Necessity of capsule pathology for symptomatic saline implants?

Question

I am considering ex planting 18 year old sub muscular implants with grade 3 cc. The doctor does not send capsules in for pathology and this concerns me because I have many serious symptoms of breast, implant illness, I realize that en bloc is necessary with silicone rupture, but what about symptomatic saline? I have read some new research link in bio film an infection to capsular contractions.I have saline. Should samples be sent to pathology thank you.

Joshua T Halka, MD · Answer

En Bloc capsulectomy, meaning removing the capsule AND surrounding tissue is not indicated for capsular contracture or BII. If you are having symptoms due to your implants which are 18 years old, it is likely due to capsular contracture, unless you have signs of breast implant associated lymphoma, like a mass or new seroma, there is no reason to send the capsule to pathology as long as it looks normal during surgery.Remember, the capsule is due to your body reacting to the implant. The majority of the time when you remove the implant, the body resorbs this tissue so it often doesn’t need to come out with the implants, but if you have really thick calcified capsules, sometimes these won’t go away. I just had a patient where her capsules were so thick and calcified that they felt and looked like egg shells and would crack when squeezed. Capsules like that won’t go away once the implants are removed, but again, there is no reason for en-bloc or to send to pathology.There is a lot of misinformation out there regarding these types of issues.
-Dr. Halka

Necessity of capsule pathology for symptomatic saline implants?

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Necessity of capsule pathology for symptomatic saline implants?

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Our mission is to create a world where every investment in modern beauty is Worth It.