Miami En Bloc surgeons? Recently, I have received more inquiries at my Northbrook plastic surgery practice regarding having breast implant removal surgery. The most common reasons for a woman to choose to have her breast implants removed are health concerns, changes to the implants and the breasts over time, and the feeling that the implants are too large or heavy for her body. When you choose to have breast implant removal surgery, or breast explant surgery, there are some options available, which you should discuss with a board-certified plastic surgeon. The simplest approach is to remove the implants while leaving the scar tissue capsule in place. A more complex approach is to perform an explant capsulectomy, in which the implants and the scar capsule are removed from the breasts. The most complex option for removing breast implants is an en bloc capsulectomy, in which the implants and scar capsule are removed intact. Since this is the most complicated option for breast implant removal, I will provide some additional insight into the en bloc capsulectomy procedure.
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. Read extra information at https://www.enblocsurgeons.com/region/miami/.
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 even more details at https://www.enblocsurgeons.com/.