Houston En Bloc surgeons? What is en bloc capsulectomy? En bloc capsulectomy is a procedure in which the scar tissue around the implant, known as the breast capsule, is removed in one piece with the implant enclosed within it. The benefit to removing the capsule en bloc is that it prevents the implant (or implant material) from coming into contact with normal tissues left behind. This is especially useful in the case of implant rupture, but also may benefit those concerned about implant toxicity and breast implant illness. Total capsulectomy means removing the entire capsule, but not necessarily in one piece. In experienced hands, breast lift procedures can go a long way toward restoring a natural breast appearance. However, a lift creates new scars and may be associated with more surgical risk. So it’s really important to make this decision in conjunction with your surgeon, in person, so that you understand what to expect and what other patients like you have experienced.
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 information on En Bloc Capsulectomy 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.
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. Discover more details at En Bloc Capsulectomy surgeons near me.