I’m a 43 year old woman who recently had 15 year old 350cc smooth saline implants removed after experiencing symptoms of BII for 10 years. I expressed my concerns with my surgeon prior to booking my surgery. I told her I wanted the implants and capsules removed. She said that would require surgery in OR under general anesthesia. After surgery I was told only 50% of the capsules were removed. Is it possible to have the rest of the capsules removed after the fact? I wanted it all out!
Answer: A Capsulectomy can be done Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction. Best, Dr. Karamanoukian Realself100 Surgeon
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Answer: A Capsulectomy can be done Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction. Best, Dr. Karamanoukian Realself100 Surgeon
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March 30, 2023
Answer: Capsules If your capsules were thin, they may have been too difficult to remove without damaging your chest wall. I am sure she did what she thought was safest for you. Plus, I have seen thin capsules on saline implants absorb over time and not be present. Please discuss this with your surgeon.
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March 30, 2023
Answer: Capsules If your capsules were thin, they may have been too difficult to remove without damaging your chest wall. I am sure she did what she thought was safest for you. Plus, I have seen thin capsules on saline implants absorb over time and not be present. Please discuss this with your surgeon.
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September 3, 2024
Answer: A residual capsulectomy Hello, yes thank you for your question! We are able to remove the remaining capsule, this is called a residual total capsulectomy. This surgery is where just the capsules that are left behind are removed from the chest, along with associated inflamed tissue, and any other foreign body material. This would also require surgery to be completed under twilight anesthesia, depending on your health history.
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September 3, 2024
Answer: A residual capsulectomy Hello, yes thank you for your question! We are able to remove the remaining capsule, this is called a residual total capsulectomy. This surgery is where just the capsules that are left behind are removed from the chest, along with associated inflamed tissue, and any other foreign body material. This would also require surgery to be completed under twilight anesthesia, depending on your health history.
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March 13, 2023
Answer: Possible but Could be Risky The majority of the time, the portion of the capsule that is left in place is the part along the chest wall. Removal of this capsule is sometimes not possible due to its strict adherence to the intercostal muscle and the ribs. If the capsule is very adherent, it is possible to get air around the lungs or even a lung injury with the complete capsulectomy. If you are pursuing removal of further capsule, I would make sure that you are pursuing this with a board certified plastic surgeon that is performing their procedures in an accredited operating room with access to critical care facilities.
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March 13, 2023
Answer: Possible but Could be Risky The majority of the time, the portion of the capsule that is left in place is the part along the chest wall. Removal of this capsule is sometimes not possible due to its strict adherence to the intercostal muscle and the ribs. If the capsule is very adherent, it is possible to get air around the lungs or even a lung injury with the complete capsulectomy. If you are pursuing removal of further capsule, I would make sure that you are pursuing this with a board certified plastic surgeon that is performing their procedures in an accredited operating room with access to critical care facilities.
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March 8, 2023
Answer: Capsule removal Dear jennyf1979, it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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March 8, 2023
Answer: Capsule removal Dear jennyf1979, it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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