En Bloc capsulectomy San Francisco? 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. Read extra info on https://www.enblocsurgeons.com/region/miami/.
When a woman chooses to get breast augmentation with implants, it is usually thought of as a somewhat permanent decision. While it is likely that a revision or replacement may be needed at some point in time, patients who get breast implants are generally planning to keep their new look for the foreseeable future. However, there are a few cases when an explant may either be desired or required. For these patients, an en bloc capsulectomy, or total capsulectomy, may be an appropriate choice. Regardless of the reason for pursuing breast implant removal, we can help. Board-certified and award-winning plastic surgeon Dr. Jaime S. Schwartz has successfully performed countless capsulectomy procedures for patients in Beverly Hills, CA and is extremely knowledgeable in the intricacies and nuances of this complex surgery.
“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. Read extra information at En Bloc Capsulectomy surgeons near me.