Breast implant removal of smooth, saline (Capsulectomy vs implant removal). Any suggestions?
Doctor Answers 8
#Explant #BreastImplantRemoval - Capsulectomy vs implant removal
And I would agree with that. In general, capsules don't have to be removed unless there is some sort of a problem with them. That includes thickening, pain, calcification, fluid production (repeated seromas), etc. In your case, it sounds like simple removal of the implants is all that is warranted at this point; you can always consider removing the capsule if in the future you have or develop problems, such as those noted above.
You should discuss all of this, along with what your likely post-operative appearance may be, with your own plastic surgeon or another who can examine you in person.
I hope that this helps and good luck,
Dr. Alan Engler
Member of #RealSelf500
Breast implant removal of smooth, saline (Capsulectomy vs implant removal).
Generally speaking (in my opinion), unless the breast implant capsules have thickened (and/or are otherwise symptomatic), are associated with the ruptured silicone gel breast implants, or if the patient has concerns about "medical conditions" related to the breast implants, capsulectomy is not universally necessary. For these patients, en block removal of breast implants is a good procedure.
On the contrary, capsulectomy can expose patients to additional risks, such as bleeding, size loss, contour irregularities and other serious complications. In other words, any maneuver performed during surgery exposes patients to additional risk (morbidity). For example, attempting to remove very thin capsule densely adherent to the patient's rib cage may expose the patient to significant bleeding and/or entrance into the thoracic cavity.
Recently I have become more aware of the fact that there are plastic surgeons who, instead of using good judgment and individualized patient care, are causing fear and unnecessary anxiety among patients. These patients them feel that complete capsulectomy is always necessary and undergo unnecessary surgery associated with additional morbidity and unnecessary expenses.
I hope this, and the attached link, helps. Best wishes.
Implant only removal or capsules too
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However, IF the implants are removed for infection, calcification (visibility on mammograms or chest films) severe contracture a larger portion of the scar is removed BUT such operations are bloody and MAY be associated with entry into the chest cavity and lung deflation. The pockets are irrigated with large amounts of antibiotic containing fluid and drains are usually used.
IF you are being operated on for ALCL, the EXTREMELY rare cancer you referred to, you usually suffered a sudden increase in one or both breasts by a sudden fluid collection. REmoval of the implants with much of the capsule is a cure in the vast majority of the cases.
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