TIMELY AND PROPER EXPLANTATION IS CRUCIAL TO RECOVERING YOUR HEALTH
Timely and proper explantation (removal) of breast implants is the most crucial step to your recovery from breast implant illness. As soon as the implants are properly removed, you will likely notice a reduction or clearing of SYMPTOMS. However, some symptoms may linger until your body has completed a DETOXIFICATION process and had a chance to heal. Good news is, we note a number of women who were symptomatic and had timely explantation and felt that they recovered their health within approximately a year after removal of implants. Unfortunately, there are other women who do not ever fully recover their health or quality of life due to breast implants and some women who develop deadly disease and die prematurely due to breast implants.
CHOOSE THE RIGHT SURGEON WHO IS EXPERIENCED AT EN-BLOC EXPLANTATION
No matter what you read or are told from your plastic surgeon about explantation of breast implants, if you are symptomatic ALL BREAST IMPLANTS SHOULD BE REMOVED EN-BLOC NO MATTER THE TYPE OF IMPLANT. En-bloc is a breast implant removal procedure first developed in France to deal with the earlier versions of silicone breast implants when ruptured and leaking silicone. En-bloc removal means the surgeon removes the surrounding tissue capsule and the implant together, intact, as one unit, without disrupting either capsule or implant to avoid further contamination of the body tissues. If you are symptomatic it should be obvious to you and your doctor that the tissue capsule around your implant is contaminated and En-bloc removal is necessary. Proper En-bloc removal is your best chance at recovering your health. Even if you are not symptomatic and you have silicone, cohesive gel or textured saline implants they should be removed En-bloc for your utmost health because there will be contamination in the capsule.
Recently, I have been hearing from several women who just got implants in the last few months and are reacting immediately and having them removed. In the case that your implants are only a few months old, En-bloc removal would not be necessary as there would be very little capsule tissue built by your body in the first few months of having implants.
THE REAL REASON PLASTIC SURGEON’S AVOID EN-BLOC EXPLANTS
Some plastic surgeons argue against En-bloc removal saying it is unnecessary as they do not believe implants cause illness, or unnecessary due to thin capsules or it carries undue risk. Again, if you’ve had your implants for twelve months or longer you will have capsule tissue and if you are symptomatic, it should be obvious that your breast implants have contaminated the surrounding tissue capsule and En-bloc removal is necessary. The real reason some plastic surgeon’s avoid En-bloc removal is because it takes a more skilled surgeon with experience and it takes extra time and requires a general anesthetic which carries more risk than a local anesthetic. Your placing plastic surgeon will only get paid a nominal sum, if at all, for breast implant removal and so they prefer to do a short 20 minute procedure, in their office, under a local anesthetic simply cutting you and pulling out the implants leaving the contaminated capsules in your body. Easy for them. Bad for you! Leaving the capsules in your body whether thin or not means all the contamination within the capsules will be left behind and eventually taken up into your body which results in a longer and more severe illness for you. Some plastic surgeons even rupture the implant while removing it causing additional contamination. Some plastic surgeons will argue that En-bloc removal could result in disfigurement of your breast or ribcage but this is mostly untrue. A skilled and experienced En-bloc surgeon should be able to avoid further disfigurement than the disfigurement already caused by implantation.
If your plastic surgeon does not acknowledge breast implant illness, silicone toxicity, argues against En-bloc implant removal, or cannot prove their En-bloc skill and experience to you, we suggest not using him for the explant. There are stories of women who thought they were getting a proper En-bloc removal because their surgeon lied or confused them with the terms Total Capsulectomy, Capsulectomy and Capsulotomy and they suffered further contamination.
DON’T BE CONFUSED BY THE DIFFERENT TERMS CAPSULECTOMY AND CAPSULOTOMY
I read a brief piece on someone’s personal site that said some surgeon’s may refer to the French En-bloc removal procedure as “Total Capsulectomy” in North America and it may be essentially the same procedure but I would not count on this. Have your surgeon explain to you in detail exactly how the explantation procedure will be done and then record the details in writing for you so you both can sign off on it. Keep a copy of signed document for your records. Do not get confused by the terms En-bloc, Total Capsulectomy, Capsulectomy and Capsulotomy:
En-bloc – is the French term that references the proper procedure for removing all breast implants and capsules.
Total Capsulectomy – may be your surgeon’s reference for En-bloc removal but not necessarily. It may also be your surgeon’s reference for removing the implant first and then removing the capsule tissue after and this procedure may further contaminate your tissues. You must find out exactly what he means if he uses the term Total Capsulectomy instead of En-bloc.
Capsulectomy – is a procedure in which the entire capsule of tissue surrounding a breast implant is surgically removed and this procedure is generally used to fix capsular constracture.
Capsulotomy – there are two types of Capsulotomy: Open Capsulotomy is a procedure in which the capsule is surgically released and/or partially removed through an incision within the breast area. Closed Capsulotomy refers to a procedure where the surgeon breaks down capsule tissue while leaving the implant in place using vigorous compression. Closed Capsulotomy is not recommended due to risk of rupture of the implant and voids the warranty on most breast implants.
If your implants are placed sub-muscularly a small part of the capsule may have to be left because it is stuck to your rib(s). This was true in my case. I had cohesive gel implants which were stuck to my ribs and my surgeon had to leave approximately 5 per cent of the capsule tissue because removing it would damage the rib.
WORD OF MOUTH REFERRALS FOR GOOD EN-BLOC EXPLANT SURGEONS
A good way to find an En-bloc surgeon for explant in your area is word of mouth referrals via Internet from happy explant clients. Here is a list of HIGHLY RECOMMENDED EXPLANT SURGEONS . I know other En-bloc surgeons as well so please do not hesitate to contact me. Check our newly created FORUM for other references for good En-bloc surgeons.
OTHER IMPORTANT THINGS TO KNOW IN REGARD TO EXPLANTATION
READY YOUR BODY BEFORE SURGERY – Depending on the time frame before your explant, you can prepare your body by nourishing yourself as well as you can, fueling with extra high quality vitamins and minerals to support healing and improving your gut health through a organic, wholefoods diet and lots of soil based probiotics. Do not start any detoxification procedures until about a month after explant as you do not want to spread anymore toxins than necessary through your system and organs. Your surgeon may request that all supplements be stopped at least two weeks prior to your surgery so as not to affect the actual surgery itself.
OBTAIN A COPY OF YOUR IMPLANTATION OPERATIVE REPORT – Obtain a copy of the operative report for your implantation from the placing plastic surgeon. The operative report will help the explant surgeon and will be helpful if you decide to get your implants analyzed and or explore legal avenues.
OBTAIN A COPY OF YOUR EXPLANTATI0N OPERATIVE REPORT – Obtain a copy of the operative report for your explantation from the explanting plastic surgeon. The operative report will help analysis and may also be required down the road for legal proceedings.
OBTAIN WARRANTY INFORMATION AND SERIAL NUMBERS OF YOUR IMPLANTS FROM THE PLACING SURGEON – All breast implants have serial numbers so they can be tracked because they are classed as medical devices. The serial number is on the breast implant itself and should be recorded in your placing surgeon’s files. Breast implants usually have a warranty of ten years and the manufacturer may cover some expenses of surgery due to a ruptured, leaking or defective implant.
ENSURE THAT YOUR IMPLANTS ARE RETURNED TO YOU IMMEDIATELY AFTER REMOVAL -You paid for your implants and they belong to you and should be returned to you directly after explant. Don’t let your plastic surgeon keep them, throw them away or tell you they have to go to pathology for testing. The capsule tissue does have to go to pathology for testing for cancer. You will want to inspect your breast implants yourself after removal. Mine smelled strongly of chemicals. You may want to send them to Dr. Blais, more about Dr. Blais under RESOURCES, for analysis to understand exactly what toxins contaminated you. You may need your breast implants for future legal proceedings.
ENSURE THAT YOUR CAPSULE TISSUE IS RETURNED TO YOU – If you are planning on having your implants analyzed by Dr. Blais request your capsule tissue back after pathology is done testing it for cancer. Capsule tissue will be able to tell Dr. Blais the story of what happened in your body in regard to the implants and illness.
CONTACT THE IMPLANT MANUFACTURER FOR WARRANTY AND EXPENSE REIMBURSEMENT – If you obtained your implant information from the placing plastic surgeon or if you received your implants after explantation you will be able to determine the manufacturer. Contact the manufacturer to see what is available to you in regard to warranty or reimbursement for surgeon fees.
I wish you the very best in a speedy explant and full recovery of your health as soon as possible. If you have any questions or concerns, please contact us below.