POSTED UNDER En Bloc Capsulectomy Reviews
60 Year Old with 24 Year Old Ruptured Silicone Implants, Planning for Explant and Lift. New York, NY
UPDATED FROM velvet1
5 months post
5 months post op..doing great!!
WORTH IT
Just thought I would send an updated pic.I went on a cleansing retreat and lost 10 pounds so they are a bit smaller but I am still happy! They are soft and warm and mine! I look tons better in clothing and can do exercise much more comfortably. All in all I am thrilled to be rid of them. My interstitial cystitis has not returned...I am hoping it is gone for good but we shall see. I recommend that anyone on the fence about doing ithat first find a doctor you can trust that has done many explantations and not left women with deformed results.If any doc says you will not look good after definitely look elsewhere. That is my advice.
UPDATED FROM velvet1
1 month post
Enbloc capsulectomy and choosing a surgeon
This is for any woman who may be considering removing their implants and are debating getting a capsulectomy If you are having symptoms possibly related to your implants my advice is to go to a surgeon who knows how to do "en bloc" explantation. If they don’t or appear reluctant, find another surgeon, If they tell you you will be deformed or will not look good without another implant find another surgeon because they are likely telling you the truth!
A surgeon who says this has probably not been pleased with his skills of reshaping the breasts and correcting the problems caused by the implants.
I came across the following interesting information on a site called "healingbreastimplantillness.com”
"THE REAL REASON PLASTIC SURGEON’S AVOID EN-BLOC EXPLANT"
“Some plastic surgeons argue against a Total Capsulectomy and En-bloc style removal saying it is unnecessary as they do not believe implants cause illness, or unnecessary due to thin capsules or it carries undue risk to the patient. If you’ve had your implants for twelve months or longer you will have capsule tissue and if you are symptomatic, it should be obvious that your breast implants have contaminated the surrounding tissue capsule and a Total Capsulectomy with En-bloc style removal is necessary. The real reason some plastic surgeons avoid Total Capsulectomy and En-bloc style removal is because it takes a more skilled surgeon with experience and it takes extra time and requires a general anesthetic which carries more risk than a local anesthetic. Your placing plastic surgeon will not make much money from the removal of your implants and so they prefer to do a short 20 minute procedure, in their office, under a local anesthetic simply cutting you and pulling out the implants leaving the contaminated capsules in your body. Easy for them. Bad for you! Leaving the capsules in your body whether thin or thick means all the contamination within the capsules will be left behind and eventually taken up into your body which results in a longer and more severe illness for you. Some plastic surgeons even rupture the implant while removing it causing additional contamination. Some plastic surgeons will argue that a Total Capsulectomy with En-bloc style removal could result in disfigurement of your breast but this is mostly untrue. A skilled and experienced surgeon should be able to avoid further disfigurement than the disfigurement already caused by implantation.
A surgeon who says this has probably not been pleased with his skills of reshaping the breasts and correcting the problems caused by the implants.
I came across the following interesting information on a site called "healingbreastimplantillness.com”
"THE REAL REASON PLASTIC SURGEON’S AVOID EN-BLOC EXPLANT"
“Some plastic surgeons argue against a Total Capsulectomy and En-bloc style removal saying it is unnecessary as they do not believe implants cause illness, or unnecessary due to thin capsules or it carries undue risk to the patient. If you’ve had your implants for twelve months or longer you will have capsule tissue and if you are symptomatic, it should be obvious that your breast implants have contaminated the surrounding tissue capsule and a Total Capsulectomy with En-bloc style removal is necessary. The real reason some plastic surgeons avoid Total Capsulectomy and En-bloc style removal is because it takes a more skilled surgeon with experience and it takes extra time and requires a general anesthetic which carries more risk than a local anesthetic. Your placing plastic surgeon will not make much money from the removal of your implants and so they prefer to do a short 20 minute procedure, in their office, under a local anesthetic simply cutting you and pulling out the implants leaving the contaminated capsules in your body. Easy for them. Bad for you! Leaving the capsules in your body whether thin or thick means all the contamination within the capsules will be left behind and eventually taken up into your body which results in a longer and more severe illness for you. Some plastic surgeons even rupture the implant while removing it causing additional contamination. Some plastic surgeons will argue that a Total Capsulectomy with En-bloc style removal could result in disfigurement of your breast but this is mostly untrue. A skilled and experienced surgeon should be able to avoid further disfigurement than the disfigurement already caused by implantation.
Replies (5)

S
March 21, 2015
Thank you so much for all the info you have shared, your updates, experience and advice. I relate to almost all of your journey, I had a sore throat for about 5 days and not a very good reaction to the GA after explant, which was a first for me (the bad reaction). The unexplained rashes, numbing of hands and feet, pain due to contracture. If I knew then (in the 80's) what I know now, I probably still would have had the BA because I was small and uneven, but I would have followed up before 10 years went by to prevent what I have lived with for the last 26 years. Maybe explant or just fat transfer. Who knows. I am just so happy now to feel natural. Thank you, again for all your support, advice and updates. Such valuable insight!

P
May 9, 2015
Hi Velvet, thanks for your review. Went through the same thing myself and finding a competent surgeon who is knowledgable on the subject of explants, capsule removals and the complications of having them in the first place is difficult. Biofilm infections undermine many implants, you clearly found a knowledgable surgeon, with skills to remove, repair as well as restore. I was also lucky in finding such a doctor here in SA and can truly say that I look and feel a lot better than I did 2 years ago. I hope you.continue to heal and that your health continues to improve.
D
June 28, 2015
You look great. How are you doing now? How much was everything? Did insurance cover any of it?
V
July 4, 2015
Thank you!
My insurance did pay a substantial amount but I also had out of pocket cost.
My insurance did pay a substantial amount but I also had out of pocket cost.
U
D
UPDATED FROM velvet1
1 month post
Six weeks post-op explanation and lift
It has been a little over six weeks since my explants and lift and I am very pleased with both my result and the state of my health. My 3 most troublesome symptoms before explantation were burning chest wall pains, numbness in my arms and fingers especially upon awakening but also at random times, and interstitial cystitis,which I have had for many years. it started about 3-5 years after I got the implants (I had them 24 years) and although waxing and waning has gotten progressively worse and harder to control in the last 5 years.
Since my explant the burning pains are completely gone! The numbness is all but gone...it is reduced by 90% and for now the IC is in remission!
I have just started to use Cordran tape on my incisions and it will hopefully prevent the scars from forming keloids which I am prone to. It is a clear steroid impregnated tape that can be cut into very thin strips and placed precisely over the scars. I am using it in the pic I posted...you can barely see it. It is a prescription item and rather pricey...time will tell if it is useful.
In regards to bras I am loving the Genie bras with the removable triangular "modesty" pads. I was a 36 DD before. I am now a 36 small b. I realize that in the pics they appear larger...I guess because they are close-up shots. The Genie bras apparently come in different styles...I purchased one that had shapeless round pads that made my breasts look blob-like, then found the ones with the triangular pads which give a nice shape under clothes. They run very small...I am 5 feet 7 inches tall, 135 pounds and 36 small b. According to their size chart I am a medium but for me the extra large fits great.
One more thing in relation to healing post explant. It depends on so many factors such as your bodies innate healing abilities but also on exactly what you had done. A saline implant that is being removed through an infra mammary incision without a capsulectomy and lift will have a very different recovery time from a ruptured implant capsulectomy, muscle repair and full lift. Age is also a factor .
I am very happy with my surgeon Dr Christina Y Ahn and have provided a review for her below. I wanted to wait a full 6 weeks before reviewing to give a fuller picture of my experience with her.She is a top notch surgeon and I highly recommend her without reservations.
Since my explant the burning pains are completely gone! The numbness is all but gone...it is reduced by 90% and for now the IC is in remission!
I have just started to use Cordran tape on my incisions and it will hopefully prevent the scars from forming keloids which I am prone to. It is a clear steroid impregnated tape that can be cut into very thin strips and placed precisely over the scars. I am using it in the pic I posted...you can barely see it. It is a prescription item and rather pricey...time will tell if it is useful.
In regards to bras I am loving the Genie bras with the removable triangular "modesty" pads. I was a 36 DD before. I am now a 36 small b. I realize that in the pics they appear larger...I guess because they are close-up shots. The Genie bras apparently come in different styles...I purchased one that had shapeless round pads that made my breasts look blob-like, then found the ones with the triangular pads which give a nice shape under clothes. They run very small...I am 5 feet 7 inches tall, 135 pounds and 36 small b. According to their size chart I am a medium but for me the extra large fits great.
One more thing in relation to healing post explant. It depends on so many factors such as your bodies innate healing abilities but also on exactly what you had done. A saline implant that is being removed through an infra mammary incision without a capsulectomy and lift will have a very different recovery time from a ruptured implant capsulectomy, muscle repair and full lift. Age is also a factor .
I am very happy with my surgeon Dr Christina Y Ahn and have provided a review for her below. I wanted to wait a full 6 weeks before reviewing to give a fuller picture of my experience with her.She is a top notch surgeon and I highly recommend her without reservations.
Replies (5)
S
March 18, 2015
You look fantastic! Like a young lady with perky breasts. I am hoping my results are as good as yours. I have my explant scheduled for April 22nd with a lift also. Mine are silicone under the muscle with a CC on one side. I am 52 years old and have had these for 24years!
V
March 19, 2015
Thank you do much for the nice comment! The bad news is I had to use the "facelift fund" money to get the darn things out! so the perky face to go with the perky Boobs will have to be on hold!!
I also had mine 24 years...too long!

E
March 18, 2015
Wonderful to hear that you are happy, but more importantly healthy!!! I love how you mentioned healing post implant. There are just too many factors, differences, etc. to even attempt to gauge how you will recover/heal/look/feel in comparison to someone else after explant. We are all individuals. We are all unique and we will all have different experiences and results.
V
March 19, 2015
Exactly right! There are so many variables. We can try to control some things by choosing the best doctor but even then so many things sometimes just happen. I am grateful for all the support on this site!
H
March 18, 2015
Thanks for the update! That is wonderful. So glad your symptoms have decreased and you are happy with your choice.

L
March 19, 2015
Your results are wonderful! So glad you are happy, healthy & implant free!

5E
May 30, 2015
Your results are so encouraging ! Thank you for sharing your story.
V

Replies (4)