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Breast Implants for Mammaplasty: An Umbrella Review of Meta-analyses of Multiple Complications

  • Review
  • Breast Surgery
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Abstract

Background

The association of breast implants and complications after mammaplasty has been extensively researched. The aim of this study is to summarize all available results in meta-analysis investigating the association between implants and the incidence of various complications.

Methods

An umbrella review for breast implants and associated complications was performed by searching related reviews from electronic databases including Pubmed, Ovid and CINAHL. We collected and reviewed evidence across meta-analyses of observational and interventional studies of implants and any health outcome. The quality of the reviews was assessed using the AMSTAR tool (A measurement tool to assess systematic reviews).

Results

The research included 92 meta-analyses of 609 studies concerning various areas. Capsular contracture was the most investigated outcome. Radiotherapy, human acellular dermal matrix application, direct-to-implant reconstruction, smooth implant, silicone-filled implant and periareolar incision were significantly associated with higher rates of some of the complications.

Conclusions

This umbrella review provides surgeons with summarized evidence of the association between the complications and implant-related factors in mammaplasty surgery to help surgeons make informed choices in the future.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Acknowledgements

Funding was provided by the National Natural Science Foundation of China (Grant No. 81700410) and the Sichuan Science and Technology Program (Grant No. 2019YFS0344).

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Author notes

  1. Siwei Bi and Ruiqi Liu have contributed equally to this work.

Authors and Affiliations

  1. Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, 610041, Sichuan, People’s Republic of China

    Siwei Bi & Ruiqi Liu

  2. West China School of Medicine, Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, 610041, Sichuan, People’s Republic of China

    Beiyi Wu, Yinzhi Shen, Kaiyu Jia & Kaibo Sun

  3. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, 610041, Sichuan, People’s Republic of China

    Jun Gu

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  1. Siwei Bi
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Bi, S., Liu, R., Wu, B. et al. Breast Implants for Mammaplasty: An Umbrella Review of Meta-analyses of Multiple Complications. Aesth Plast Surg 44, 1988–1996 (2020). https://doi.org/10.1007/s00266-020-01866-0

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  • DOI: https://doi.org/10.1007/s00266-020-01866-0

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