4.6 Article

Revisional Breast Surgery: Are Surgical Plans Changed if the Patient Has a Textured Device?

Journal

PLASTIC AND RECONSTRUCTIVE SURGERY
Volume 147, Issue 5S, Pages 31S-38S

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PRS.0000000000008043

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The authors reviewed 31 studies and concluded that no different surgical approaches should be adopted for revision surgery following implant-based breast surgery in patients with textured devices, as long as a correct approach is performed to face complications or adverse events, following a thorough preoperative study of the patient with the proper diagnostic tools.
The authors reviewed the available evidence on revision surgery following implant-based breast surgery with the aim of investigating whether any difference in the surgical approach should be proposed if the patient has a textured device. They included in their review 31 studies presenting different approaches for revision surgery following implant-based breast surgery (both aesthetic and reconstructive), with a level of evidence ranging from 4 to 5. None of the included studies proposed different surgical approaches for revision surgery in patients carrying textured devices. The authors conclude that no different surgical attitudes in revision surgery following implant-based breast surgery should be adopted if the patient has a textured device according to the available evidence, when a correct approach is performed to face the complication or adverse event, following a thorough preoperative study of the patient with the proper diagnostic tools.

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