecoDepartment of Plastic Surgery, University Hospital of Udine, 33100, Udine, Italy. federica.grieco92@gmail.com.
Laurenza SchiavoneDepartment of Surgery "P.Valdoni", Unit of Plastic and Reconstructive Surgery, Sapienza University of Rome, Rome, Italy.
Marzia SalgarelloDepartment of Woman and Child Health and Public Health, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy.
Alberto RancatiDepartment of Plastic Surgery, Hospital de Clinicas Jose de San Martin School of Medicine, Universidad de Buenos Aires, Argentina, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRevisional surgery for cosmetic breast augmentation involves many factors like ptosis, tissue thinning, and a history of prior surgeries, which can increase the risk of reduced blood flow. There is limited research on breast vascularity in women who have undergone previous breast augmentation. This study reviews current literature on envelope-related complications in patients undergoing revisional aesthetic breast augmentation.

methodsBetween October and December 2024, a literature review was carried out in accordance with the PRISMA guidelines, using databases such as Cochrane, Google Scholar, and PubMed/Medline. For each included study, data was recorded on the study type, patient numbers, population details, imaging methods for assessing vascularity, types and numbers of complications, revision types, and outcomes. Additional information on revisional surgery was also collected: reasons for revision, implant placement, implant volume and type, and incision site.

resultsA total of 895 publications were reviewed, with 69 selected based on the initial evaluation. After excluding studies on reconstruction, primary augmentation, and other conditions, 12 studies were chosen, including 10 retrospective case series, 1 non-randomized cohort studies, and 1 randomized trial. The studies involved 1515 patients, with 43 experiencing envelope-related complications. The overall complication rate was 2.84% and the most common issues included tissue complications, delayed wound healing, nipple problems, and necrosis.

conclusionsComplications after secondary implant surgery can be challenging for both patients and surgeons, with added costs for malpractice insurers. Preoperative and intraoperative imaging appears helpful in planning successful revisions, but more studies are needed to confirm its effectiveness. Level of Evidence IV 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 ImplantsMammaplastyPostoperative ComplicationsReoperationEstheticsFemaleHumansRisk AssessmentTreatment OutcomeAugmentationBreastComplicationsMastopexyRevisionRevision aesthetic breast surgeryRevision breast augmentationSecondary breast augmentation

Identifiers

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Registered trials

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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.