During Explant Surgery, How is the Extracapsular Rupture Treated and is All the Leaked Silicone Able to Be Removed?

En bloc capsulectomy assures the greatest chance at removing all of the free silicone and is generally done through an inframammary crease incision. Periareolar incisions do not allow this to happen and are independantly a risk factor for capsular contracture.

During explanation, most of the silicone  if not all should be remove able.   It depends on whether there is silicone which has leaked into the surrounding tissue which is much more difficult to remove.  Nonetheless, most if not all the silicone can be removed.   I almost always go through the original incision when Imperform a capsulectomy.

Hello,

En bloc excision is a potentially mutilating procedure that is the best treatment option for certain breast cancers, not ruptured silicone gel implants, regardless of  extracapsular  leakage. There is no other medical device with more science behind it then the silicone gel implant, and there is no evidence that they cause systemic disease.  Although my personal preference is an inframammary incision, if your incision is already periareolar, then another incision is not indicated.

It would be appropriate for you to undergo a total capsulectomy and removal of your old implants.  If there is any silicone outside of the capsule, it is always encased in scar tissue, relatively easy to spot, and frequently it comes out with the capsule all in one piece.

Your timing of the surgery is irrelevant. I have met and operated on women with known extracapsular ruptures for many years, and only decided to have surgery based on aesthetics, not concern about their health.  So when it's convenient for you is just fine.

Best of luck!