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Several surgical risks have been associated with BI surgery, with mortality being the most frightening. Primary aim of this study is to assess mortality rate in patients undergoing breast implant surgery for aesthetic or reconstructive indication.
In this retrospective observational cohort study, Breast Implant Surgery Mortality rate BISM was calculated as the perioperative mortality rate among 99, patients who underwent BI surgery for oncologic and non-oncologic indications. BISM rate was 0, and mean A1P was 34 years for breast augmentation, and 50 years for breast reconstruction.
This study first showed that the BISM risk is 0. This information, and the knowledge that BI patients will undergo one or more revisional procedures if not explantation during their lifetime, may help surgeons in the decision-making process of a pre-emptive substitution or explant in patients at high risk of BIA-ALCL. Our recommendation is that patients with existing macrotextured implants do have a relative indication for explantation and total capsulectomy. The final decision should be shared between patient and surgeon following an evaluation of benefits, surgical risks and comorbidities.