I’m scheduled for a textured implant removal (subglandular) d/t pain and suffering. During initial consult we discussed having drains and binder, no options provided for a capsulectomy. After further research it suggests that a capsulectomy is advised; however it’s more invasive, longer surgery time, and cost more. Would you perform a capsulectomy or not?
September 3, 2024
Answer: Do all capsules need to be removed? Explant surgery mandates removal of all capsule—that is the entire operation in itself, plus the removal of not only the capsule, but all inflamed tissue, along with the implant. If any of the capsule is left behind, that is considered incomplete surgery. We can tell this from not only the many pathology reports that show silica within the capsules, but also the many patients who have had residual silicone capsules removed, an ultimate improvement in their health. This is not an easy operation, and not everyone can do it. I would absolutely not recommend removal of implant only, the capsule must ABSOLUTELY be removed. You do not want to have to go back for a second surgery just to remove the residual capsules.
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September 3, 2024
Answer: Do all capsules need to be removed? Explant surgery mandates removal of all capsule—that is the entire operation in itself, plus the removal of not only the capsule, but all inflamed tissue, along with the implant. If any of the capsule is left behind, that is considered incomplete surgery. We can tell this from not only the many pathology reports that show silica within the capsules, but also the many patients who have had residual silicone capsules removed, an ultimate improvement in their health. This is not an easy operation, and not everyone can do it. I would absolutely not recommend removal of implant only, the capsule must ABSOLUTELY be removed. You do not want to have to go back for a second surgery just to remove the residual capsules.
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November 28, 2022
Answer: Capsulectomy If you do have a thick capsule and are suffering from capsular contracture, it may be advisable to do a partial capsulectomy, as long as the anterior breast skin flap is not compromised in the process.
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November 28, 2022
Answer: Capsulectomy If you do have a thick capsule and are suffering from capsular contracture, it may be advisable to do a partial capsulectomy, as long as the anterior breast skin flap is not compromised in the process.
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