Need more info on necessity of en bloc w/saline implants

[Guest guest]

Good morning. I had my consult w/Dr. Melmed yesterday. My husband

and I really liked him and felt very comfortable with him. My only

issue is that when I asked him about removing implants en bloc, he

said he felt like it was most necessary with silicon implants. He

said the main reason for removing it w/saline is in the presence of

fungus, and he hasn't encountered that in his practice.

He said for women who are very small (like me) he prefers to keep the

capsule in to help him reform the breast. But he said it was up to

me and if I wanted the capsule removed he would gladly do it.

I've been looking around for info on the necessity of removing the

capsule with saline implants and I can't find much. I've read the

articles here in the Files section, but almost all of them are about

silicon implants. I realize saline implants have a silicon shell,

I'd just like to read more about the danger of leaving a capsule

after removing saline implants.

Also, I'd like to hear from any of you ladies who had saline implants

removed and did not recover b/c the capsule wasn't removed.

I know everyone here is adamant about removing the capsule so I hope

I don't get blasted for my doubts about it. ) I guess I just need

more convincing.

Thanks,

April