Exposed Implant after Immediate Breast Reconstruction – Presentation and Analysis of a Clinical Management Protocol

Abstract: Objective Infection and exposure of the implant are some of the most common and concerning complications after implant-based breast reconstruction. Currently, there is no consensus on the management of these complications. The aim of the present study was to review our cases and to present a clinical protocol. Methods We conducted a retrospective review of consecutive patients submitted to implant-based breast reconstruction between 2014 and 2016. All patients were managed according to a specific and structured protocol. Results Implant exposure occurred in 33 out of 277 (11.9%) implant-based reconstructions. Among these, two patients had history of radiotherapy and had their implant removed; Delayed reconstruction with a myocutaneous flap was performed in both cases. Signs of severe local infection were observed in 12 patients, and another 5 presented with extensive tissue necrosis, and they were all submitted to implant removal; of them, 8 underwent reconstruction with a tissue expander, and 2, with a myocutaneous flap. The remaining 14 patients had no signs of severe infection, previous irradiation or extensive tissue necrosis, and were submitted to primary suture as an attempt to salvage the implant. Of these, 8 cases (57.1%) managed to keep the original implant. Conclusion Our clinical protocol is based on three key points: history of radiotherapy, severe infection, and extensive tissue necrosis. It is a practical and potentially-reproducible method of managing one of the most common complications of implant-based breast reconstruction.

Object Details

• Alternative title: Exposição de prótese após reconstrução imediata da mama: apresentação e análise de protocolo clínico
• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Exposed Implant after Immediate Breast Reconstruction – Presentation and Analysis of a Clinical Management Protocol ; volume:43 ; number:09 ; year:2021 ; pages:690-698 ; Revista brasileira de ginecologia e obstetrícia ; 43, Heft 09 (2021), 690-698

Contributors, Places and Time

• Contributor: Hassan, Rafael Amin Menezes ; Urban, Cícero de Andrade ; Dória, Maíra Teixeira ; Spautz, Cleverton Cesar ; Rabinovich, Iris ; Anselmi, Karina Furlan ; Schunemann Jr, Eduardo ; Kuroda, Flávia ; Sobreiro, Bernardo Passos ; Lima, Rubens Silveira de

Further information

• DOI: 10.1055/s-0041-1735939
• URN: urn:nbn:de:101:1-2021120212554477449454
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 11.05.2026, 12:23 AM CEST