I have 6 year old Allergan 410 textured implants. 3 years ago I started feeling fluid on my left side, not spontaneous or large amounts but noticeable w/capsular contracture and a rash on the breast w/ the fluid. Went to 4 different doctors and none seemed concerned. MRI, US, and Mammo confirmed fluid and CC. That took about a year total to see doctors and I felt like I was overacting. All is still there and I am explanting 3/13. Should I find a new doctor to aspirate before explant?
January 30, 2019
Answer: Should I push to aspirate before explant? I can't seem to find a doctor who feels it is necessary Thank you for sharing your excellent question. As you have silicone textured implants and are asking for removal, the surrounding scar tissue, and fluid, can be tested at the same time as the explant surgery. If there is concern for BIA-ALCL it can then be tested for. Hope this helps.
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January 30, 2019
Answer: Should I push to aspirate before explant? I can't seem to find a doctor who feels it is necessary Thank you for sharing your excellent question. As you have silicone textured implants and are asking for removal, the surrounding scar tissue, and fluid, can be tested at the same time as the explant surgery. If there is concern for BIA-ALCL it can then be tested for. Hope this helps.
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January 30, 2019
Answer: Aspirate fluid before explant Hello,If you have saline implants, then aspiration of the saline prior to surgery is fairly routine. However, if there is fluid around your implant and these are textured silicone implants, you should have them removed and the fluid should be sent for testing at the time of surgery. If you did not want to have the implants removed, then aspirating the fluid would be appropriate. Please ensure that your surgeon is sending the fluid and the capsule to pathology for testing. The current FDA testing recommendations for fluid around a textured implant are the following: "collect fresh seroma fluid and representative portions of the capsule and send for pathology tests to rule out BIA-ALCL. Diagnostic evaluation should include cytological evaluation of seroma fluid with Wright Giemsa stained smears and cell block immunohistochemistry testing for cluster of differentiation (CD) and Anaplastic Lymphoma Kinase (ALK) markers."Please ensure you are seeing a board certified plastic surgeon as he/she should be familiar with testing recommendations. All the best,Dr. BlaggAustin, TX
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January 30, 2019
Answer: Aspirate fluid before explant Hello,If you have saline implants, then aspiration of the saline prior to surgery is fairly routine. However, if there is fluid around your implant and these are textured silicone implants, you should have them removed and the fluid should be sent for testing at the time of surgery. If you did not want to have the implants removed, then aspirating the fluid would be appropriate. Please ensure that your surgeon is sending the fluid and the capsule to pathology for testing. The current FDA testing recommendations for fluid around a textured implant are the following: "collect fresh seroma fluid and representative portions of the capsule and send for pathology tests to rule out BIA-ALCL. Diagnostic evaluation should include cytological evaluation of seroma fluid with Wright Giemsa stained smears and cell block immunohistochemistry testing for cluster of differentiation (CD) and Anaplastic Lymphoma Kinase (ALK) markers."Please ensure you are seeing a board certified plastic surgeon as he/she should be familiar with testing recommendations. All the best,Dr. BlaggAustin, TX
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