If capsule is stuck to chest wall is it okay to leave part of it?
Doctor Answers 9
#Explant #BreastImplantRemoval - If capsule is stuck to chest wall is it okay to leave part of it?
In general, it's "better" to remove the entire capsule if it has become symptomatic. But there are many times when implants are removed without removing any of the capsule, and it heals well. In that case even though are two smooth surfaces of the capsule in place, they adhere to each other and occlude the space. If they are thin the result may even be more aesthetic, as it leaves a little more volume (the capsules) in place.
On the other hand, if capsules are thickened, producing seroma fluid, etc., then removing them may be advisable. This makes the procedure more involved and has higher risks of bleeding and thinned tissue. At the back (on the ribs), if the capsule is adherent then trying to remove it can cause not only excess bleeding but, in rare conditions, the pleural cavities (spaces around the lungs) may be entered. There are many possible sequelae to that occurring.
Therefore, even when total capsule removal in planned it is often prudent to leave some of the posterior shell in place. Even that does not guarantee a problem-free recovery and result, as persistent capsule can continue to generate fluid etc., and ultimately mandate removal. But if a secondary procedure has to be done at that point, at least you know that a prudent approach was taken.
I hope that this helps and good luck,
Dr. Alan Engler
Member of #RealSelf100
Total vs. partial capsulectomy
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If the implant is under the muscle, it is more technically challenging to remove the capsule off the chest wall (Possible pneumothorax).
No body can give you guarantees , decisions are made in surgery based on findings. (Imaging is not always accurate). Then decision on what is needed to do after removal. muscle repair, re-implant, type of implant size, position
In my practice many hours of discussions and decisions to be made.
Ok to leave part of the capsule?
I use drains most of the time when removing and exchanging and doing a removal of the capsule. Best to get as much of the capsule out as possible.
Best to find a Board Certified Plastic Surgeon to do the procedure.
Andrew Cohen, MD
Breast Implant Removal
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