Speakers - DPSWC2025

Abstract

Breast implant removal without replacement becomes increasingly popular, due to growing concern about breast implant-associated large cell lymphoma (BIA ALCL) and breast implant illness (BII). Breast implant removal without replacement leaves an empty and stretched skin or tissue envelope. The challenge is to maintain breast aesthetics following implant removal. A disadvantage of most surgical techniques are obvious and well visible scars. We present the periareolar lifting and glandular duplication after total intact capsulectomy and implant removal as a safe and reliable alternative causing minimal scarring. The procedure was performed on 102 patients between 09.2020 and 12.2022. Complications: 1 post operative bleeding, 1 infection, 6 seromata, 4 scar treatments. There was no postoperative ptosis, majority of patients were satisfied with the outcome. There is no defined treatment approach for patients fearing to suffer an asymptomatic BIA ALCL. Since there are no clear guidelines basic principles of breast revision surgery can be applied. Attempts to minimize scarring have resulted in techniques that produce a vertical scar. These vertical scars are often not acceptable to many patients, due to visibility. Periareolar lifting and glandular duplication yields safe surgical technique and yields safe and aesthetic results with reduced scarring and high patient satisfaction. Results of this report provide a starting point for further high quality investigations.