A Long-Term Single-Center Study: Motivations and Strategies in Implant Management for Breast Augmentation Revision Surgery.

[BACKGROUND] Revision surgery after breast augmentation is performed for various reasons. Understanding the causes and patients' attitudes toward implant management (removal or replacement) is critical for improving outcomes.

[METHODS] A retrospective review of medical records from 2015 to 2023 was conducted, categorizing patients by the reasons for revision surgery and implant management approach. Demographic information, implant duration, and postoperative satisfaction were collected, followed by statistical analysis of trends and outcomes.

[RESULTS] A total of 133 patients (mean age 43.1) were included: 93 in the medical, 32 in the aesthetic, and 8 in the psychological groups. Of these, 94 opted for implant removal, and 39 chose replacement. Reasons for revision did not significantly influence implant management decisions. No significant differences were found in age, implant duration, or BMI across groups, whether categorized by reason for revision surgery or implant management. Common issues in the medical group included capsular contracture and implant rupture, while the aesthetic group cited shape dissatisfaction. Over 80% of patients reported high satisfaction with post-revision outcomes.

[CONCLUSIONS] Implant management decisions were not significantly affected by revision reasons or demographic factors. While medical complications primarily drive revision surgery, many patients seek surgery for subjective reasons. These findings highlight the need for comprehensive patient education, psychological support, and personalized surgical planning, with both implant removal and replacement achieving high satisfaction.

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