Question about capsulectomy for upcoming surgery

[Guest guest]

My surgeon tells me that he can do a capsulectomy when I am

explanted. However, he tells me that because I am very thin, he

would not want to try to remove tissue from my chest wall. He

believes that it would be a " bloody mess. " Does this sound

reasonable to accept? I want to make sure that everything is done

as thoroughly as possible, but I don't want to risk my safety. Any

thoughts? Thanks.

[Guest guest]

Hello,

I just went through the same conversation with my surgeon prior to my

surgery on the 13th of Dec. Like your doctor, he said that he would

recommend leaving some of the capsule that might be attached to the

chest wall because of the bleeding problem. Since I had been on a

waiting list for a surgery date, when the opportunity to fill a

cancellation at the last minute came up, I was not able to donate my

own blood for my surgery, and the thought of receiving a transfusion

of donor blood, worried me.

I reiterated to my doctor that I thought the implants were the source

of my sickness, and that I would like him to remove as much of the

capsules as possible, with the hope that he could get all of them. I

asked him to use his best judgement and not to give me a transfusion

unless it looked like my life hung in the balance. And then I turned

it over to God, and prayed that He would make it possible for the

surgeon to be able to get the whole thing, that I would not bleed too

much, and that if I did, I understood that God would only allow clean

blood to be given to me.

When the Plastic Surgeon visited me the day after surgery, he said he

was able to get both capsules completely (which he returned to me

with the implants). He said he had ended up not having to give me

any blood because everything went well and I did not bleed too much.

I'm not sure how much this information will help you, but I think

your doctors concerns are valid. Making sure to go off of

medications and vitamins/minerals/herbs that can thin your blood

prior to your surgery is also very important. I think you might want

to have another conversation with him to make sure that he knows

where your coming from and the importants on getting as much out as

possible so that you can get well, and so that he can give you some

odds on the bleeding.

Best of luck and God speed your recovery!

Tammy (a)

--- In , " jo_diva10 " <jo_diva10@y...>

wrote:

>

> My surgeon tells me that he can do a capsulectomy when I am

> explanted. However, he tells me that because I am very thin, he

> would not want to try to remove tissue from my chest wall. He

> believes that it would be a " bloody mess. " Does this sound

> reasonable to accept? I want to make sure that everything is done

> as thoroughly as possible, but I don't want to risk my safety. Any

> thoughts? Thanks.

[Guest guest]

Jo,

This does not make sense. . . . Doing a capsulectomy

means removing the entire capsule. . . It's a fallacy

that leaving a partial capsule behind will help

provide breast mass . . . Whatever extra is left can

cause problems because bits of silicone,

bacterial/fungal debris are embedded in the capsule.

What this tells me is that your surgeon is either

unskilled at doing an en bloc removal, or unwilling to

remove your implant properly. . .

Please find another doctor!

Hugs,

Rogene

--- jo_diva10 <jo_diva10@...> wrote:

>

> My surgeon tells me that he can do a capsulectomy

> when I am

> explanted. However, he tells me that because I am

> very thin, he

> would not want to try to remove tissue from my chest

> wall. He

> believes that it would be a " bloody mess. " Does

> this sound

> reasonable to accept? I want to make sure that

> everything is done

> as thoroughly as possible, but I don't want to risk

> my safety. Any

> thoughts? Thanks.

>

>

>

>

[Guest guest]

Hi there,

I have heard this kind of response before...it seems fairly standard

by plastic surgeons who don't want to take the extra time to do a

really good job of explant. If this doctor thinks it will be

a " bloody mess, " then perhaps his skills are not what you require,

and you should get a few more opinions by other doctors who would be

more willing to do it right.

I was thin upon explant (although not very thin), and my PS did not

have any trouble doing a total capsulectomy. In the nearly 7 years

that I have been involved in this issue, I have only heard of one

woman who had severe bleeding upon explant, requiring an emergecy

transport to the hospital. That is one girl out of many hundreds of

girls that I have known to go through explant in all that time. So,

the liklihood of you having a " bloody mess " is very, very small. Of

course, there is going to be blood in every surgery, but I don't

think that a doctor who is skilled is going to have an overwhelming

mess to deal with.

Having a proper explant means you really should make the best effort

to work with a doctor who understands that ALL of the capsule needs

to be removed for your best chance at recovery if you are ill. I

wish you the best in finding the right doctor...I hope one of those

on our list is close to you. Let me know if you have more questions.

Also, be sure to look over all the information we have listed in our

files section regarding explant. This should help you as you go

through this important surgery.

Best wishes to you!

HUgs,

Patty

--- In , " jo_diva10 " <jo_diva10@y...>

wrote:

>

> My surgeon tells me that he can do a capsulectomy when I am

> explanted. However, he tells me that because I am very thin, he

> would not want to try to remove tissue from my chest wall. He

> believes that it would be a " bloody mess. " Does this sound

> reasonable to accept? I want to make sure that everything is done

> as thoroughly as possible, but I don't want to risk my safety.

Any

> thoughts? Thanks.

[Guest guest]

I apologize...the explant information is located in our links

section, not files.

You can see it all here:

/links/Explant_Info

rmation_001055272076/

Again, wishing you the best!

Patty

>

> Hi there,

> I have heard this kind of response before...it seems fairly

standard

> by plastic surgeons who don't want to take the extra time to do a

> really good job of explant. If this doctor thinks it will be

> a " bloody mess, " then perhaps his skills are not what you require,

> and you should get a few more opinions by other doctors who would

be

> more willing to do it right.

>

> I was thin upon explant (although not very thin), and my PS did

not

> have any trouble doing a total capsulectomy. In the nearly 7

years

> that I have been involved in this issue, I have only heard of one

> woman who had severe bleeding upon explant, requiring an emergecy

> transport to the hospital. That is one girl out of many hundreds

of

> girls that I have known to go through explant in all that time.

So,

> the liklihood of you having a " bloody mess " is very, very small.

Of

> course, there is going to be blood in every surgery, but I don't

> think that a doctor who is skilled is going to have an

overwhelming

> mess to deal with.

>

> Having a proper explant means you really should make the best

effort

> to work with a doctor who understands that ALL of the capsule

needs

> to be removed for your best chance at recovery if you are ill. I

> wish you the best in finding the right doctor...I hope one of

those

> on our list is close to you. Let me know if you have more

questions.

>

> Also, be sure to look over all the information we have listed in

our

> files section regarding explant. This should help you as you go

> through this important surgery.

> Best wishes to you!

> HUgs,

> Patty