Re: Capsules do not dissolve!!!!

March 25, 2011

Note that last sentence....may I suggest that " or postoperative surveillance " is

a joke?

I don't know of any common plastic surgeon that gave a rat's ass what happened

to the patient after implants were taken out. (Good plastic surgeon's are

clearly the exception.) Just ask any woman who has been explanted how much

contact she has had with the surgeon who did it, and for how long of a period

afterward? My guess is that it is " nada. "

Since there is no postoperative surveillance going on, the only possible

alternative is to make sure that every explant procedure is done with a total

capsulectomy, period.

Just my two cents on that study, which is an important one. The only weakness

associated with it is assuming that any postoperative surveillance would take

place.

Patty

>

> COMPLICATIONS RELATED TO RETAINED

> BREAST IMPLANT CAPSULES

> Author: Hardt, N. S.; Yu, L.; LaTorre, G.; Steinbach, B.

> Address: Dept. Pathology, University of Florida College of Medicine,

> Gainesville, FL.

> Source: Plastic and Reconstructive Surgery Journal, Feb., 1995, 95:2, 364-71

>

> Abstract: Citing evidence that breast implant-related capsules resolve

> uneventfully, surgeons have elected to leave the capsules in place when

> implants are removed because capsulectomy adds both morbidity and expense to

> the procedure. However, recent clinical and histopathologic evidence suggests

> that uneventful resolution is not always the case, and several potential

> problems may arise from retained capsules after removal of the implant.

>

> Retained implant capsules may result in a spiculated mass suspicious for

> carcinoma, dense calcifications that obscure neighboring breast tissue on

> subsequent imaging studies, and cystic masses due to persistent serous

> effusion, expansile hematoma, or encapsulated silicone filled cysts.

> Furthermore, retained capsules are a reservoir of implant-related foreign

> material in the case of silicone gel-filled implants and textured implants

> promoting tissue ingrowth. To avoid complications from retained capsules,

> total capsulectomy or postoperative surveillance should be offered to

> patients.

>

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