I am finding conflicting reports on breast implant removal via en bloc or capsulectomy. I do not have a capsular contractor or rupture (99% sure) but am ready to have my implants and capsules removed. How much more traumatizing is en bloc vs capsulectomy? Can small pieces of a capsule left behind cause pain, swelling, or false positives on future imaging? Which would be best in this situation?
August 23, 2022
Answer: Capsulectomy vs en bloc capsulectomy Cases of capsular contracture can be treated in a variety of different ways. If implants are being removed, any abnormal portions of the capsule can be removed and sent to pathology for further testing. This is called capsulectomy. En bloc capsulectomy is the recommended treatment for BIA-ALCL, a rare type of lymphoma associated with primarily textured breast implants. This procedure involves removal of the breast implant and all positions of the capsule together. In cases where there is no diagnosis of BIA-ALCL en bloc capsulectomy is not required and would be associated with significantly increased risks.
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August 23, 2022
Answer: Capsulectomy vs en bloc capsulectomy Cases of capsular contracture can be treated in a variety of different ways. If implants are being removed, any abnormal portions of the capsule can be removed and sent to pathology for further testing. This is called capsulectomy. En bloc capsulectomy is the recommended treatment for BIA-ALCL, a rare type of lymphoma associated with primarily textured breast implants. This procedure involves removal of the breast implant and all positions of the capsule together. In cases where there is no diagnosis of BIA-ALCL en bloc capsulectomy is not required and would be associated with significantly increased risks.
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August 22, 2022
Answer: Capsulectomy versus en bloc capsulectomy en bloc capsulectomy would be an unnecessary procedure in somebody without any disease in their breasts. This procedure results in unnecessary scarring and damage to breast tissue when it is not needed. Additionally, if you were considering fat grafting replacement of volume you would need capsular tissue for fat grafting space and optimizing volume. It is best to have a virtual consultation to discuss options of course.
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August 22, 2022
Answer: Capsulectomy versus en bloc capsulectomy en bloc capsulectomy would be an unnecessary procedure in somebody without any disease in their breasts. This procedure results in unnecessary scarring and damage to breast tissue when it is not needed. Additionally, if you were considering fat grafting replacement of volume you would need capsular tissue for fat grafting space and optimizing volume. It is best to have a virtual consultation to discuss options of course.
Helpful