I have made up my mind to remove my silicone implants, size 260cc, with a lift. I'm experiencing some pain on the right breast. However, I don't understand if it will be better for me to have a capsulectomy (full or partial) or not. I have read that having a capsulectomy is painful and can cause a lot of bleeding and to the contrary that it should be removed if I'm having symptoms like the pain I'm having on my right breast. Please help me understand this. Then I will know how to choose a doc.
Answer: Breast Explantation - Do I Need A Complete Capsulectomy? The short answer is "yes", you do need a complete capsulectomy. The pain in your right breast is probably nerve endings trapped in your capsule. If the capsule is not removed, this may continue. Also, if no capsule is removed in a breast explantation, this leaves a pocket which can fill with body fluids or even blood which could lead to its own set of complications.If the implant is below the muscle, removing the portion of the capsule attached to the ribs can be tricky but not for an experienced Board Certified plastic surgeon. The bleeding encountered in a capsulectomy can be easily treated with intra-operative hemostatic agents and a drain. The pros of removing a capsule at the time of explantation very much outweigh any negatives.
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Answer: Breast Explantation - Do I Need A Complete Capsulectomy? The short answer is "yes", you do need a complete capsulectomy. The pain in your right breast is probably nerve endings trapped in your capsule. If the capsule is not removed, this may continue. Also, if no capsule is removed in a breast explantation, this leaves a pocket which can fill with body fluids or even blood which could lead to its own set of complications.If the implant is below the muscle, removing the portion of the capsule attached to the ribs can be tricky but not for an experienced Board Certified plastic surgeon. The bleeding encountered in a capsulectomy can be easily treated with intra-operative hemostatic agents and a drain. The pros of removing a capsule at the time of explantation very much outweigh any negatives.
Helpful 5 people found this helpful
Answer: It is recommended getting a capsulectomy when getting implants removed to avoid any complications Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.
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Answer: It is recommended getting a capsulectomy when getting implants removed to avoid any complications Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.
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May 1, 2015
Answer: Is Capsulectomy Required? This is hard to answer without an exam, for example to see if you have a trigger point. In general if your capsule is thin (breast implants soft on exam), it is not required. If your silicone implant is ruptured, however, then a capsulectomy to remove traces of silicone is often done. In either event pain is a complicated issue and you may or may not have pain after surgery regardless of the procedure. Always select the best plastic surgeon possible (see below link).
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May 1, 2015
Answer: Is Capsulectomy Required? This is hard to answer without an exam, for example to see if you have a trigger point. In general if your capsule is thin (breast implants soft on exam), it is not required. If your silicone implant is ruptured, however, then a capsulectomy to remove traces of silicone is often done. In either event pain is a complicated issue and you may or may not have pain after surgery regardless of the procedure. Always select the best plastic surgeon possible (see below link).
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December 10, 2014
Answer: Capsulectomy if determined to be necessary in surgery Whether or not an operation is associated with pain is not a way to determine if it is indicated. If you have a capsule that at the time of surgery needs to be removed, it should be removed. The surgical pain is temporary.
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December 10, 2014
Answer: Capsulectomy if determined to be necessary in surgery Whether or not an operation is associated with pain is not a way to determine if it is indicated. If you have a capsule that at the time of surgery needs to be removed, it should be removed. The surgical pain is temporary.
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November 29, 2014
Answer: Capsulectomy probably a good idea in your case… Generally speaking, unless the breast implant capsules have thickened and/or are otherwise symptomatic (pain in your case), there is no indication to have them removed. On the contrary (unless indicated), capsulectomy can expose you to additional risks, such as bleeding and some breast size loss. Your plastic surgeon, based on your physical examination, will be able to inform you whether the breast implant capsule is thickened or abnormal.
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November 29, 2014
Answer: Capsulectomy probably a good idea in your case… Generally speaking, unless the breast implant capsules have thickened and/or are otherwise symptomatic (pain in your case), there is no indication to have them removed. On the contrary (unless indicated), capsulectomy can expose you to additional risks, such as bleeding and some breast size loss. Your plastic surgeon, based on your physical examination, will be able to inform you whether the breast implant capsule is thickened or abnormal.
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November 29, 2014
Answer: Capsulectomy If the capsule is thin and almost nonexistent I do not believe this needs to be removed. If you capsule is thick then I would recommend partial removal.
Helpful 1 person found this helpful
November 29, 2014
Answer: Capsulectomy If the capsule is thin and almost nonexistent I do not believe this needs to be removed. If you capsule is thick then I would recommend partial removal.
Helpful 1 person found this helpful
