Thank you in advance. I got my saline under the muscle implants in 2011. 1 year later I got diagnosed w/thyroid disorder. (This may or may not be related) recently I’ve been having odd issues that no doctor or test can explain. I’ve been thinking that this all has to do with my implants for years. I know there is no way to confirm or deny this tho. Now I want explantation. My question is is it necessary to have the total capsulectomy or will simple under local anasthesia explantation be Ok?
Answer: Breast implant removal Typically if you are having no issues with the implants or capsules, it is fine to remove only the implants and leave the capsules behind. However if you are concerned that you may be experiencing health issues due to the implants I would recommend removing both the capsules and implants for your peace of mind.
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Answer: Breast implant removal Typically if you are having no issues with the implants or capsules, it is fine to remove only the implants and leave the capsules behind. However if you are concerned that you may be experiencing health issues due to the implants I would recommend removing both the capsules and implants for your peace of mind.
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February 26, 2018
Answer: The Bellesoma Method Since you implants were under the muscle, the posterior capsule is firmly attached to the underlying ribs. If the capsule is very thin and not infected, the capsule can remain. Attempting to remove capsules can result in bleeding and injury to the underlying muscle, ribs and possible pneumothorax, although it is very rare. The surgeon will decide what is necessary. The other thing to think about after explantation is the excess skin. You will probably need a lift and the technique I recommend is The Bellesoma Method. This technique reshapes your breast tissue creating upper pole fullness without implants, elevates them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained if not injured during your previous surgery. Simple explantation can be done under local anesthesia but capsulectomy and lift will require general anesthesia. Best Wishes,Gary Horndeski, M.D.
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February 26, 2018
Answer: The Bellesoma Method Since you implants were under the muscle, the posterior capsule is firmly attached to the underlying ribs. If the capsule is very thin and not infected, the capsule can remain. Attempting to remove capsules can result in bleeding and injury to the underlying muscle, ribs and possible pneumothorax, although it is very rare. The surgeon will decide what is necessary. The other thing to think about after explantation is the excess skin. You will probably need a lift and the technique I recommend is The Bellesoma Method. This technique reshapes your breast tissue creating upper pole fullness without implants, elevates them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained if not injured during your previous surgery. Simple explantation can be done under local anesthesia but capsulectomy and lift will require general anesthesia. Best Wishes,Gary Horndeski, M.D.
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February 23, 2018
Answer: Thinking about explanation. Total capsulectomy or will explantation be ok? Thank you for the question. 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 bloc 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. My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as well. Working together you will come up with a good plan to achieve your goals. I hope this helps. Best wishes.
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February 23, 2018
Answer: Thinking about explanation. Total capsulectomy or will explantation be ok? Thank you for the question. 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 bloc 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. My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as well. Working together you will come up with a good plan to achieve your goals. I hope this helps. Best wishes.
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February 23, 2018
Answer: Thinking about explanation. If I have BII isn't it necessary for the total capsulectomy or will explantation be ok? Thank you for sharing your question and I am sorry to hear of your health issues. In most cases I advocate for removal of the implants and their surrounding scar tissue to leave only your native breast tissue. It will depend on the quality, appearance, and feel of your specific implants, however.
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February 23, 2018
Answer: Thinking about explanation. If I have BII isn't it necessary for the total capsulectomy or will explantation be ok? Thank you for sharing your question and I am sorry to hear of your health issues. In most cases I advocate for removal of the implants and their surrounding scar tissue to leave only your native breast tissue. It will depend on the quality, appearance, and feel of your specific implants, however.
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April 9, 2018
Answer: Removal Before you remove your implants for medical issues, you might want to be checked for food allergies. Food allergies are very common, often ignored, and can cause a wide range of symptoms. Typically, if your capsules are very thin, many doctors will leave them to avoid more tissue damage. if you have signs of infection or hardness, the capsules need to be removed.
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April 9, 2018
Answer: Removal Before you remove your implants for medical issues, you might want to be checked for food allergies. Food allergies are very common, often ignored, and can cause a wide range of symptoms. Typically, if your capsules are very thin, many doctors will leave them to avoid more tissue damage. if you have signs of infection or hardness, the capsules need to be removed.
Helpful 1 person found this helpful