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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?
Asked 31 months ago by
debbie in oc in california
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En bloc removal of breast implants
En bloc removal can be an easy procedure or an exceptionally complex procedure that may make if very difficult and nearly impossible to remove the entire capsule. This is especially true where the implants have been placed under the muscle and the posterior wall is adherent and contiguous with the ribs.
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Implant removal
If after 18 years you no longer want your implants, they certainly can be removed. En bloc removal is questionable. Removing the implants with or without the surrounding capsule is usually recommended.
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I don't perform en bloc removal in most cases
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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Options for en bloc implant removal
En bloc removal of your breast implants may not be necessary. It would depend on what your goals are. If your implants are saline, there would not be any need to do an en bloc removal as the scar tissue/capsule around your implant will shrink and eventually be resorbed once the implant is removed. Taking the additional time to remove the capsule off the back of the muscle and the front of the ribs would needlessly add cost and prolong your recovery with no benefit.
For silicone implants...
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