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In all cases of explanting all capsule tissue should be removed from the chest which is called Total Capsulectomy.

In addition to breast implant illness, there are many other reasons that a Total Capsulectomy is recommended when removing or replacing breast implants and this is well known in plastic surgery schools and taught to plastic surgeons.

An En Bloc/Total Capsulectomy explant will take at least two hours and should be done with an under the breast incision and not through the nipple.

If you are not symptomatic and you have smooth saline implants then Total Capsulectomy should be sufficient which means the surgeon will remove the breast implants and then go back in and remove all capsule tissue.There is no benefit to you whatsoever in draining your implants prior to a proper En Bloc/Total Capsulectomy explant.Please don’t drain your implants prior to explantation.A skilled and experienced explant surgeon will 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 a Total Capsulectomy or cannot prove their En Bloc/Total Capsulectomy skill and experience to you via photographs of removed implants and intact capsules, we suggest not using him/her for your explant.

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