Hi there. I do not have BII, but want my implants removed. They are too big and cumbersome. Why are my consults recommending an enbloc? I do not think I need one! It drives the price up exponentially. Help!
February 29, 2024
Answer: Implant removal only - why are my consults recommending an en bloc? Hello @rmabe, thank you for your question. Yes, removing the capsules is key. 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 because capsules do not get reabsorbed. Here is a video that sheds more light on the topic. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
Helpful
February 29, 2024
Answer: Implant removal only - why are my consults recommending an en bloc? Hello @rmabe, thank you for your question. Yes, removing the capsules is key. 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 because capsules do not get reabsorbed. Here is a video that sheds more light on the topic. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
Helpful
February 13, 2024
Answer: Implant removal If you are wanting implant removal only and there are no other issues with the implants such as capsular contracture or rupture, then it should be fine to proceed as you wish. En bloc refers to removing the implant and capsule as one unit.
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February 13, 2024
Answer: Implant removal If you are wanting implant removal only and there are no other issues with the implants such as capsular contracture or rupture, then it should be fine to proceed as you wish. En bloc refers to removing the implant and capsule as one unit.
Helpful