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Implant Breast Augmentation Safe in Transgender Individuals Study Suggests

According to a recent study, implant-based breast augmentation surgeries are safe in transgender people, with minimal risks of long-term reoperations and problems.

Implant Breast Augmentation Safe in Transgender Individuals Study Suggests
Photo: Doctor Handing Silicone Implant | InStyleHealth

527 transgender women and nonbinary people took part in the study, all of whom had breast augmentation. The researchers discovered an upward trend in median implant size over an 11.2-year clinical follow-up period, going from 275 cc in 1990 to 375 cc in 2010–2019 (p0.01).

Short-term problems were infrequent, according to the researchers, in terms of safety. Infection (n=2; 0.4 percent) and hematoma (n=2; 0.4 percent) were the most common.

Capsular contracture (n=26; 4.9 percent) and implant rupture (n=30; 5.7 percent) were the most common long-term problems, occurring after an average of 6.84.7 and 12.96.5 years, respectively. After several reoperations and the use of various prostheses, one patient developed implant-related anaplastic large-cell lymphoma.

Notably, five people (0.9%) had transitional regret after breast augmentation, with three of them opting for explantation. Another patient required explantation because to a rupture that happened before the documented date of remorse.

The researchers concluded that "the prevalence of short- and long-term problems after implant-based breast augmentation in transgender women and nonbinary individuals is acceptable," implying that "the treatment may be considered safe."


Source: J Plast Reconstr Aesthet Surg 2021;74:3158-3167

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