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BII SURGICAL TREATMENT

BII SURGICAL TREATMENT

 

PRIORITY OF SURGERY SHOULD ALWAYS BE IN THE FOLLOWING ORDER:

1) TOTAL INTACT CAPSULECTOMY (TIC) – capsule and implant are removed without breaching the capsule and thereby avoiding potential spillage and contamination of contents

2) EN BLOC CAPSULECTOMY – non-intact

3) TOTAL CAPSULECTOMY – non-intact and non-En Bloc

According to healingbreastimplantillness.com, the breast implants should be removed “ in a manner that prevents contamination to you”. We conclude from this that the capsule and the implant should not only be totally removed , but ideally intact. In this way, any fluid, silicon, breast implant contents and potential biofilm are not brought in to contact with your body’s tissues.

TOTAL INTACT CAPSULECTOMY (TIC) means removal of the entire capsule and implant complex without a breach in the capsule and therefore no spillage or contamination of contents.

TOTAL INTACT CAPSULECTOMY (TIC) is always attempted but not always possible due to practical and technical difficulties, especially when implants are behind the muscle (partial retro-pectoral or dual plane).

Dr. Lu-Jean Feng in her video about En Bloc implant / capsule removal https://www.youtube.com/watch?v=OQbLpUHs1e0&t=5s describes that there is “ a lot of fluid in the capsule” and inspection of the implants and capsule at the end of the video shows multiple holes in the capsule and therefore the potential for exposure to the body of the contents. We conclude from this that En Bloc does not necessarily mean intact.

Surgical treatment should always be as a matter of priority and preference:

1) TOTAL INTACT CAPSULECTOMY (TIC)

2) EN BLOC CAPSULECTOMY – non-intact

3) TOTAL CAPSULECTOMY – non-intact and non-En Bloc

Total intact explant

Release after removal showing avoidance of contamination.

Bilateral total intact implants.

Removal of the capsule after explant of undamaged implants.