En Bloc capsulectomy Los Angeles? En bloc capsulectomy is not a simple procedure. It poses challenges to surgeon and patient alike. First, it is more difficult to perform than standard implant removal. In many cases, I find doing an en bloc capsulectomy to be more physically demanding than doing microsurgery! It takes more time, more difficult lighting, more effort to retract adjacent tissue, and more meticulous attention to detail. The capsule can be less than a millimeter thick and can be easy to tear. In order to “get around” it, a larger incision must often be used than was made to place the implant. In addition, the capsule must be teased away from the adjacent tissue (which may be breast, muscle, or rib), which can cause more damage to structures left behind. Patients are more sore than after simple implant removal and are more likely to have bleeding. To prevent fluid from accumulating as a result of the additional trauma, I leave drains in place, which are also a nuisance. Finally, if the implant is replaced, the lack of scar tissue left behind can make it more difficult to control where that implant ends up.

As such, en bloc capsulectomy is usually only called for in very specific circumstances, such as patients with BIA-ALCL or those with a ruptured implant. For other patients, it is unnecessary because we can still remove the implant and its entire capsule with a “complete capsulectomy” implant removal procedure. When patients express concern about removing all tissue that has been in direct contact with their implants, I typically recommend a complete capsulectomy. (In fact, I recommend this method for all of my breast implant removal patients.) This approach results in both the implant and capsule being completely removed from your body, in one operation—just not in one piece. With this technique, I lift the tissues off of the capsule up to the midway point and then make a small incision in the capsule through which I remove the intact implant. Next, I clamp the capsule closed and remove it. This allows the capsule of scar tissue to collapse slightly so I do not have to make such a large incision. An en bloc capsulectomy is most appropriate when a silicone implant rupture has occurred so as to avoid the contents of the implant leaking into other parts of the body. Similarly, in cases of BIA-ALCL, a non-Hodgkins lymphoma that has been associated with breast implants, the capsule should be removed en bloc to ensure the cancerous cells are no longer in the body. Find extra info on https://www.enblocsurgeons.com/region/houston/.

If you are considering breast implant removal, it is important to know all of your options, including what you can do after the procedure to restore or enhance your look. During your initial one-on-one consultation, Dr. Schwartz will take all of the time necessary to thoroughly evaluate your case, discuss your options in detail, explain the procedure(s) at length, and answer all of your questions fully. Some of the key points to discuss with your surgeon prior to making the decision to undergo an en bloc capsulectomy are: What is an en bloc capsulectomy? To better understand what an en bloc capsulectomy is, it is important to first be familiar with the capsule itself. When a foreign object, such as a breast implant, is introduced into the body, a capsule of scar tissue will naturally form around it. In most cases, this has no impact on the appearance of the breast or the health of the patient. In rare cases, though, the capsule may harden excessively and begin to squeeze the implant. This condition is referred to as capsular contracture and requires removal and/or replacement of the implant. Capsular contracture is one of the most common situations leading to breast implant removal.

“En bloc” means “as a whole,” and the term “en bloc capsulectomy” refers to removing the entire, intact scar tissue capsule with the breast implant inside as one piece. To do this, the capsule must be physically separated from surrounding tissues while the breast implant is still inside of it and then carefully removed through a large incision. En bloc capsulectomy is less common than other explantation methods but has recently become a topic of discussion online, particularly in breast implant illness forums. The phrase breast implant illness (BII) is used to describe a range of symptoms that some women with implants experience and associate with their breast implants. These women are understandably curious about the most thorough methods for having their implants removed. Discover additional details at En Bloc Capsulectomy surgeons near me.