Hello I have 20 year old saline textured implants under the muscle. I have heard about textured implants causing a rare cancer. I need to get my implants out. I think one has capsular contracture it’s hard and the other feels normal. My question is what type of surgery will I need to have. Thank you.
May 5, 2019
Answer: What type of surgery is required to remove 23 year old textured saline implants that may have capsular contracture on one side? En bloc refers to removing the capsule and the implant in one piece. Leaving a capsule behind is preferred if it is thin and pliable. If there are calcific components, or silicone granulomatous material, or if the capsule is deforming the breast tissue, then removal of the capsule may be warranted. The FDA reports that Breast Implant Associated—Anaplastic Large Cell Lymphoma (BIA-ALCL)may develop in 1 in between 3,817 to 30,000 women with TEXTURED breast implants. As of this date the risk appears to be very small. A sample of the fluid around the implant can be screened for lymphoma. Fluid collecting around breast implants does not mean you have developed the disease. Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
Helpful 1 person found this helpful
May 5, 2019
Answer: What type of surgery is required to remove 23 year old textured saline implants that may have capsular contracture on one side? En bloc refers to removing the capsule and the implant in one piece. Leaving a capsule behind is preferred if it is thin and pliable. If there are calcific components, or silicone granulomatous material, or if the capsule is deforming the breast tissue, then removal of the capsule may be warranted. The FDA reports that Breast Implant Associated—Anaplastic Large Cell Lymphoma (BIA-ALCL)may develop in 1 in between 3,817 to 30,000 women with TEXTURED breast implants. As of this date the risk appears to be very small. A sample of the fluid around the implant can be screened for lymphoma. Fluid collecting around breast implants does not mean you have developed the disease. Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
Helpful 1 person found this helpful
May 3, 2019
Answer: Capsulectomy Great question! You would need an implant removal and removal of the entire breast capsule - many surgeons do this en-bloc which means it all gets removed at the same time. That way the entire capsule and implant is removed. You may need to have new implants placed depending on your goals. Make sure you see a board certified plastic surgeon for details of the procedure.Best of luck and hope this information helps! - Dr. Roger Tsai @DrRogerTsai Board Certified Plastic Surgeon
Helpful 1 person found this helpful
May 3, 2019
Answer: Capsulectomy Great question! You would need an implant removal and removal of the entire breast capsule - many surgeons do this en-bloc which means it all gets removed at the same time. That way the entire capsule and implant is removed. You may need to have new implants placed depending on your goals. Make sure you see a board certified plastic surgeon for details of the procedure.Best of luck and hope this information helps! - Dr. Roger Tsai @DrRogerTsai Board Certified Plastic Surgeon
Helpful 1 person found this helpful