En Bloc Breast Implant Removal
For patients who feel that they have generalized symptoms because of the presence of breast implants an “En Bloc” total capsulectomy can be performed. The procedure consists in entirely removing the capsule that has formed around the implants together with the implants in “one piece”. The idea behind that is that the contents of the capsule will be removed together with the implant. The capsular tissue will be sent for pathological analysis and also microbiology to see if any microorganisms are present. If the implants are placed under the pectoralis major muscle the muscle itself will be repaired. The procedure is not necessary for every patient who wishes to have implants removed or replaced. The “En Bloc” technique requires a longer incision and it takes longer to perform than a simple implant removal, therefore it should be reserved only to patients who feel they have generalized systemic symptoms because of the presence of implants. At the time of the consultation we’ll assess together the indications and discuss the different techniques used for implant removal.
For patients who desire additional volume or wish to correct sagging once the implants are removed, a breast lift and/or fat grafts can be performed at the same time or at a later date as well.