Hi i had breast implants under the muscle 11 years or so ago. I was examined today at a breast clinic that is on the medical card its not private. They are only offering a straight forward explant. No drains would be put in or no follow up. No removal of capsules or lift. I have textured implants which were recalled off the shelf. . I asked did i have thick capsules. He told me no, that i didnt have capsules is that possible as ive gotten the implants as i said 11 or so years ago?
November 10, 2022
Answer: All foreign objects create capsules within the body With regard to all 4 objects within in the body, including breast implants, A capsule will be formed by the body in order to wall it off from the surrounding tissue. This is a natural response whether the foreign object be breast implant or a knee replacement. Some capsules are very thin and do not cause problems. Other capsules can be thicker and cause capsular contracture. There is a spectrum here between the 2. Textured implants are known to cause less capsular contracture than smooth-walled implants. However your correct, a certain type of textured implant was recalled from the shelf( this would be that Allergan Biocell textured implant). It is likely that her surgeon was just trying to help you uunderstand that the Capsules that you have or safe to be left inside the body if they are normal and thin.
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November 10, 2022
Answer: All foreign objects create capsules within the body With regard to all 4 objects within in the body, including breast implants, A capsule will be formed by the body in order to wall it off from the surrounding tissue. This is a natural response whether the foreign object be breast implant or a knee replacement. Some capsules are very thin and do not cause problems. Other capsules can be thicker and cause capsular contracture. There is a spectrum here between the 2. Textured implants are known to cause less capsular contracture than smooth-walled implants. However your correct, a certain type of textured implant was recalled from the shelf( this would be that Allergan Biocell textured implant). It is likely that her surgeon was just trying to help you uunderstand that the Capsules that you have or safe to be left inside the body if they are normal and thin.
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November 10, 2022
Answer: Is it possible not to have capsules? 11 year old implants. Hello @Calm3644, thank you for your question. I believe that every time an explant is performed, the capsule must be removed. Complete capsulectomy. Whether it is en bloc does not matter as long as the whole capsule is removed and the tissue is sent for pathology after taking the capsule out. This will prevent future inflammatory responses from the body. A capsule will always form around a prosthesis because it surrounds it and isolates it, since the prosthesis is a foreign tissue. This capsule is not normally seen or felt, but is there. To shed more light, I share a video. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)
Helpful
November 10, 2022
Answer: Is it possible not to have capsules? 11 year old implants. Hello @Calm3644, thank you for your question. I believe that every time an explant is performed, the capsule must be removed. Complete capsulectomy. Whether it is en bloc does not matter as long as the whole capsule is removed and the tissue is sent for pathology after taking the capsule out. This will prevent future inflammatory responses from the body. A capsule will always form around a prosthesis because it surrounds it and isolates it, since the prosthesis is a foreign tissue. This capsule is not normally seen or felt, but is there. To shed more light, I share a video. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)
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