Los Angeles 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. Discover even more information at https://www.enblocsurgeons.com/region/los-angeles-california/.
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. See extra information on En Bloc Capsulectomy surgeons near me.