I am scheduled to have my implants removed at the end of October . My surgeon said she can remove my implants and preform a capsulotomy under local. Is this typically advisable under local? I understand a capsulectomy must be done under general but wasn't sure about capsulotomy. Also is s capsulectomy needed? One of my breast is very soft the other fairly firm but no real pain
Answer: Removal Your surgeon, who has examined your breasts, will be the best one to tell you if a capsulotomy can be done under local anesthesia. If the capsules are fairly thin, most are left in place, unless you have the old gel implants. I have removed many implants and performed a capsulotomies and even capsulectomies under local anesthesia with sedation. I have removed implants just under local anesthesia when the capsules were very thin. I suggest discussing any concerns you have with your surgeon.
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Answer: Removal Your surgeon, who has examined your breasts, will be the best one to tell you if a capsulotomy can be done under local anesthesia. If the capsules are fairly thin, most are left in place, unless you have the old gel implants. I have removed many implants and performed a capsulotomies and even capsulectomies under local anesthesia with sedation. I have removed implants just under local anesthesia when the capsules were very thin. I suggest discussing any concerns you have with your surgeon.
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Answer: Typically this can be done under local anesthesia but it is up to the surgeon which route is best Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.
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Answer: Typically this can be done under local anesthesia but it is up to the surgeon which route is best Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.
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October 19, 2018
Answer: Capsulotomy under local anesthesia possible? Thank you for the question. As you likely know, different plastic surgeons have different ways of doing things. In my practice, breast implant removal alone (under local anesthesia) is a possibility but I would not suggest that the procedure performed under local anesthesia if capsule work is also planned. Best wishes.
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October 19, 2018
Answer: Capsulotomy under local anesthesia possible? Thank you for the question. As you likely know, different plastic surgeons have different ways of doing things. In my practice, breast implant removal alone (under local anesthesia) is a possibility but I would not suggest that the procedure performed under local anesthesia if capsule work is also planned. Best wishes.
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October 19, 2018
Answer: Anesthesia I appreciate your question.Since you are dealing with implants which may be below your muscle, my recommendation is to not do this under local.If a capsulectomy is needed, I definitely recommend anesthesia as removing the capsule near muscle without relaxation can cause a lot more bleeding and muscle trauma.The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz
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October 19, 2018
Answer: Anesthesia I appreciate your question.Since you are dealing with implants which may be below your muscle, my recommendation is to not do this under local.If a capsulectomy is needed, I definitely recommend anesthesia as removing the capsule near muscle without relaxation can cause a lot more bleeding and muscle trauma.The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz
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October 1, 2015
Answer: Capsulotomy under local anesthesia possible? Thank you for your question. Implant removal alone can be safely done under local anesthesia, assuming the capsule around the implant does not need to be removed. In cases where the capsule has thickened and is firm, it is best to remove the capsule but this is best done under general anesthesia for your safety. Hope that this helps.
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October 1, 2015
Answer: Capsulotomy under local anesthesia possible? Thank you for your question. Implant removal alone can be safely done under local anesthesia, assuming the capsule around the implant does not need to be removed. In cases where the capsule has thickened and is firm, it is best to remove the capsule but this is best done under general anesthesia for your safety. Hope that this helps.
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