En bloc qu: If you don't have Cap. Contracture and they're not silicone filled, but you do have breast implant illness? (photo)
Doctor Answers 2
Capsulectomy or leave it
I think your question is whether or not it is ok to have a partial capsulectomy vs. en bloc. A complete capsulectomy is the same thing for non-cancer disease. Having not examined you or know your exact history, I do not think a full and complete capsulectomy (en bloc) is necessary and a partial should be just fine. By simply removing the implants, if you don't have a capsulectomy, you haven't burned any bridges and capsulectomy can be done later.
"Breast implant illness"
There is no scientific basis for the supposed diagnosis of "breast implant illness" or "silicone shell toxicity" or "fungus inside the implant" and therefore there is no legitimate "treatment" of it. There is no medical reason to remove the scar tissue layer (capsule) around the implant unless it is demonstrably abnormal or distorting. Unfortunately there are surgeons who will buy into this myth and fear of the patient.
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