I am 71, had silicone implants below muscle 37 yrs ago. One is leaking. Do I need a Capsulectomy with Explant? (photos)
Doctor Answers (5)
Implant removal plus capsule
Earl Stephenson Jr. MD DDS FACS
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Year breasts would be droopy, as seen in the side of the leaking implant, you can exchange the implants for newer implants, provided you are in good general health.
I am 71, had silicone implants below muscle 37 yrs ago. One is leaking. Do I need a Capsulectomy with Explant?
Thank you for the question.
When breast implants, or any other foreign body, is inserted into the human body, the body forms a lining around it. This lining is referred to as the “capsule”. This capsule is normally very thin and soft; however, it can become thick and hardened in a process called encapsulation or capsular contracture.
In the process of breast implant removal, assuming the breast implant capsules are soft and asymptomatic, there is no reason to remove them (capsulectomy). Removal of breast implant capsular tissue increases the risks of surgery (for example bleeding). On the other hand, if the patient with a silicone gel breast implant leak, wishes or have the surrounding breast implant capsule removed, I would not argue. In other words, I do not believe that there is any “standard of care” answer to your question.
I hope this, (dedicated to breast implant removal concerns) helps.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.