Dallas En Bloc surgeons? En bloc capsulectomy is not a simple procedure. It poses challenges to surgeon and patient alike. First, it is more difficult to perform than standard implant removal. In many cases, I find doing an en bloc capsulectomy to be more physically demanding than doing microsurgery! It takes more time, more difficult lighting, more effort to retract adjacent tissue, and more meticulous attention to detail. The capsule can be less than a millimeter thick and can be easy to tear. In order to “get around” it, a larger incision must often be used than was made to place the implant. In addition, the capsule must be teased away from the adjacent tissue (which may be breast, muscle, or rib), which can cause more damage to structures left behind. Patients are more sore than after simple implant removal and are more likely to have bleeding. To prevent fluid from accumulating as a result of the additional trauma, I leave drains in place, which are also a nuisance. Finally, if the implant is replaced, the lack of scar tissue left behind can make it more difficult to control where that implant ends up.
What are the downsides of en bloc capsulectomy? Because en bloc capsulectomy involves removing the capsule of scar tissue and the breast implant in one piece, it requires a larger incision and resulting scar. The surgery itself is also more complex and lengthy. Your surgeon must carefully detach the scar capsule—which is well-attached to surrounding tissues—while limiting damage and keeping it intact. Because the implant is still inside and the surgeon has not made an incision to see into the capsule, their view is also more limited. An en bloc capsulectomy is called for when there are risks associated with opening the capsule, such as an implant rupture. In other cases, the implant and its entire capsule can be removed with a technique called complete capsulectomy. Furthermore, it’s also not always safe or practical to perform an en bloc capsulectomy. In cases where only a very thin layer of scar tissue formed around the implant or the capsule is closely fused to the chest muscle, for instance, attempting to remove the capsule intact can create more problems. Discover additional info at En Bloc Capsulectomy los angeles.
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.
“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. Read additional information at En Bloc Surgeons near me.