Objectives: To demonstrate the alternatives that plastic surgeons will have to resort to in the case
patients will request the removal of their silicone implants. plastic surgeons should master these techniques very well, know the indications , limitations and possible complications.
Introduction: In the early 1993, we faced a situation of females requesting the removal of their silicone implants following a panic correlating silicone to cancer and this was experienced for 5 years till the FDA study was completed and proved no relation of
silicone to the induction of cancer breast. As the recent episode of ALCL is reported
increasingly in different studies, we should be ready to the worse.
If media will create a public panic , we will face a real need to help these patients. Alternative will fox on the 3D rebuilding of the breast with microfat grafting.
Materials / method: The technique of fat harvest, manipulation and injection will be demonstrated. All the
details and possible complications will be illustrated.
Conclusion: fat grafting with the 3D building of the breast is a good alternative to replace the silicone if it will be mandatory to remove the implants in the future.
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