En Bloc Breast Implant Removal: A Comprehensive Approach for Breast Implant Illness (BII)
En bloc removal is a surgical technique aimed at completely removing breast implants and the surrounding capsule as a single unit, without separating the implant from the surrounding tissue. This procedure is often chosen by patients with Breast Implant Illness (BII) to minimise the risk of residual implant material and improve systemic symptoms related to the condition.
What is Breast Implant Illness (BII)?
Breast Implant Illness (BII) is a term used to describe a range of symptoms that some women develop following breast implant surgery. Common symptoms include chronic fatigue, joint pain, brain fog, immune system issues, and hormonal imbalances. Although the connection between implants and these symptoms is not yet fully understood, many patients report improvements after en bloc implant removal.
What is En Bloc Removal?
En bloc removal involves removing the breast implant along with the fibrous capsule that naturally forms around the implant. The goal is to eliminate any potential contaminants or silicone residues, thereby reducing the risk of exposing the body to foreign materials.
Advantages of En Bloc Removal in BII
Choosing en bloc resection offers several benefits for patients affected by Breast Implant Illness:
Complete Removal of the Implant: Removing both the implant and the capsule reduces the risk of leaving silicone fragments or inflammatory substances within the body.
Symptom Reduction: Many patients report symptom relief after en bloc removal, especially if BII was linked to autoimmune or inflammatory reactions.
Reduced Risk of Complications: Complete removal of the implant and capsule decreases the likelihood of complications such as chronic inflammation or residual infections.
When is En Bloc Removal Indicated?
En bloc removal is indicated in cases of suspected or confirmed Breast Implant Illness, and in situations involving severe capsular contracture, implant rupture, or chronic infections. The technique requires careful assessment by an experienced plastic surgeon to ensure that the procedure is safe and that the patient gains the maximum benefit.
The En Bloc Removal Procedure
The en bloc removal procedure includes the following steps:
Surgical Incision: An incision is made around the old scar or in a strategic area for better access.
Removal of the Implant with Capsule: The implant and capsule are removed as a single unit, avoiding perforation or separation of the capsule.
Visual Inspection and Tissue Check: The surgeon thoroughly examines the area to ensure no silicone residues or inflamed tissues are left behind.
Reconstruction or Closure: Depending on the patient's preferences, autologous reconstruction using techniques like the U-flap or another reconstructive option may be performed.
Why Choose En Bloc Removal?
Many patients opt for en bloc removal to achieve a more complete and safer removal of implants, especially in cases of suspected BII. This procedure requires surgical expertise and an in-depth understanding of complications related to breast implants.
Conclusion
En bloc removal is an effective option for women suffering from Breast Implant Illness or those seeking a complete and safe removal of their breast implants. Consulting with an experienced plastic surgeon is essential to determine if this procedure is suitable and to ensure optimal results and a safe recovery.