Ask your surgeon to explain step by step the exact sequence of the explantation procedure, then write down the details so that both of you can sign. Make sure you both signed the correct procedure using the words Block / Total Capsulectomy. Keep a copy of the signed document for your records. Do not misunderstand Block Block, Total Capsulectomy, Partial Capsulectomy and Capsulotomy:

In Block – is the French term that refers to the appropriate procedure developed in France to remove silicone breast implants and textured so as to avoid further contamination. In Block means that the surgeon leaves the tissue of the capsule intact on the breast implant and cuts around this intact unit without disturbing either the capsule or the implant to avoid contamination of the body. A bulk explant / total capsulectomy will take at least two hours and should be done with an incision under the breast and not by the nipple almost impossible to access under the muscle in case of retro-pectoral pose.
Some capsulectomy surgeons have stated that en bloc removal can not be done through the nipple because the surgeon does not have enough access to make an appropriate explant through the nipple. All silicone and textured implants should be removed in Block / Total Capsulectomy to minimize contamination.

Total Capsulectomy – may be your surgeon’s reference for an In-block style explant and removal of the capsule, but please clarify this with him. Total capsulectomy usually means that the surgeon removes the implants, then returns and removes all the remaining capsule tissue.

Partial Capsulectomy – is a procedure in which the tissue capsule surrounding a breast implant is removed surgically and this procedure is generally used to fix the capsular constracture, but does not necessarily mean that all tissue of the capsule is removed.

Capsulotomy – There are two types of capsulotomy: Open capsulotomy is a procedure in which the capsule is surgically released and / or partially removed by an incision in the breast area. Closed Capsulotomy refers to a procedure where the surgeon breaks down the tissue of the capsule while leaving the implant in place using vigorous compression. Closed capsulotomy is not recommended because of the risk of implant rupture and voids the warranty on most breast implants.

If your implants are placed under the pectoral muscle and the capsules are stuck to your ribs.
Then it is at this moment that the experience and the qualification of the surgeon is the most important, because leaving residues can only harm your health.
The surgeon will be brought to take off the pectoral muscle and remove any silicone residues.
Similarly, when you have a rupture, you have to remove the silicone residues that are attracted like a magnet by the lymph nodes of the mammary and axillary chain.

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