Seeking an 'en bloc' capsulectomy in the UK, preferaby near South Wales

Question

I am 59 years young and I have 26 yr old silicone implants with a textured finish. I have no children. I went from a 34A cup to a 34 C cup. Now I wear a 34 to 36 DD cup. There is asymmetry. I have researched and want an experienced surgeon in en block 'explant'. The implants were inserted via the axilla route and placed behind the muscle/chest wall. I will consider a breast lift 9mths to a year following explant. Want a surgeon who can repair internally if necessary. Any UK recommended.

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Hi, thanks for your enquiry. En bloc capsulectomy carries additional risks if the implants are submuscular (inserted behind the muscle), and I would usually recommend removing these via an inframammary fold approach despite them being placed through an axillary incision to aid visualisation of the capsule and maximise the chance of removing it safely. The posterior implant capsule (back of the implant capsule) can be very adherent to the chest wall and so in some cases it is not safe to remove the capsule entirely 'en bloc'. Your goals and the reason for implant removal are factors which will contribute to decision making during your surgery, and you should have a conversation about these with your surgeon well in advance of the operation.

Gary Lawton, MD, FACS · Answer

This is a specialty operation which may require for you to travel.  Finding someone locally that specializes in en bloc capsulectomy is unlikely.For explant surgery, it is almost always best to remove the capsule in its entirety.  This will allow the space to heal.  If you leave the capsule in place, it does not heal.  Fluid can accumulate in the space.  The situation that brings the patient to implant removal will have an affect on the decision.  This is a surgery which requires discussion with the plastic surgeon about the problem, the goals, and the technical concerns.  The body does not re-absorb the capsule.  Revision surgery requires drains because the fluid is going to be generated when you operate on the scar capsule.  If you provide a mechanism for the fluid to be removed (i.e. drains), the risks are lower.  If the fluid accumulates because there were no drains, it will most certainly cause problems in the future.

Edward J. Domanskis, MD (in memoriam) · Answer

I would definitely recommend doing an en bloc capsulectomy if you are considering removal of your silicone or saline implants. I use the same incision usually through which the implants have been put in. I would recommend that you visit my website listed below for more information. I operate in Miami, Nassau, Anguilla, and California.I charge a set fee for the enbloccapsulectomydotcom which involves removing the the total capsule with the implant inside it. If I do a bret reconstruction, then this is a separate fee. The entire removal is documented and sent to pathology and then impants are returned to patient as well as operative report and photo confirmation of what was removed.

Seeking an 'en bloc' capsulectomy in the UK, preferaby near South Wales

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Everything you need to know about En Bloc Capsulectomy

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Seeking an 'en bloc' capsulectomy in the UK, preferaby near South Wales

Answers (3)

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Recommended reading

Everything you need to know about En Bloc Capsulectomy

Our mission is to create a world where every investment in modern beauty is Worth It.