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415-927-7660

En Bloc Breast Implant Removal


There are several reasons why a woman may wish to have her breast implants removed, and the decision to have them removed is not always an easy one to make. Some women experience generalized systemic symptoms, often referred to as breast implant illness (BII), that some believe result from breast implants. Other women become unhappy with the look and size of their breasts with implants over time. Some women experience hardening of the implants referred to as a capsular contracture. Stages of life and preferences are constantly changing, and what you wanted 10 years ago may not be the same now.

Breast implant illness symptoms have been reported with all implant types, and some patients experience them soon after augmentation, while others have them years down the line—on average, 5 to 10 years after implantation. While there is no scientific data at this time demonstrating breast implants as the definitive cause of these symptoms, we understand that these symptoms are very real and that it can be an extremely emotional and physical journey for patients experiencing them.

What Are the Symptoms of Breast Implant Illness (BII)?

Further research is being conducted to determine any potential correlation between breast implants and these unexplained illnesses, but the FDA has released a medical device report about breast implant illness and the high frequency of women with breast implants reporting these symptoms.

Some of the most commonly reported unexplained systemic symptoms include:

  • Chronic fatigue
  • Brain fog
  • Anxiety
  • Depression
  • Joint and muscle pain
  • Hair loss
  • Dry skin
  • Rashes
  • Inflammation
  • Weight fluctuations
  • Autoimmune symptoms

Do I Need En Bloc Breast Implant Removal for Breast Implant Illness?

If you are experiencing any of these generalized systemic symptoms and believe they are due to your implants, en bloc breast implant removal may be right for you. While there are currently no tests that can determine whether these generalized illnesses result from breast implants, the majority of patients report improved symptoms after breast implant removal using the en bloc technique.

En bloc breast implant removal is not necessary for every patient who wishes to have their implants removed or replaced; it should only be performed on those who are experiencing the above unexplained systemic symptoms.

What Is En Bloc Capsulectomy and Breast Implant Removal?

After breast implant surgery, a scar tissue (capsule) forms around the breast implants as the body’s natural response to a foreign object. En bloc capsulectomy is a breast implant removal technique that removes the entire scar tissue capsule and breast implant all together. This ensures that all implant material and capsule are removed from the body.

How Is En Bloc Breast Implant Removal Done?

Compared to a simple breast implant removal procedure without removing the capsule, the en bloc breast implant removal technique is more complicated, takes longer, and requires a longer incision. Dr. D’Amore will make an incision on the inframammary fold of the breast. He will remove the capsule that has formed around the implants together with the implants in one piece.

If the implants were placed under the pectoralis major muscle, the muscle will be repaired by suturing it back to the inframammary area. The muscle repair helps improve the functional and aesthetic results.

The capsular tissue will then be sent for pathological analysis and microbiology to see if any microorganisms are present. To rule out the presence of BIA-ALCL, we also perform a CD30 screening test on the capsule of patients with textured implants.

Should I Combine Other Breast Enhancement Procedures With My Implant Removal?

During your consultation, Dr. D’Amore will go over the procedure and what you can expect from your results. He will also inform you of procedures that can be done at the same time as your en bloc breast implant removal or at a later date, such as a breast lift or fat grafting to the breasts.

What Is Recovery Like After Breast Implant Removal?

Recovery after en bloc breast implant removal is usually similar or easier than the recovery after breast augmentation. Plan to take adequate time off from work and other obligations in order to rest and recover. It is important to avoid strenuous activity and heavy lifting for the first two weeks after your surgery.

What Is the Cost of En Bloc Breast Implant Removal?

The cost of your implant removal will be based on your specific needs. This will include anesthesia fees, surgery center fees, and surgeon fees. Schedule a consultation with Dr. D’Amore to receive detailed financial information about your en bloc procedure.

Why Should I Choose Dr. D’Amore for En Bloc Breast Implant Removal?

Dr. D’Amore has extensive experience with the procedure; he has been performing en bloc removal for several years and has helped hundreds of women experiencing symptoms of breast implant illness. As a board-certified plastic surgeon, Dr. D’Amore understands the symptoms you are experiencing from breast implant illness. Breast implant removal using the correct technique can provide you with peace of mind and help you have a healthy, balanced life.

Can I Review Before and After En Bloc Breast Implant Removal Photos at My Consultation?

When you come into the office for a consultation, you will be shown our extensive collection of before and after photos of en bloc breast implant removal patients who have given their consent to have their photos shown.

Call us today at 415-927-7660 to schedule your consultation with Dr. D’Amore at his Corte Madera office.