BIA-ALCL after explant - do I need to test the capsule?

Thank you for sharing your question and photographs. Unfortunately although your breast tissues do not look aesthetic following the implant removal, a lift is for cosmetic purposes and not medically necessary. I agree with your initial surgeon, and his pricing is reasonable for that operation.

Ruptured implants need to be removed but the capsules do not necessarily have to be removed with them. Your implants seem quite small and it should be a straight forward operation. Best Wishes, Gary Horndeski, M.D.

Dear Justhavefaith, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper...

Dear V_b, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations...

Hi @carolbit, thank you for your question. My opinion is that a breast implant removal should be combined with an immediate breast reconstruction to reposition the breast tissue and improve the projection of the upper pole and medial areas using the BRALAN Technique (Breast Reconstruction...

Puplover, yes, a seroma can develop in the space where the implant was removed. Several factors can contribute to this including if the capsule was removed, if the muscle was involved and the postoperative use of drains and compression. A chronic seroma will develop a capsule around it,...