Allergan 410MM textured implants, 280g teardrop shape under muscle implanted in 2012. 5'4 138lbs.Having symptoms that my regular doctors cannot diagnose, all labs are clear. What lab work can be done to test for BIA-ACLprior to explant, does the surgeon refer to get these done? My physician and obgyn knows nothing about this rare cancer. Also my insurance covers Elective removal of allergan recalled implants but no surgeon's office accepts insurance or wont help facilitating papers
Answer: Exam to test BIA-ALCL 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.
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Answer: Exam to test BIA-ALCL 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.
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Answer: Lab work 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.
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Answer: Lab work 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.
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March 20, 2023
Answer: BIA-ACL 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.
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March 20, 2023
Answer: BIA-ACL 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.
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March 16, 2023
Answer: Preoperative protocol Dear Kind357821,
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March 16, 2023
Answer: Preoperative protocol Dear Kind357821,
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March 14, 2023
Answer: What lab work can be done to test for BIA-ACL prior to explant of Allergan 410MM textured implants? 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)
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March 14, 2023
Answer: What lab work can be done to test for BIA-ACL prior to explant of Allergan 410MM textured implants? 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)
Helpful 2 people found this helpful
