San Francisco En Bloc surgeons? Who is a candidate for en bloc capsulectomy? Not all patients are candidates for en bloc capsulectomy. On occasion, the capsule is so flimsy (imagine wet toilet paper) that it is impossible to remove in one piece. This is especially true for thin capsular tissue adjacent to the ribcage, where cutting too deep can lead to a punctured lung cavity or prolonged pain. Because of this I rarely guarantee en bloc capsulectomy; but I do promise a good faith effort to remove all of the capsule tissue in a way that minimizes creating additional injury. How will I look after implant removal surgery? A lot of women ask whether they will look good after en bloc capsulectomy. This can be a very difficult question to answer. The appearance of the breast depends on its size relative to the implant, the degree to which the breast tissue has been displaced over time, and the degree of skin elasticity that remains. Whether things look good depends on these physical factors, but also on how a woman perceives her “new” breasts in the context of how she feels about her body and whether her breasts play the same role they did when the implants were placed.
What are the downsides of en bloc capsulectomy? Because en bloc capsulectomy involves removing the capsule of scar tissue and the breast implant in one piece, it requires a larger incision and resulting scar. The surgery itself is also more complex and lengthy. Your surgeon must carefully detach the scar capsule—which is well-attached to surrounding tissues—while limiting damage and keeping it intact. Because the implant is still inside and the surgeon has not made an incision to see into the capsule, their view is also more limited. An en bloc capsulectomy is called for when there are risks associated with opening the capsule, such as an implant rupture. In other cases, the implant and its entire capsule can be removed with a technique called complete capsulectomy. Furthermore, it’s also not always safe or practical to perform an en bloc capsulectomy. In cases where only a very thin layer of scar tissue formed around the implant or the capsule is closely fused to the chest muscle, for instance, attempting to remove the capsule intact can create more problems. Read additional information at En Bloc Capsulectomy houston.
En bloc capsulectomy is a surgical procedure designed to remove a breast implant and the entire capsule as one intact unit rather than removing only part of the capsule and/or removing the capsule and implant separately. Why is the en bloc capsulectomy better for you? While an en bloc capsulectomy is not necessarily the best option for every patient, it certainly has some unique advantages. By removing the implant and capsule as one intact unit, the risk of contamination by bacteria or ruptured material is virtually eliminated. Removing the entire capsule as one piece also ensures that there is no capsule material left behind. In some cases, total capsulectomy (removal of the entire capsule) or en bloc capsulectomy (removal of the entire capsule as one unit with the implant) is not possible. One example of a situation where en bloc capsulectomy would not be possible is when portions of the capsule have adhered to surrounding tissue and structures, such as the rib cage. When this occurs, the surgeon may be forced to leave small pieces of the capsule, but these will be sterilized and generally pose no risk to the patient’s future health. Dr. Schwartz and his expert medical team will guide you through deciding what method of implant removal and capsulectomy is best and most appropriate for your specific case.
As a board certified plastic surgeon with many years of experience removing breast implants, I consult with numerous women who hope to have their implants removed or are concerned about changes to their health. Whether your desire to have your breast implants removed is connected with breast implant illness, BIA-ALCL, an implant-related complication, or a change in aesthetic preference, I want to help you fully understand all of your options. Explantation, or breast implant removal, is a nuanced combination of medicine and art—even when it is being done purely for health reasons—and you’ll want to be sure you’re choosing the right approach for your situation. Read additional information on En Bloc Capsulectomy surgeons near me.