My silicone implants were placed through the areolas and under the muscle. Is it possible to have an explant and en bloc (no lift) through the same areola incisions? I would like to avoid additional scarring.
January 24, 2023
Answer: En bloc implant removal It depends on the diameter of your areola, the length of the scar, the severity of capsular contracture (if present), the size of the implant, and the type of implant (saline vs. silicone). If one or both implants are ruptured and they are silicone, cleaning can be very difficult. In general, it is more difficult to use the peri areolar approach than the inframammary fold incision because the IMF incision places the surgeon in a better overall position to remove submuscular implants and capsules The increased difficulty of using a short incision with a small diameter areola can increase the risk of surgery due to relatively poor visiualization.
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January 24, 2023
Answer: En bloc implant removal It depends on the diameter of your areola, the length of the scar, the severity of capsular contracture (if present), the size of the implant, and the type of implant (saline vs. silicone). If one or both implants are ruptured and they are silicone, cleaning can be very difficult. In general, it is more difficult to use the peri areolar approach than the inframammary fold incision because the IMF incision places the surgeon in a better overall position to remove submuscular implants and capsules The increased difficulty of using a short incision with a small diameter areola can increase the risk of surgery due to relatively poor visiualization.
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January 6, 2023
Answer: No en bloc through areola incision A lot depends on what size your implants are but I would not advise trying an en bloc removal through an areolar incision. Also, recent studies show that en bloc isn't necessary most of the time; you can get just as much benefit with total capsulectomy or even partial capsulectomy. En bloc is a radical and riskier operation.
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January 6, 2023
Answer: No en bloc through areola incision A lot depends on what size your implants are but I would not advise trying an en bloc removal through an areolar incision. Also, recent studies show that en bloc isn't necessary most of the time; you can get just as much benefit with total capsulectomy or even partial capsulectomy. En bloc is a radical and riskier operation.
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