Please consult with your doctor. The information here is informational only. You should always check with your doctor.
Another option would be to send your saline implants to Mycometrics. They will need to destroy the implant in order to analyze the fluid inside and will give you a detailed report of what they find. The information for MycoMetrics can be found at: http://www.mycometrics.com/
Baker Grade II
The breast is a little firm but looks normal.
Baker Grade III
The breast is firm and looks abnormal.
Baker Grade IV
The breast is hard, painful, and looks abnormal.
Capsular Contracture may be more common following infection, hematoma, and seroma. However, it is not known for sure why Capsular Contracture happens. The literature also discusses other factors, such as a textured implant surface and submuscular placement of the implant, which may decrease the Capsular Contracture rate. In severe or symptomatic cases, such as grade III or IV, there are different treatment options ranging from cutting or removing the implant capsule tissue (Capsulotomy vs. Capsulectomy) with or without replacement of the implant itself. Capsular Contracture often recurs after this additional procedure.
Among 176 breast implant patients examined by doctors at the Hospital for Joint Diseases, Orthopedic Institute in New York City, the most frequently reported symptoms were chronic fatigue (77%), cognitive dysfunction (65%), severe joint pain (56%), dry mouth (53%), dry eyes (50%), hair loss (40%), and difficulty in swallowing (35%).
Diseases of silicone toxicity include:
· poly arthritis
· peripheral neuropathy
· positvie ANA
· Neurological Diseases
· Rheumatological Problems
· Autoimmune Diseases
· Chronic Fatigue Syndrome
· Esophogeal Immotility
· Raynaud’s Syndrome
· Multiple Sclerosis Like Symptoms
· General Connective Tissue Diseases
· Systemic Fungus
· Sjogren’s Syndrome
The Signs and Symptoms of Silicone Immune Toxicity Syndrome are as follows:
· Multipe chemical sensitivities and sensitivities to perfume, smoke and other inhalants
· Muscle inflammation
· Joint pain
· Anxiety and depression
· Hair loss
· Memory loss
· Foggy thinking
· Night sweats
· Tingling in the hands and feet
· Abdominal pain
· Chest pain
· Other autoimmune disorders, including rheumatoid arthritis and Sjogren’s syndrome, scleroderma, fibromayalgia, and multiple sclerosis
En bloc is a type of capsulectomy in which the surgeon removes the capsule and implant together and intact as one unit. This is the best method in order to prevent spillage of silicone into the chest cavity, although there is no guarantee as the capsule can possibly break during removal.
Additionally, it is very important to choose a surgeon who will know when to "throw in the towel" on en bloc removal, rather than risk tearing a hole in the lung (very rare, but possible).
En bloc removal requires a lengthy incision beneath the breast.
Last, not all surgeons use the term "en bloc," and may not know what you're referring to. This is particularly true when speaking with front office staff.
Here is an implant that was removed using the en bloc method.
Open Capsulotomy - This is when the surgeon makes an incision to break the capsule or scar tissue. This is normally done for those with capsular contracture. Not recommended.
Closed Capsulotomy - When the surgeon attempts to break the capsule by putting extreme pressure on the breast. NOT recommeneded as this could break the implant.
An exception to capsule removal might be if your implants are very new (less than a few months), in which case the capsule will be very thin, and removing it may cause more trauma to the tissue than it's worth.
Unfortunately, there is no certain way to detect a rupture. Ultrasound and MRI may find ruptures or leaks, but they are not foolproof. Also, women with implants are sometimes advised to have a mammogram. We do not recommend this, especially if you suspect a rupture. A mammogram may further crush the implant and exacerbate the rupture. If you must have a mammogram for other reasons, please have your implants removed first.
How long you've had your implants.
Whether they were placed sub-muscular or sub-glandular.
The skill of your implanting surgeon.
The skill of your explanting surgeon. (It is important to ask your surgeon how many explants - without replacement - he has done! Even a highly regarded plastic surgeon does not necessarily have the skill needed to remove an implant without deformity.)
The size of the implants. Generally, the smaller the implant, the less of a chance you will look deformed if removed properly.
The amount of breast tissue you have.
Whether you've had children.
The general quality of your skin.
The extent of your internal scarring.
From what I have seen, most women look very good after explant. There are many pictures on the internet that are placed there to alarm women so they will continue to replace their implants.
What is the purpose of drains? Do I really need them? How long will I have them?
Drains are normally recommended as they help to prevent the build-up of fluid in the breasts after surgery. They can also allow some of the toxins that were stirred up during removal to drain out. Some women decide they do not want drains and do just fine after explant while others might experience a seroma. A seroma is a build-up of fluids that will need to be aspirated by your surgeon. There is also a possiblity of this happening even with drains although not as common. The amount of time you have the drains will be determined by how long you have fluid flowing into the drains. Normally once this slows, the drains will be removed. This is an easy procedure that will be done in your surgeon's office. It is usually not very painful, but it may feel quite strange. Until the drains are removed, you will have to empty them periodically. Your surgeon will instruct you on this procedure.
Tip: Some women will be instructed to shower the day after surgery and others will be told that they can't. For those that are able to shower with drains, take a tie and tie it around your neck. Then take a large safety pin to attach the drains to the tie. This will keep the drains up and out of the way so that you will be able to shower without someone holding them up for you. Again, each surgeon follows a different protocol so make sure you check with your surgeon before you shower while still having drains.
You should have a button up the front shirt so you won't have to lift your arms up. Some women purchase hoodies that can simply be zipped up the front.
Ask your surgeon what type of post-surgery bra you should purchase. Some will suggest a zip-up sports bra; others will want you to get a compression bra. You may want to purchase a bra online. Your surgeon may also wrap you in a bandage and not suggest a bra at all.
Plan on having help. There is simply no way to do this completely on your own. You will need someone to to take you to and from the surgical center and someone to stay with you for at least the first 24 hours.
You may not be able to drive anywhere for 48 hours (simple explant) to several days (explant with full anchor lift), post-op. Plan accordingly.
Plenty of pillows as you will want to be propped up after explant. I found it very difficult to lay flat for about a week. A wedge pillow is very helpful and may be found at Bed Bath & Beyond or similar retailer.
Make sure you have stocked up on things you will want to eat afterwards. It's best to start off with clear juices and 7-up, then move onto light food like yogurt, applesauce and the like. Nausea is not uncommon after surgery, but eventually you will want to eat again so be sure you are stocked up on easy meals (or have the numbers of your favorite restaurants on speed dial!).
If you have small children, you may need help for at least the first week or two, but if they are toddlers, try to find new ways of doing routine things that does NOT involve picking them up or carrying them. It's unavoidable with an infant, but with a 2-year old, you can often find different ways of getting into the car, dressing them or feeding them that won't cause you to strain yourself in those first few weeks after explant.
You may want to put hard-to-reach items that you will need on a lower counter.
If you are having a lift, your recovery will take longer. Prepare for this.
Drink plenty of water and rest. Some women feel so much better immediately following explant. So much so that they will resume their normal activities. Remember this is major surgery and although you might feel wonderful, your body still needs time to heal. Rest is very important.
Benadryl is very helpful to control itching.
Second, many women have traveled to a recommended surgeon. While this can add a fair amount of expense and stress to the procedure, sometimes it is the best choice if you cannot find an experienced surgeon locally.
If this simply isn't an option, try calling your local hospitals and asking for the breast surgery department. They may be able to refer you to an excellent reconstructive surgeon who is experienced in explant - without replacement. Not all surgeons advertise, so you may need to dig a little.
you have never filed a Med Watch report ... Or if you have had
additional surgeries or injuries since you filed please update the FDA.
Individual reports are on FDA’s MedWatch
website. To access these reports, follow the links for: “Medical
Device Reporting,” “Access to FDA Safety Data,” and “Manufacturer and
User Facility Device Experience Database (MAUDE).”
under the Alternative Summary Reporting Program (ASR) can be obtained
by following instructions under the Freedom of Information Act (FOI),
available via access to the main FDA website (www.fda.gov).
FOI requests can also be faxed to 301-443-1726 or mailed to: Food and
Drug Administration, FOI Staff, HFI-35, 5600 Fishers Lane, Rockville,
Why do companies file summary reports of adverse events, instead of individual MDR reports for breast implants? Summary
reporting is an alternative way of reporting to FDA for well known
and well documented adverse events. It has been in effect for silicone
gel-filled and saline-filled breast implants for many years. Summary
reporting for these types of events promotes more efficient processing
and analytic review for FDA and the companies.
are required to file individual MDR reports for any unexpected or
unusual adverse events that may be related to breast implants. Deaths
must always be reported individually.
Please take time to click on the link below
as we feel it important to get as much public awareness
on this issue as possible. Women have the right to make informed decisions!
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can alter the course of history.”
― Mahatma Gandhi