I don't perform en bloc removal in most cases

John LoMonaco, MD answers: En bloc breast implant removal?

I have 18 year old breast implants placed behind the muscle wall. I want the implants removed. I do not want replacement of implants. Is the en bloc method of removal best for my case?


John LoMonaco, MD
4 months ago

If the implants are ruptured silicone gel, with evidence on MRI that the gel has moved beyond the capsule, then there may be a reason to do so.  My opinion is that the en bloc resection can remove too much breast tissue.

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