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Thank you for your question.The procedure time will vary from surgeon to surgeon. Also it depends on how bad the implant is once the surgeon opens up the pocket.
All patients are not equal; Some have rock thick capsule that require almost chiseling off the chest wall, others do not. Some have younger tissues which make the dissection easier, others do not. If the implant has leaked the surgeon may need to remove silicone gel during the procedure. It all varies. I would suggest you pick a Board Certified Plastic surgeon you trust and go with him/her. That would be the best way to go.Good LuckPeter Aldea MD
Duration of surgery will vary from one surgeon to another; this may also vary from one patient to another as well (depending on exactly what procedure is performed). Therefore, best to address this question by your selected plastic surgeon. In our practice, duration of this type of surgery may range from 1.5-2 hours. Best wishes.
It sound like you should have the capsule removed as much as possible. Your pain symptoms may be related, but there has bee no scientific evidence in the literature to support malaise,vision loss, etc. with implants.
I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons. Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to ...
En bloc removal and oft can be done at the same time in many cases. If the skin is thi however, you run the risk of tissue damage if you try to do these at the same time and may be better off doing the lift at a second stage.