{"id":466,"date":"2019-03-04T10:15:41","date_gmt":"2019-03-04T15:15:41","guid":{"rendered":"https:\/\/drbernier.com\/?p=466"},"modified":"2024-04-23T06:40:05","modified_gmt":"2024-04-23T11:40:05","slug":"breast-implant-removal-and-total-capsulectomy","status":"publish","type":"post","link":"https:\/\/www.drbernier.com\/en\/breast-implant-removal-and-total-capsulectomy\/","title":{"rendered":"Breast implant removal surgery"},"content":{"rendered":"<p>Patients will choose to undergo a <a href=\"\/en\/breast-surgery\/breast-reduction\/\"><em><strong>breast implant removal<\/strong><\/em><\/a> for many different reasons. There are those who will do so after pregnancy weight gain or during menopause, others will feel discomfort in their bodies, while some will opt to remove implants that are in bad condition, have aged or because of postoperatory complications. Regardless of why, it\u2019s possible to remove the implants without reverting to a prosthesis change.<\/p>\n<h2>Surgical Techniques<\/h2>\n<p>Surgical techniques that are chosen for the procedure will depend on a series of factors, with the most decisive one being a physical examination and meeting with the patient. Normally, the incision used to remove the implants will be the same that was used for the original implant intervention.<\/p>\n<p><strong>Transaxillary endoscopic removal:<\/strong><\/p>\n<p>If the patient\u2019s breast augmentation wa performed through an axillary incision, and implants are saline, I\u2019ll usually use an endoscopic approach and remove implants through the original incision. The<a href=\"\/en\/breast-surgery\/\"> surgery<\/a> lasts about the same time as the first intervention, and the patient is under general anesthesia. Recovery time is shorter than it was for the breast augmentation, as most patients feel very little discomfort after the removal.<\/p>\n<p><strong>Inframammary fold:<\/strong><\/p>\n<p>I examine the existing scar in patients that already experienced scaring below the breasts. This type of surgery can be performed with mitigated anesthesia, which means it\u2019s regional and the patient is sedated.<\/p>\n<p><strong>Total capsulectomy:<\/strong><\/p>\n<p>If a patient wishes to remove breast implants because they could be the source of medical conditions (BII : breast implant illness), removing the implants won\u2019t be enough. In these cases, I suggest a full capsulectomy, as well as an implant removal. A total capsulectomy is a procedure that removes the fibrous capsules that naturally grow around breast implants. \u00a0It\u2019s a delicate procedure, with the ideal incision locate in the inframammary fold, which is under the breast. Performed under general anesthesia, it normally takes between 3 to 4 hours. By removing both the implants and the capsules, we increase the chances of a positive postoperative result.<\/p>\n<p>The same thing applies for <a href=\"\/en\/breast-implants-models-and-features\/\">silicone-gel or any other textured implant<\/a>. Chronic inflammation can eventually settle within the fibrous capsule which calcifies over time. This calcification of the fibrous capsule can be due to silicone gel leakage through the implant lining. Once the calcified fibrous capsule is removed, we can choose to replace the breast implants, or not. \u00a0In some cases, rather than opting for replacement implants, patients prefer to remove them for good. It\u2019s a personal choice. If breast implants are replaced, we\u2019ll usually use saline implants that are positioned in the retropectoral space.<\/p>\n<p>The consequences of a ruptured gel silicone breast implant are yet to be confirmed as studies are still being conducted. There have been cases of silicone gel leaking towards the chest, the axilla, the upper part of the abdomen, the arm and the groin. Studies have shown that silicone gel was present in these areas. There have also been cases where silicone gel has migrated to the axillary lymph nodes, causing lymphadenopathy, even when there is no sign of a rupture.<\/p>\n<p>Possible consequences of a silicone gel leakage are lesions to the nervous system, presence of granuloma, degeneration of the tissue that\u2019s in direct contact with the silicone gel, hardening of the mammary tissues, a change of size or shape for the breasts, pain and calcification of the fibrous capsule. Obviously, if a silicone implant bursts, I\u2019ll perform a full capsulectomy.<\/p>\n<p>Because there is a correlation between textured implants (saline or silicone) and ALCL (Anaplastic Large Cell Lymphoma) or cancer of the fibrous capsule, I automatically recommend a full capsulectomy and the removal or replacement of breast implants, choosing a smooth variety this time around.<\/p>\n<h2>Postoperatory results<\/h2>\n<p>The main concern for patients that are considering a breast implant removal surgery is ending up with a less than flattering appearance. It\u2019s false to believe that patients eliminating implants will necessarily require a breast lift. Postoperatory results will vary from one patient to the next, but it takes several months, after the procedure, to visualize the final result. Wearing a compression bra is important during the healing process. If a breast lift is necessary, it\u2019s best to wait one year between the removal of the implants and the corrective procedure.<\/p>\n<p>In conclusion, any<em><strong> breast implant removal<\/strong><\/em> should be consulted with your <a href=\"https:\/\/drbernier.com\/en\/biography\/\">plastic surgeon<\/a> in order to make an informed, appropriate decision.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Patients will choose to undergo a breast implant removal for many different reasons. There are those who will do so after pregnancy weight gain or during menopause, others will feel discomfort in their bodies, while some will opt to remove implants that are in bad condition, have aged or because of postoperatory complications. Regardless of [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":467,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[17],"tags":[],"class_list":["post-466","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-article-cat"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Breast Implant Removal and Total Capsulectomy | Dr Bernier<\/title>\n<meta name=\"description\" content=\"Patients will choose to undergo a breast implant removal for many different reasons. Here are the surgical techniques.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drbernier.com\/en\/breast-implant-removal-and-total-capsulectomy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Breast Implant Removal and Total Capsulectomy | Dr Bernier\" \/>\n<meta property=\"og:description\" content=\"Patients will choose to undergo a breast implant removal for many different reasons. Here are the surgical techniques.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.drbernier.com\/en\/breast-implant-removal-and-total-capsulectomy\/\" \/>\n<meta property=\"og:site_name\" content=\"Clinique de chirurgie et m\u00e9decine esth\u00e9tique Dr Mario F. 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