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Necessity of capsule pathology for symptomatic saline implants?

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.

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