Ruptured Allergan textured implants - what is the best removal method?

Question

Hello, I've recently discovered I have a rupture via Ultrasound, and potentially mild grade 1-2 CC in the other breast (suspected by visual examination only). My question is what is the best and most suitable removal method? I initially hoped for the least invasive option, but now don't think that's possible due to my situation. Is capsulectomy the best option? Will an MRI give a clearer picture of how thick capsules are, and the full extent of the rupture? Thank you

Zoran Potparic, MD · Answer

Only at the time of surgery your surgeon will be able to decide whether capsulectomy is needed. I do not think that we came to the conslusion, yet, that after every textured implant remova full capsulectomy should be routinely performed? In cases like yours, if capsule is fine and thin, we would perform biopsies at 1-2 sites and send capsule for citohistology evaluation. You should didcuss this issue with your surgeon and possibly seek a second opinion consult. Good luck.

Raffy Karamanoukian, MD, FACS · Answer

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

Daniel Barrett, MD · Answer

Dear Mish85,
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

Shaher W. Khan, MD · Answer

Hello, thank you for your question. Total capsulectomy, in the EN BLOC fashion, is the best and ONLY option to remove your entire implant, capsule, and all inflamed tissue to ensure there is no spillage of silicone into the chest. This will be a catastrophe to manage. Please go to a reputable explant surgeon who only explants, and who has a track record of removing ruptured implants in EN BLOC fashion. MRI is always helpful to define the extent of silicone spread.

Camille Cash, MD · Answer

From your description you will want to consider en bloc implant removal.  With this approach the implants and capsules are removed as one unit.  You can elect to have the implants replaced at the same time if you want.  Visit with a board certified plastic surgeon near you to learn more.

Ruptured Allergan textured implants - what is the best removal method?

Answers (10)

Answer: Total capsulectomy EN BLOC fashion

Answer: Total capsulectomy EN BLOC fashion

Answer: Implant rupture

Answer: Implant rupture

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Everything you need to know about Breast Implant Removal

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Ruptured Allergan textured implants - what is the best removal method?

Answers (10)

Answer: Total capsulectomy EN BLOC fashion

Answer: Total capsulectomy EN BLOC fashion

Answer: Implant rupture

Answer: Implant rupture

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.