Houston 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.
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 additional details on En Bloc Capsulectomy los angeles.
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. Find extra details on En Bloc Capsulectomy surgeons near me.
