Silicone explant: the importance of breast magnetic resonance imaging in preoperative planning
Introduction: Recent concerns about the safety of silicone implants have led many women to seek the removal of their implants, even without apparent breast complications. On the other hand, many surgeons do not feel comfortable performing the explant for fear that the patient will not like the aesth...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2024-04-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/3415/1983-5175-rbcp-39-01-e0835-en.pdf |
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| _version_ | 1849253466482933760 |
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| author | Patricia Jackeline Maciel Luan Aguiar Ferretti Jessica Sierra Ferraz de Campos Barbara Valenca Pereira Conde |
| author_facet | Patricia Jackeline Maciel Luan Aguiar Ferretti Jessica Sierra Ferraz de Campos Barbara Valenca Pereira Conde |
| author_sort | Patricia Jackeline Maciel |
| collection | DOAJ |
| description | Introduction: Recent concerns about the safety of silicone implants have led many women to seek the removal of their implants, even without apparent breast complications. On the other hand, many surgeons do not feel comfortable performing the explant for fear that the patient will not like the aesthetic result after surgery. Magnetic resonance imaging (MRI) is a valuable resource for diagnostic evaluation of the breast and can be used in explant planning. The objective is to demonstrate how the systematic analysis of breast MRI images can assist in planning silicone explantation.
Method: A detailed analysis of the axial and sagittal MRI sections was performed to assess the amount of tissue in each breast. These images were presented to patients during the preoperative consultation so that they could clearly understand how much the implant influences the size of their breasts. At the same time, post-operative photos of patients with similar characteristics were presented so that the patient could analyze, more objectively, whether or not she would be satisfied with the aesthetics of her breasts after explantation.
Results: The patients demonstrated a high degree of understanding of the images presented and were satisfied with this detailed analysis of expected results.
Conclusion: The comparison of breast MRI images and postoperative results images provides greater objectivity to the preoperative dialogue, favoring the understanding of the expected result and bringing greater clarity to the decision for explantation. |
| format | Article |
| id | doaj-art-63246b2cc2a44b4195dbba00a7f89614 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-63246b2cc2a44b4195dbba00a7f896142025-08-20T03:56:18ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352024-04-0139110.5935/2177-1235.2024RBCP0835-ENSilicone explant: the importance of breast magnetic resonance imaging in preoperative planningPatricia Jackeline Maciel0Luan Aguiar Ferretti1Jessica Sierra Ferraz de Campos2Barbara Valenca Pereira Conde3Instituto de Cirurgia Plástica Santa Cruz, São Paulo, SP, BrazilInstituto de Cirurgia Plástica Santa Cruz, São Paulo, SP, BrazilInstituto de Cirurgia Plástica Santa Cruz, São Paulo, SP, BrazilInstituto de Cirurgia Plástica Santa Cruz, São Paulo, SP, BrazilIntroduction: Recent concerns about the safety of silicone implants have led many women to seek the removal of their implants, even without apparent breast complications. On the other hand, many surgeons do not feel comfortable performing the explant for fear that the patient will not like the aesthetic result after surgery. Magnetic resonance imaging (MRI) is a valuable resource for diagnostic evaluation of the breast and can be used in explant planning. The objective is to demonstrate how the systematic analysis of breast MRI images can assist in planning silicone explantation. Method: A detailed analysis of the axial and sagittal MRI sections was performed to assess the amount of tissue in each breast. These images were presented to patients during the preoperative consultation so that they could clearly understand how much the implant influences the size of their breasts. At the same time, post-operative photos of patients with similar characteristics were presented so that the patient could analyze, more objectively, whether or not she would be satisfied with the aesthetics of her breasts after explantation. Results: The patients demonstrated a high degree of understanding of the images presented and were satisfied with this detailed analysis of expected results. Conclusion: The comparison of breast MRI images and postoperative results images provides greater objectivity to the preoperative dialogue, favoring the understanding of the expected result and bringing greater clarity to the decision for explantation.http://www.rbcp.org.br/export-pdf/3415/1983-5175-rbcp-39-01-e0835-en.pdfbreast implantsbreast diseasespreoperative caremagnetic resonance imagingsilicone elastomers |
| spellingShingle | Patricia Jackeline Maciel Luan Aguiar Ferretti Jessica Sierra Ferraz de Campos Barbara Valenca Pereira Conde Silicone explant: the importance of breast magnetic resonance imaging in preoperative planning Revista Brasileira de Cirurgia Plástica breast implants breast diseases preoperative care magnetic resonance imaging silicone elastomers |
| title | Silicone explant: the importance of breast magnetic resonance imaging in preoperative planning |
| title_full | Silicone explant: the importance of breast magnetic resonance imaging in preoperative planning |
| title_fullStr | Silicone explant: the importance of breast magnetic resonance imaging in preoperative planning |
| title_full_unstemmed | Silicone explant: the importance of breast magnetic resonance imaging in preoperative planning |
| title_short | Silicone explant: the importance of breast magnetic resonance imaging in preoperative planning |
| title_sort | silicone explant the importance of breast magnetic resonance imaging in preoperative planning |
| topic | breast implants breast diseases preoperative care magnetic resonance imaging silicone elastomers |
| url | http://www.rbcp.org.br/export-pdf/3415/1983-5175-rbcp-39-01-e0835-en.pdf |
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