My saline implants are intact and very soft, with no contracture or rupture. Had a consult, and surgeon said he could remove them under local, in his office which kind of freaked me out. After thinking this over, I do like the idea of the local better...but what about the capsule being left inside me? Does it shrink up and get lumpy? Will it obscure the view for mammograms? Can it contract after implant removal?
January 8, 2021
Answer: Some Times the Capsule Melts Away Once implants are put in the body they develop a healing "capsule" made of collagen. Sometimes this capsule is thin and soft and can be left after removal of an implant. It will collapse and melt away with time,once the implant is removed. Other times the capsule is thick and scared and should be removed with the implant when the patient desires explantation. I commonly remove implants, remove 60-70% of the capsule, repair the pectoral muscle, perform an internal purse string tightening of the breast (called an internal mastopexy) and then graft fat to restore fullness. Most patients also require an external mastopexy, or breast lift. With this protocol we can usually achieve a more attractive breast than before the implant was removed. Patients who want a larger breast will require a second fat grafting proceedure.
Helpful 9 people found this helpful
January 8, 2021
Answer: Some Times the Capsule Melts Away Once implants are put in the body they develop a healing "capsule" made of collagen. Sometimes this capsule is thin and soft and can be left after removal of an implant. It will collapse and melt away with time,once the implant is removed. Other times the capsule is thick and scared and should be removed with the implant when the patient desires explantation. I commonly remove implants, remove 60-70% of the capsule, repair the pectoral muscle, perform an internal purse string tightening of the breast (called an internal mastopexy) and then graft fat to restore fullness. Most patients also require an external mastopexy, or breast lift. With this protocol we can usually achieve a more attractive breast than before the implant was removed. Patients who want a larger breast will require a second fat grafting proceedure.
Helpful 9 people found this helpful
May 30, 2016
Answer: Leaving capsule You would need a GA to remove the capsule and GA is my preference for explantation- although in the UK there are few saline implants placed and my explantation experience is mainly with silicone cohesive gel implants.Local is an option for saline implants and if the capsule is thin (best assessed on an examination) then there are less perceived risks of leaving the capsule - however you won't 100% know until the operation. The problem is that during the op if you need the capsules removed this may not be possible.
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May 30, 2016
Answer: Leaving capsule You would need a GA to remove the capsule and GA is my preference for explantation- although in the UK there are few saline implants placed and my explantation experience is mainly with silicone cohesive gel implants.Local is an option for saline implants and if the capsule is thin (best assessed on an examination) then there are less perceived risks of leaving the capsule - however you won't 100% know until the operation. The problem is that during the op if you need the capsules removed this may not be possible.
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