Explant Surgery And En Bloc Capsulectomy
Implant removal (or explant surgery) is an option for patients who are having problems with their breast implants, or who now simply prefer to be implant-free.
The procedure removes the implant, usually along with part or all of the surrounding scar capsule. ‘En bloc’ capsulectomy involves removal of the implant and capsule as one specimen and is indicated in certain situations (eg implant rupture, infection, the presence of a tumor, BIA-ALCL). When performed alone, explant surgery is usually an outpatient procedure. The incision used to remove the implant is usually based on the patient’s prior surgical history. This should be discussed prior to surgery as significant scarring or contracture around the implant may require a larger incision. The amount of capsule that needs to be removed in conjunction with explant surgery is influenced by several factors (eg diagnosis, surgical plan, patient preferences, etc), and is determined on a case-by-case basis.
Regardless If Breast Implants Are Placed For Cosmetic Enhancement Or For Breast Reconstruction Following A Mastectomy, Patients Can Sometimes Experience:
- Capsular contracture
- Visible implant rippling (the appearance of “waves” or “creases” under the skin)
- Implant rupture
- Breast Implant Illness (BII)
- Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), or significant fear of developing the disease
For breast reconstruction patients who are removing their implants and desire to have alternative, natural reconstruction (like the DIEP flap), the implant is removed and the remaining space in the breast pocket is easily filled with the autologous tissue during the same procedure in the vast majority of cases.
Hear From Our Patients
Oh what I would give to have found PRMA before my mastectomy, prosthesis, implants and 6 plus years of not being satisfied. I thank God every day for bringing PRMA into my life and I thank them for doing what they do so well. My wish is that PRMA reaches as many women possible early on so they too can benefit from the amazing work that they do for breast cancer patients. I promote PRMA every chance I have!
I would like to say is throughout the whole procedure from the first procedure, to the second procedure, to my final procedures I never felt less than a woman. I like my breast, and so the entire time I never felt like I was not a woman at any point. So definitely I would recommend PRMA to anyone and everyone.
I’m super excited and love the results and feel amazing. I want to let anyone listening to this know that I had the worst anxiety before my surgery thinking of everything you can imagine. I can say that this was 100% the right choice for me I love the way that I look. The process was much easier than what I expected.
I knew I wanted to have a mastectomy, but I didn’t know about breast reconstruction. Dr. Ledoux gave me ALL the options I had, and I really appreciated that!
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