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Explant question: Complete capsulectomy with explant or leave scar tissue in?

  • jeninpenn
  • Pennsylvania, USA
  • 2 years ago

I have elected to have my implants removed. This will be my third surgery and last one. I have had two right side capsular contractures in the past. The implant is over the muscle, mentor saline, 250cc. One doc said to remove the entire capsule b/c it does not re-absorb. The other doc said he can do it under local anesthesia in the office and he would not remove the capsule b/c it will reabsorb. Who is right?

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I know this is an old post but for new readers my opinion is that I would have the caps around the implant taken out as well. That Cap could be hanging onto silicone. I think it is impossible to remove all silicone but it is a good idea to try to get as much as possible out. I am just saying...I am definitely no expert. I'm just a girl who has been reading a great deal from people like you as well as comments from some Doctors.
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I agree 100%, Hope.....my research also says capsulectomy is best...I am SO excited for June to come!
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Hi AnnMa (and gosh, I just saw the 5/31 post from Rachel K just now, too!) I had the same implants in for approx. 30 years (double lumens). AnnMa, my implant surgery was done in my PS's office under local, and I was back at work right away, too (of course, I was younger then!) Having the explant and capsulectomy took me longer to recoup from, although it still was not bad. I was back at work within a week (6 days) and could have gone back sooner (I had phone consults despite no actual patients in my office). My explant surgery took 4 hours (both implants had ruptured); drains were necessary and not fun. Still, I am so glad that I have those implants OUT completely. You mention migraines; I have been diagnosed with cluster headache syndrome and don't know if my implants had anything to do with that. I also had trigeminal neuralgia in October, 2011, which, thank God, went away with over-the-counter migraine medication (excedrin migraine formula). It's hard to know what could be implant related and what isn't. I was glad that within a week and a half of my explant, I was tossing my almost two year old granddaughter up in the air to the sounds of her laughter. The period of time before the explant is often the most difficult with the anxiety and uncertainty of how the surgery will go and what the results will be. As for me, my breasts are no longer super full but they are sweet and mine and I love them! I'm wishing you all the very best as your surgery approaches.
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I just scheduled my explanation.. my PS said he was just going to do a simple one, but I called back after researching and said I want capsule as well. So i am going to go back to talk about some of my concerns and ask about the surgery, but I cannot wait.. 7 weeks and wishing it was tomorrow. Started getting bad breast pains last week.. went to PS and told me I have the capsular constriction (right term?).. but at any rate been having migraines ever since and head tingling.. just feel awful. Just seems like too much of a coincidence. What can expenct with surgery? Is it worse than original augmentation? I didn't think that was too bad .. had it on Thurs and was back to work on Monday. But scared of surgery, but know it's time to get these things out after 14 years!!
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Thanks for the welcome, jeninpenn ~ this is my 5th day post surgery and just had the second drain taken out today, ahhh! Wonderful! I am very relieved to be rid of the implants and also glad that the surgery is over. I'm looking forward to a visit from my son & family next week (who live in Austin, TX; I live in CA), and start back to work day after tomorrow (half day). For a complete capsulectomy and explant I feel like I'm doing great! Today I bought some breast forms and some camis to tide me over until the Fluffy Fairies visit. I hope that adjan is doing okay! Please let me know if you have any questions as you get closer to your surgery date, or would like support. You were wise to time it so that your husband could help you! My husband has been incredible all the way & I don't know what I would've done without him! Hopefully our posts will get the others to check in to say how they are doing....
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Lovely for u to have joined us joyful and great you r doing so well so soon. Well done! So did u have the same implants in all those years or keep replacing? Any immue issues? I'm really unwell at the mo with epsteinn barr, part of chronic fatigue and doing all I can to get healthy pre op. Like u say, looking after triplets is hard enough when ur ofighting fit and i can't wait to do fun stuff with them soon instead of always being too tired or unwell. Please keep us posted with your progress joyful. V inspirational, so thank you! X
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Hi joyful!!! I am nervous as all get up with a surgery scheduled march 27 (en bloc w Dr Feng) but I don't think I need a fold incision and that the same capsule can be removed via my periaereola incision (Dr Huang) - where was your incision? thank you and congrats!
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Hi Alanna1383, I'm wishing you the very best for your surgery on March 27. I was nervous beforehand, too, and my heart goes out to you ~ sometimes I think the waiting was the hardest part! When I implanted, the incision was periaereola, but the explant, because of the rupture, was through the fold under my breasts. I have healed up nicely. No matter which way you go for the explant, I'm sending you the very best for an easy surgery and quick recovery!
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thank you so much!!! i don't have a rupture so want to make sure i make the right decision.... it's so hard!! thanks again
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How was your surgery with Dr. Feng? I have scheduled explant with her on April 12th. Did you have a lift too?
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Just realized your surgery is 2013....for some reason I thought it said 2012. I would love to keep in touch.
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Hi Alanna, you must be so excited. Congrats on your decision for the removal. I see you are doing en bloc, have they told you how long they think the procedure will be? I am scheduled for April 15. Good Luck!
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send me your info and we can connect / support :)
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who is your doctor? congrats to you too!
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Hi, I've just been catching up on the news here and read that your explant was three days ago. I hope you're doing well. I was explanted 10 days ago and was checking up on what to expect during recovery, with capsule removed. Anyway, good luck and ten days later I'm so relieved and happy I did it. Take care,
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Yeaaaa....good for you, glad your hubby is so helpful & that you seem to be healing so fast. I will take one week off as well, hopefully that will be enough.
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Hi joyful!
Welcome! You must feel so relieved to be rid of those implants! I am waiting to do my explant til the end of the summer b/c of my husbands work schedule. Wouldn't it be wierd if i got pregnant after they were removed?? Hmm, just a thought. Let us know how things go now that they are out -- post surgery :))
Jenn in penn
Has anyone heard from adjan???? She had her surgery a few weeks ago.
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Hi Adjan, jeninpenn and Rachel K (also here4you and Flashgirl!)
I just found this thread and thought I'd jump in as well. I just had my B cup implants explanted on May 25, along with complete capsulectomy. Sounds like some of you have had or are having the same thing soon. I'm going in to get the last drain removed, which will be a wonderful thing, today, then heading out to buy some comfy cotton camis, although my doc said that he thinks the flat part just before my nipples will fill out better without my wearing a bra or anything! I will get his reasons why when he's removing the drain today :~} The doc DID gently encourage me to have small implants put in during the explant, but I said "no," and will wait to see what Mother Nature and the Fluffy Fairies decide over the next year or so. I do not want to have to go through surgery every 7 to 10 years as I age!
Like Rachel K, I too had endometriosis and unexplained infertility, but never once have I thought it could have anything to do w/ implants (which I had 32 years!) I was lucky to have a son (pre-implants), and now have two adorable granddaughters, ages 3 and 1. Wow, Rachel, triplets! Whoo-hoo, you must be so busy!!
I would love to hear updates from y'all...
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Hey ladies, God, i also have endometriosis and had unexplained fertility - which is why i took clomid and ended up with triplets!! Had never considered that could have been down to implants also. I firmly believe we are all on the right path now to putting all our health issues behind us and getting fit and strong so we can enjoy life as we should be able. We must stay in touch. Adjan you will be fine - please keep us posted of your progress when you are able. Have you read Dr K Kolb's Breast implants - the naked truth? LOL xxxx
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Adjan, i wish i was having my surgery sooner! You are going to feel so light! I cannot wait til the day. My implants are saline but i believe the health problems are from the capsule, scar tissue. Some people beleive there may be a link between the scar tissue and toxicity. I talke to my ps about it... He is very open and took my concerns seriously. He mentioned other women coming in with same questions about the scar tissue. Thats why i want mine out. I want the scar tissue out of my body. The ps said that he will not be surprised if they someday find a link between various health issues and capsular conracture( scar tissue ).. Having all that scar tissue cannot be ok.
You are going to do great!! Very excited for you!
Jen
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Rachel, yes, i have been too tired and sick to enjoy my 4 yr old. We adopted him at 5 months old b/c of my health issues ( endometriosis, unexplained infertiltity). All i want is to be his mom. I have wanted nothing else but to raise him happy and healthy. But all his knows is going from doctor appt to doctor appt for the last 3 1/2 yrs. I have painful bladder syndrome, inner ear disorder, irritable bowel, chronic fatigue, ovarian cysts every month etc etc. And ofcourse the breast implant complications. Anyway, i will be glad to eliminate some of these appts for his sake.
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Jen and Rachel, i too have been too tired or ill with many health issues over the last few years to enjoy life. Feel old before my time and my lovely partner of 3 years has escorted me to appt after appt and I used to be so full of life and energy. I do have a bad knee that has been troublesome for 3years and has stopped me running and that doesnt help stress etc.(mind you exercise became diff with DD,s on chest!!) I do believe i have had a degree of chronic fatigue and am hoping some of it is due to implants- hence removing all capsules as well.(though the surgeon still doesnt believe silicone can lead to this....) I will update my profile tonight or tom and then just 2 days til op. Keep posting messages it helps me so so much Take care ( me too bladder probs too jeninpenn -overactive and so that been appts too} We must all get healthier!! x
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Rachel, adjan, We are definitley making the right decision. I am slim too so I dread going back to that flat chested non-feminine feeling. BUT I will be healthy! Nothing else matters at this point. It is just not worth the medical problems. Adjan, dont worry about anesthesia...my sis is an anesthesiologist... You will be out like a light. Just ask for anti-nausea meds to be administered into your iv before the surgery. We use Zofran here in the US. It works great with controling the nausea. But they have to give it to you before not after you have already been vominting....doesnt work so great after the fact. Dont worry you will be asleep! But your throat will be dry and sore after. Keep us updated!!
Jenn
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Thanks for the anti sickness tip jenn. Am def in agreement. Size is of no importance. Health is all that matters and I can't wait to regain mine. Feel guilty for all the times I've been too tired or ill to properly enjoy my children and look forward to making it up to them. I wonder how many others are in the same boat. Have you had any acceptance or recognition from doctors or surgeons that silicone can cause our complaints? Xx

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I think you will be so relieved when they are out! I know I will. The secretary just called to tell me that my insurance is covering the whole procedure. Thank goodness...that means i can do it sooner. Hopefully june. But i am worried about the bathing suit season, we spend everyday at the pool b/c i have a little son. People will wonder what happened to me! I need to get over that and think about me health.
I would not worry too much about the breast tissue. Just be honest with yourself about not expecting to look like you have perfect breasts. Natural is much more beautiful than huge fake ones!! I used to love them but eventually you realize you are more than a set of big boobs. Your surgery is tomorrow? Or today for you!! Good luck! You will do great. Email me when you feel up to it. I will let you know when i schedule.
Warmly, jenn
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