What lab work can be done to test for BIA-ACL prior to explant of Allergan 410MM textured implants?

Hello, thank you for your question. You will need a good history and physical exam to assess for any lymph nodes and abnormal physical exam. Blood work would require WBC with differential. Imaging work up would require an MRI with and without contrast to look for fluid and any abnormalities around the implant—like thickening of the capsule. A lymph node biopsy may be required to diagnose such conditions. I recommend a consultation with hematology and oncology for lymphoma work up.

Dear Kind357821,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello @Kind357821, thank you for your question. Unfortunately BIA-ACL diagnosis is typically made based on the results of a combination of tests, including a physical exam, imaging studies, and pathology evaluation of any fluid or tissue samples obtained during an explant surgery. I suggest you consult with a board-certified plastic surgeon who is experienced in the diagnosis and treatment of this condition. Regarding insurance coverage I suggest joining breast implant removal groups from your country that can guide you better in finding a surgeon who can perform the explant surgery and facilitate the necessary paperwork for insurance coverage. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

There is yet no blood work specific to BIA-ACL prior to surgery, but tests are run on any fluid present around the implant and on the capsule itself. You did not ask a question about the insurance from Allergan, but you could speak with someone from the company for assistance.

Typically you will need to have an examination, detailed accounting of your medical history, lab work, and potentially imaging studies. If you are concerned you have BIA-ACL you can consider having the implants and capsules removed. Further testing will be done upon removal. If you are having difficulties finding a surgeon you may ask your insurance company for surgeons in your network.