Is it possible to do a suction evac for 125cc ruptured silicone subpec?

Question

My 3rd? My focus is on a less invasive op for removal of silicone from a ruptured implant. There are videos using suction to control ruptured contents before or during explant. En Bloc or capsulectomy was goal but, these women had the BII thing going on. I DO NOT. My small 35Yr old capsules are part of me now, it is only the free silicone&collapsed shell inside that is the threat. Can y'all not just clean out the capsule, flush, stitch it up, close incision?? Has this been tried?

Daniel Barrett, MD · Answer

Dear Polite306419,
in case of removal of ruptured implants it is important to remove the capsules and implant completely. The pocket can then be flushed, suctioned and closed. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Yes it is possible to clean out the capsule, flush, and stitch it closed.  See a certified plastic surgeon in your area to discuss the details.

Connie Hiers, MD, FACS · Answer

En bloc surgery is for cancer surgery ONLY, not for removing implants and capsules. If your gel implants are younger than 2006, then an open incision is needed, since the gel is not liquid. If your gel implants are older, especially before 1992, you have the old gel which needs the capsule and gel implants removed through an incision. Either way, an incision is needed for removal.

Is it possible to do a suction evac for 125cc ruptured silicone subpec?

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Is it possible to do a suction evac for 125cc ruptured silicone subpec?

Answers (3)

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