Management of the capsule with breast implant removal (explantation)

by

Breast implants can certainly be removed(explantation) under local anesthesia.

In regards to the capsule:

  1. There is some controversy among surgeons if this should be removed and this is difficult to perform under local.
  2. Over the muscle capsules are easier to remove than under the muscle capsules
  3. With saline implants in which there is minimal capsule, i have left in place.
  4. With saline implants that have a severe, thickened or infected capsule, I will attempt to remove all or significant portions of the capsule
  5. In instances incwhich there may be concern about pathology such as Atypcial Lymphoma, I will remove signficant portions of the capsule
  6. With intact silicone implants of relatively short term duration (,<5 years) I will leave these in place
  7. Wtih silicone implants of long term duration or with thickened capsules I will attempt removal of the capsules
  8. In ruptured intracapsular silicone implants, I will attempt en bloc resection.
  9. In ruptured extracapsular silicone implants, I will attempt en bloc resection in combination with involved tissues.
     
Article by
Chicago Plastic Surgeon