Miami 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 additional info on https://www.enblocsurgeons.com/region/miami/.
Can I get new breast implants after an en bloc capsulectomy? Understandably, many patients facing an en bloc capsulectomy for capsular contracture or implant rupture are concerned about losing the look they have become used to over time. Fortunately in most cases, a new implant can safely be placed after an en bloc capsulectomy. An alternative to having new implants placed is a technique called fat grafting. This procedure uses a patient’s own fat from elsewhere on her body and transfers it to the breast, increasing the volume and producing a more pleasing contour. Candidates for fat grafting must have enough fat to harvest, so this procedure may not be ideal for every patient. You may also benefit from a breast lift after capsulectomy and implant removal. Dr. Schwartz and his caring team are committed to helping patients achieve their ideal outcome and have a long list of available treatments, techniques, and procedures at their disposal to accomplish this. Whether you are looking to return to a more streamlined and natural contour after your capsulectomy, or you are hoping to maintain the augmented look you already had, Dr. Schwartz will tailor a custom surgical plan to best meet your goals.
Recently, I have been hearing a lot of questions about breast implant removal through en bloc capsulectomy. This type of explantation is key for some women, while other patients can get similar benefits from other implant removal methods which have less associated risk. To help you understand more and find the best breast implant removal technique for you, I’ll answer some of the most common questions here. What does en bloc capsulectomy mean? When breast implants are placed, your body naturally forms scar tissue around the implant. This is a normal and expected response and, because of this, all breast implants have what we call a “capsule” around them. Find even more details at En Bloc Capsulectomy surgeons near me.