Polyurethane removal enbloc or total capsulectomy?

Question

Hi, I have polyurethane coated silimed implants placed over the muscle in 2014. I’m getting them removed hopefully this year, but I was wanting to know if there are any complications or risks associated with removing polyurethane implants? Do they have to be removed through an enbloc procedure to keep fluid contained? Is enbloc procedure more expensive? And are they difficult to remove? I was told they can be stuck like velcro and need to be cut out

Alan Gonzalez, MD, FACS · Answer

Hello @AAmy93, thank you for your question. It is important to completely remove the capsule. It does not matter whether the implants are removed en bloc or if the whole capsule is taken out in sections (complete capsulectomy). Based on the morphology of the breast and the professional findings of the surgery, a capsulectomy will be done, and all of the capsules will be removed. This requires knowledge and dexterity. To shed some light, I share a video. To obtain more information and recommendations, it is best to consult one or more board-certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear Prilage3,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Enbloc surgery is for cancer surgery only, and includes removing surrounding tissue to get clear margins away from cancer.  A total capsulectomy can be done to remove the capsule and its contents including the implant and any fluid.  You would have a total capsulectomy.

Polyurethane removal enbloc or total capsulectomy?

Answers (3)

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