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REMOVAL OF LOOSE SILICONE FROM BREASTS ..REPLACE WITH IMPLANTS

Q:

CAN I GET LOOSE SILICONE REMOVED FROM MY BREASTS AND HAVE SILICONE IMPLANTS PUT IN AS A REPLACEMENT. I HAVEN'T REALLY ACCUMULATED ANY HARDNESS OR LUMPS BUT I WANT IT REMOVED BEFORE ANY HAZARDS OCCUR.

A:

This is a bit more complicated as you need to see what you find in surgery to know what is best to do.  If there is only loose silicone, and the capsule (scar around the implant) has no silicone imbedded in it, then you should easily be able to remove the loose silicone, and replace your implant with or without opening the capsule (a capsulotomy).  If on the other hand, you have some of the silicone that has caused some silicone granulomas or calcium deposits on the capsule, you may need to have the capsule removed as well (a capsulectomy).  The sooner you get the loose silicone removed, the less chance you will have calcium deposits, or granulomas.  Good luck.

A:

First it is important to know if this silicone injection to the breast was done by a physician or in a "pumping party" by lay person, and if the silicone was a medical grade silicone.

Then you will need a mammogram and probably an MRI, this will tell us where are the silicone. Silicone injections will form silicone granulomas.

If the granulomas are not near the skin, then the silicone can be removed, and silicone implants put.

A:

First it is important to know if this silicone injection to the breast was done by a physician or in a "pumping party" by lay person, and if the silicone was a medical grade silicone.

Then you will need a mammogram and probably an MRI, this will tell us where are the silicone. Silicone injections will form silicone granulomas.

If the granulomas are not near the skin, then the silicone can be removed, and silicone implants put.

A:

If you had silicone injected into your breasts, this is a much different problem than a ruptured old silicone gel implant.  Injected silicone may require a mastectomy to get it all out.  This depends on where in the breast the silicone is injected and the type of silicone used, medical grade or not.  Ruptured silicone gel implants can frequently be removed along with the scar tissue capsule and replaced with new implants.  You should consult with a board certified plastic surgeon to exam you and discuss your options. www.drtoddcase.com

A:

Implant Removal & Capsulectomy – If one has had silicone implants and has a significant capsule, if when removing implants especially if it’s after 10 years, one should perform a capsulectomy concomitantly to remove the capsule and to allow for any silicone bleed and in this area. 

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