[Info] Implant Revision Surgery and Capsulectomy
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Explaining Implant Revision Surgery
and Capsulectomy
Hello everyone,
Today, I’d like to talk about something many of you have been curious about: what to do with the capsule surrounding an implant during revision surgery.
When we perform a capsulectomy, the surgery time increases, and so do the costs. Many patients worry that not removing the capsule might cause problems. Let me clarify that capsules are not inherently bad. They are tissues formed by our body’s immune response.
However, there are situations where the capsule needs to be removed. Let me explain when it’s necessary and when it’s not.
When Should the Capsule Be Removed?
Unhealthy Capsule:
- If the capsule is infected or inflamed, it must be removed.
- Recently, there have been cases of rare cancers developing in the capsule around textured implants. If the capsule looks unhealthy, it should be removed.
Impact on New Surgery:
- If a healthy capsule interferes with the new implant's shape or positioning, it needs to be removed. This is because the capsule forms around the original implant and may not adjust well to a new one, especially if the size changes.
How to Predict Capsule Health Before Surgery
Clinical Examination:
- A healthy capsule is elastic. If the breast feels firm and doesn’t move well, like in capsular contracture, the capsule may be unhealthy.
Ultrasound Examination:
- Ultrasound can measure the capsule's thickness. Healthy capsules are usually thin. If the capsule is very thick, it may be unhealthy. Additionally, if there’s fluid accumulation around the capsule, it could indicate an issue.
Surgical Assessment:
- The final assessment is done during surgery. If the capsule looks discolored, unclear, or has small bumps, it is likely unhealthy and should be removed.
Risks of Leaving an Unhealthy Capsule
If an unhealthy capsule is left in place, it can lead to inflammation, infection, and poor healing. It can also cause capsular contracture around the new implant or interfere with the desired shape.
Case Examples
Partial Capsulectomy:
- Only the problematic part of the capsule is removed if it affects the implant shape or shows signs of being unhealthy.
Complete Capsulectomy:
- The entire capsule is removed if it is thick and unhealthy, often measuring around 6-7mm.
In some cases, the tissue may be cleanly separated,
while in others, especially if the implant has leaked,
it can be more challenging.
Understanding these aspects can help you make informed decisions about your surgery.
If you have any concerns or questions, feel free to reach out.
We’re here to ensure your health and satisfaction.
Warm regards,
THE plastic surgery clinic Korea
❤️Contact us for free consultation❤️
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