Breast implant plastic surgery is very popular for many reasons, but sometimes breast implant revision surgery is needed. There are many revision options available with breast implants, and each has benefits and drawbacks. An experienced plastic surgeon can help you determine which option is best for your specific situation and circumstances.

What Are the Benefits of En Bloc Removal of Breast Implants?

One of the revisions that may be sought after breast implants are no longer desired is breast implant removal en bloc. This type of plastic surgery involves removing the breast implant and the surrounding capsule in a single piece without breaking the capsule. If en bloc removal is possible it can prevent any of the breast implant contents from leaking into the tissues in the area.

Is Breast Implant Removal En Bloc Always the Best Choice?

There are some situations where breast implant removal en bloc may not be the best option, such as:

  • A large capsule has formed which cannot fit through the incision without being broken up further.
  • Capsule removal would cause significant risk. This can be the case when the capsule is tightly adhered to the surrounding tissue or the skin over the capsule is very thin and would die off if the capsule is removed.

If en bloc removal of the breast implant is not possible then your plastic surgeon will discuss the other options available to remove your breast implants. In this case the plastic surgeon will usually excise part of the capsule, being careful to prevent the capsule contents from leaking inside the body, until the implant can be removed through the incision site.

Whenever possible en bloc removal of breast implants is preferred by many plastic surgeons. This method can eliminate the risk of any implant contents leaking into your body.

What to Expect with En Bloc Breast Implant Removal

If you have breast implant removal en bloc general anaesthesia is typically used. The plastic surgeon will make a small incision in order to access and excise the breast implant and surrounding capsule, keeping the ball of scar tissue surrounding your implant intact if possible. You will normally be given pain medications during the operation and for a period of time after the procedure.

Drains are normal after breast implant removal. This procedure leaves open areas and raw tissue which will result in fluid production in your body. If this fluid accumulates faster than your body can absorb it then the fluid can puddle and cause a seroma, a condition that is difficult to treat and is best avoided if at all possible. Drains can prevent a seroma from forming.

You will generally have restrictions on your physical activity for about 6 weeks after a breast implant removal en bloc. You may have some discomfort during this period. Your surgeon will advise you on any incision care and the specific restrictions that you have after your breast implants are removed.

In addition to pain medication your plastic surgeon may also provide antibiotics or an antifungal medication if a bacterial or fungal infection is suspected. During the breast implant removal your surgeon may take cultures which will be analysed in a lab to determine whether these medications are necessary.

To find out more about breast implant removal en bloc or our other surgical procedures, please contact Pure Aesthetics on (02) 9199 7448 or send us an enquiry using our contact form.