I met with a surgeon about removing my 450 cc under the muscle, silicone implants and doing a lift. I’m not having any problems, just want a new look. He doesn’t want to remove the capsules, should I go elsewhere? I’m worried about seroma and other things I’ve read about when the capsules aren’t removed.
June 12, 2022
Answer: Considering options When removing breast implants the capsules should also be removed if there are issues such as thickening, rupture or calcification, otherwise it is an option to remove them or leave them behind. It is important that you are comfortable and confident in your surgical plan. I encourage you to discuss your concerns with your surgeon as well as the surgeon's rationale for not removing the capsules. If you are not satisfied after this conversation then you may wish to get a second opinion.
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June 12, 2022
Answer: Considering options When removing breast implants the capsules should also be removed if there are issues such as thickening, rupture or calcification, otherwise it is an option to remove them or leave them behind. It is important that you are comfortable and confident in your surgical plan. I encourage you to discuss your concerns with your surgeon as well as the surgeon's rationale for not removing the capsules. If you are not satisfied after this conversation then you may wish to get a second opinion.
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June 13, 2022
Answer: Should the capsules be removed when removing implants? Hello @Elle2127 thank you for your question. In my opinion it is always necessary to adequately remove the capsule and reconstruct the tissue. After 21 years of experience and several breast implant removal surgeries I suggest taking out the whole capsule. After so many explants I can attest that when a patient comes for an explant and had has a change of prostheses without the removal of the first capsules, when I perform surgery I find 2 capsules: The ones left there from the first surgery and the capsules of the new prostheses. So every time we change prostheses we also remove the capsules because that way the mammary tissue can recuperate better and avoid a future inflammatory response from the body or an autoimmune syndrome like Asia Syndrome. Best wishes! Alan Gonzalez MD FACS
Helpful 1 person found this helpful
June 13, 2022
Answer: Should the capsules be removed when removing implants? Hello @Elle2127 thank you for your question. In my opinion it is always necessary to adequately remove the capsule and reconstruct the tissue. After 21 years of experience and several breast implant removal surgeries I suggest taking out the whole capsule. After so many explants I can attest that when a patient comes for an explant and had has a change of prostheses without the removal of the first capsules, when I perform surgery I find 2 capsules: The ones left there from the first surgery and the capsules of the new prostheses. So every time we change prostheses we also remove the capsules because that way the mammary tissue can recuperate better and avoid a future inflammatory response from the body or an autoimmune syndrome like Asia Syndrome. Best wishes! Alan Gonzalez MD FACS
Helpful 1 person found this helpful