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 3
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.
En bloc breast implant removal...
Thank you for the question. En bloc breast implant removal refers to a procedure where the breast implant and the surrounding capsule is removed as a single unit. The procedures is performed such that the contents within the breast implant capsule do not come into contact with the surrounding tissues.
The procedure may be indicated when a patient has ruptured silicone gel breast implant, or if the patient has concerns about "medical conditions" related to the breast implants.
"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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