If I do not wish to get new implants, is it best to remove the capsule on both or just the CC side? Or does it matter? One side is very hard like a baseball, the other side feels rather squishy and may have a rupture. I think I want to have the explantation, then wait to see if I will need a lift. My implants are McGhan, textured, round silicone from 1991.
January 15, 2015
Answer: Contracture and Rupture Capsular contracture is the result of aggressive scar capsule formation and contracture around the implant. Although all breast implants have a capsule, occasionally the capsule becomes thick and firm. When capsule tightens around the implant it can cause the affected breast to become hard and painful (8-16%). The cause of capsular contracture is unknown, however, bacterial contamination, rupture, and hematoma may be factors. The treatment for contracture is usually surgery to release or remove the capsule around the implant. The unaffected breast is typically left alone. Breast implant rupture occurs when the outer shell of an implant develops a hole or tear. It occurs in about 10% of breast implants. The rupture of saline implants often manifests in the deflation of the affected breast as the saline leaks out and is absorbed by the body. The rupture of silicone implants is often silent (asymptomatic), however, some patients will complain of a change in shape, lumpiness, or new onset pain on the side of the rupture. The FDA recommends that ruptured implants be removed or replaced. The best non-invasive test for implant rupture is an MRI. It has an accuracy of 92%, a sensitivity of 89%, and a specificity of 97% at detecting implant rupture. In real world terms, if a rupture is seen on MRI the implant is likely ruptured (94%). There are some ruptures, however, missed by MRI (5%). Consultation with a plastic surgeon would be the next best step.
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January 15, 2015
Answer: Contracture and Rupture Capsular contracture is the result of aggressive scar capsule formation and contracture around the implant. Although all breast implants have a capsule, occasionally the capsule becomes thick and firm. When capsule tightens around the implant it can cause the affected breast to become hard and painful (8-16%). The cause of capsular contracture is unknown, however, bacterial contamination, rupture, and hematoma may be factors. The treatment for contracture is usually surgery to release or remove the capsule around the implant. The unaffected breast is typically left alone. Breast implant rupture occurs when the outer shell of an implant develops a hole or tear. It occurs in about 10% of breast implants. The rupture of saline implants often manifests in the deflation of the affected breast as the saline leaks out and is absorbed by the body. The rupture of silicone implants is often silent (asymptomatic), however, some patients will complain of a change in shape, lumpiness, or new onset pain on the side of the rupture. The FDA recommends that ruptured implants be removed or replaced. The best non-invasive test for implant rupture is an MRI. It has an accuracy of 92%, a sensitivity of 89%, and a specificity of 97% at detecting implant rupture. In real world terms, if a rupture is seen on MRI the implant is likely ruptured (94%). There are some ruptures, however, missed by MRI (5%). Consultation with a plastic surgeon would be the next best step.
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January 15, 2015
Answer: What to do? Given the age of your implants, it is likely that you have rupture or bleed of silicone with associated reactive, calcified capsules which would require removal to restore your breasts to native, soft tissue. Since your not excited about replacing your implants, I won't argue with your plan to explant, and then decide what you want once your breasts have healed and recovered to a stable state; it is certainly a safe and conservative plan of action. Good luck and thanks for sharing.
Helpful 1 person found this helpful
January 15, 2015
Answer: What to do? Given the age of your implants, it is likely that you have rupture or bleed of silicone with associated reactive, calcified capsules which would require removal to restore your breasts to native, soft tissue. Since your not excited about replacing your implants, I won't argue with your plan to explant, and then decide what you want once your breasts have healed and recovered to a stable state; it is certainly a safe and conservative plan of action. Good luck and thanks for sharing.
Helpful 1 person found this helpful