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Outcomes of Implant Removal and Capsulectomy for Breast Implant Illness in 248 Patients
Abstract
Background:
Breast implant illness (BII) is a term popularized by social media to describe systemic symptoms that patients ascribe to their breast implants. Though the concept of implants as an underlying cause for a systemic illness remains controversial, few studies have delineated the implant characteristics, capsular histology, and outcomes of patients who undergo explantation for BII.
Methods:
We retrospectively reviewed the demographics, presenting symptoms, outcomes, capsular histology, and culture results of all women who presented to the senior author with symptoms attributed to BII and underwent breast implant removal with capsulectomy from August 2016 to February 2020. Chi-square and logistic regression analyses were performed to evaluate association between implant type, composition, and findings of inflammation on capsule pathology.
Results:
Among 248 patients, 111 (23%) capsules demonstrated inflammatory changes on permanent pathology. Capsular inflammation was independently associated with silicone versus saline (right odds ratio [OR] = 2.18 [1.16–4.11], P = 0.016, left OR = 2.35 [1.08–5.12], P = 0.03) and textured versus smooth implants (right OR = 2.18 [1.16–4.11], P = 0.016, left OR = 2.25 [1.17–4.31], P = 0.01). Silicone material was present in the capsules of 12 patients (4.8%). Fourteen patients had positive cultures. There was one pneumothorax (0.4%), three hematomas requiring evacuation (1%), and two DVTs (0.8%). Of 228 patients, 206 (90.4%) reported high satisfaction with the outcome of the procedure.
Conclusions:
In a large cohort of BII patients, we found that capsular inflammation is significantly associated with silicone and textured implants. Implant removal with capsulectomy can be safely performed in patients with BII with a low complication rate and high patient satisfaction.
Tips for Working from Home – From the Experts!
Working remotely has become a new normal, one that many are still struggling with. Sitting in front of a device for several hours can lead to a sedentary lifestyle. If you’re still “WFH” it’s important to balance activity with a comfortable workspace for optimal well-being and to prevent injury. Here are a few at home simple tips from the physicians of our East Norriton office.
- Create a safe, comfortable workspace. It’s recommended that you designate a spot in your home for an ergonomically correct workstation. Investing in a chair that has ample back support and padding will help you maintain proper posture. Furthermore, an ergonomic keyboard and mouse will help prevent injuries. “To reduce straining your wrists, try using a gel-filled or padded wrist rest,” says hand and wrist surgeon John Pasquella, D.O. “This will allow your hands to hover above the keyboard and make it easier to type. Additionally, an external keyboard will keep your wrists in a natural resting position, and an ergonomic mouse will limit the amount of movement, keeping your wrist straight and at elbow level.”
- Stay active. Scheduling time for exercise is important for your overall health, physically and mentally. “Sticking to a daily routine that includes regular exercise will help keep you on track. Whether you work out in the morning, afternoon or evening, try to fit in at least 30 minutes of exercise per day,” says sports medicine specialist Timothy Amann, D.O. “You don’t need fancy gym equipment to stay active. Going for a walk or run in a local park or around the neighborhood is a simple way to log minutes AND miles in a calming environment.”
- Take precautions to prevent slips and falls. These are some of the most common workplace injuries that can easily be avoided. “When working from home, you should still wear proper footwear to prevent slipping. It’s best to avoid slippers and socks during the workday,” says podiatrist Vincent Muscarella, DPM. “Being aware of your surroundings and keeping the home clutter-free and well-lit will help in preventing potential slips and falls.”
- Take frequent breaks. Sitting in one spot, slouched over a computer for hours on end puts a lot of stress on the body. “It’s important to take breaks during the workday to stretch your body. Doing at-home stretches that target your back, shoulders and knees will help prevent achy muscles and joints,” says joint surgeon Dennis McHugh, D.O. “Extended periods of sitting will not only cause soreness but could also lead to musculoskeletal disorders. Stretching benefits your overall physical health, including posture, balance and mobility, and only takes a few minutes to do.”
If you or someone you know needs orthopaedic care, our specialists are here to help. To schedule an appointment, please call our East Norriton office at 610-630-4414 or visit premierortho.com/appointment.
Burn Fat and Build Muscle with Non-Invasive Treatments
By Dr. Anna Buinewicz
Burn Fat and Build Muscle With Non-Invasive Treatments! We know that following a healthy diet and exercising regularly plays the most important part of regaining your health but also achieving a look that you desire. But there comes a point where you may feel ‘stuck’ and that extra fat just doesn’t seem to budge. This is the point where we come in and save the day! Emsculpt Neo’s treatment is more effective than any treatment that has been available before, and likely is exactly what you need to build muscles and eradicate stubborn pockets of body fat. Oh, and by the way…it tightens the skin in the treated area too!
Emsculpt treatments are an ideal option for anyone who wants to quickly and safely develop muscles in the core, buttocks, and legs. Within weeks of your first set of appointments, you could notice amazing changes to your appearance as your body becomes firm and sculpted.
What About Traditional Diets and Exercise Programs?
Don’t stop your diet plan and exercise, they have a big impact on an individual’s appearance. As long as you continue to burn more calories than you consume, you should lose weight. Unfortunately, there is no way to target specific pockets of fat with certain exercises, and that is one of the reasons why so many people struggle with stubborn body fat in the abdomen, flanks, hips, and legs, etc. Luckily, toning those areas of your body is easier than ever with advanced cosmetic treatments like Emsculpt NEO.
Some FACTS about EMSCULPT NEO
Clinical studies showed on average a 30% reduction in subcutaneous fat and a 25% growth in muscle volume.
Frequently Asked Questions
What areas can be treated with EMSCULPT NEO?
EMSCULPT NEO can be applied over the abdomen, buttocks, arms & calves.
Am I A Candidate?
Anyone can benefit from the EMSCULPT NEO procedure. EMSCULPT NEO has broad appeal as it can treat patients up to a BMI of 35!
What does EMSCULPT NEO therapy feel like?
You can feel intense muscle contractions together with a heating sensation in the treated area which is comparable to a warm stone massage. It really IS comfortable.
How is Emsculpt NEO procedure performed?
There is no pre-preparation required for this procedure. You will lay down while the applicators are applied over the treatment area for 30 minutes. During the treatment you may feel a tolerable heating sensation along with muscle contractions. Once the procedure is completed, you can immediately get back to your daily routine.
Workout Smarter Not Harder
Achieving a slimmer, more sculpted appearance is possible with the help of EMSCULPT NEO. If you are interested in discussing this procedure or need more information please call Buinewicz Cosmetic Surgery and Med Spa (215) 647-9668
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