Quick Hits! And You're Out: Explantation and Secondary Breast Surgery-Full Presentation: And You're Out - Explantation and Secondary Breast Surgery

Video Transcription

Video Summary

The session on explantation and secondary breast surgery, led by Dr. Diana Yoon Schwartz and a panel of distinguished experts including Dr. Carolyn Glixman, Dr. Mary-Jane Grass, Dr. Ruth Graff, and Dr. Sarah Mess, explored various aspects of breast surgery post-explantation. Key topics included revision breast augmentation, capsulectomy, explantation decisions, and innovative techniques such as subfascial and intramuscular implant placements, along with fat grafting.<br /><br />Dr. Schwartz highlighted the common reasons for explantation, including aging implants and patient lifestyle changes. The discussion emphasized the importance of using high-resolution ultrasound to assess implants and plan surgeries, ensuring there are no unexpected issues during procedures.<br /><br />Each expert brought unique insights into surgical techniques. Dr. Graff elaborated on transitioning implants to subfascial or intramuscular pockets, providing stability and reducing animation deformity. Dr. Grass shared the patient-centric approach of determining the need for a lift versus simple removal, noting the utility of saline implant deflation as a diagnostic tool.<br /><br />Dr. Mess focused on replacing implants with fat transfer, highlighting simultaneous implant exchange with fat as preferable due to less scarring. She emphasized the importance of using techniques like safe lipo and expansion vibration lipo filling for optimal fat transfer results.<br /><br />The panel concluded with a discussion on the necessity of exercising a nuanced approach to capsulectomy, evaluating the necessity on a case-by-case basis, and the role of ultrasound in everyday practice for improved surgical outcomes and patient education. The experts urged continuous learning and adaptation of new techniques to enhance patient care and outcomes.

Keywords

breast surgery

explantation

revision augmentation

capsulectomy

subfascial placement

intramuscular placement

fat grafting

ultrasound assessment

patient lifestyle changes

implant deflation

fat transfer

surgical techniques