When the breast implant makes sick
|In association with breast implants, complications sometimes occur, such as large cell lymphomas and capsular fibrosis. At the annual conference of the German Society for Senology, renowned experts gave advice on how to minimize the risk.|
In breast reconstruction, the 1-year incidence for capsular fibrosis is about 12% and the 5-year incidence is 30%. Particularly high rates are expected after radiotherapy.
One way to reduce the risk of capsular fibrosis is, for example, the Keller-Funnel technique. In this technique, the surgeon uses a stable funnel to insert the implant without contact.
The complex interactions between the implant and the immune system can cause autoimmune diseases such as ASIA (Autoimune Syndrome Induced by Adjuvants) and
An aesthetically unfavorable complication of subpectoral implants is the deformation of the breast with strong contraction of the pectoral muscle (“jumping breast”). In patients at risk for this, a 2-stage surgical approach could reduce the risk for this breast deformity after implant-based breast reconstruction.
Procedures for breast implant removal were also discussed.
Willen C (congress report)
|Deutsches Ärzteblatt, Jg. 118, Heft 48, 3. Dezember 2021, 2278 original in german language)|
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