I have placed the Allergan Biocell textured implants in 2009 and I want to remove them. I have had an MRI and 2 ultrasounds done and both results were perfectly fine. I do not feel sick or have any BII symptoms. I am comfortable with keeping the capsules but the “internet” tells me otherwise.
August 8, 2023
Answer: Breast Implant Removal: Should I remove my capsules as well? Hello @tshbib, thank you for your question. I believe that every time an explant is performed, the capsule must be removed. Complete capsulectomy. Whether it is en bloc does not matter as long as the whole capsule is removed and the tissue is sent for pathology after taking the capsule out. This will prevent future inflammatory responses from the body because capsules do not get reabsorbed. A capsule will always form around a prosthesis because it surrounds it and isolates it, since the prosthesis is a foreign tissue. To shed more light, I share a video. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
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August 8, 2023
Answer: Breast Implant Removal: Should I remove my capsules as well? Hello @tshbib, thank you for your question. I believe that every time an explant is performed, the capsule must be removed. Complete capsulectomy. Whether it is en bloc does not matter as long as the whole capsule is removed and the tissue is sent for pathology after taking the capsule out. This will prevent future inflammatory responses from the body because capsules do not get reabsorbed. A capsule will always form around a prosthesis because it surrounds it and isolates it, since the prosthesis is a foreign tissue. To shed more light, I share a video. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
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August 7, 2023
Answer: Capsules If your implants are ruptured, the capsules thickened or causing issues it is recommended to remove the capsules along with the implants. If they are thin and not causing issues then it is an option to leave them in or have them removed. I encourage you to discuss your concerns with your board certified plastic surgeon who can help you decide what is recommended in your case.
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August 7, 2023
Answer: Capsules If your implants are ruptured, the capsules thickened or causing issues it is recommended to remove the capsules along with the implants. If they are thin and not causing issues then it is an option to leave them in or have them removed. I encourage you to discuss your concerns with your board certified plastic surgeon who can help you decide what is recommended in your case.
Helpful