
If you are experiencing symptoms of a medical complication, such as capsular contracture, BIA-ALCL, or breast implant illness, en bloc capsulectomy may be the safest way to remove your breast implants and implant capsules during a breast implant removal. Dr. Pancholi prefers to perform en bloc capsulectomy whenever it is safe and appropriate for his patients.
En Bloc Breast Implant Removal with Dr. Samir Pancholi: Prioritizing Your Health and Aesthetic Goals
Dr. Samir Pancholi is committed to providing a luxurious, patient-focused experience where your comfort and well-being come first. If you’re considering en bloc breast implant removal, our team is here to guide you through the process with expertise and care, ensuring you feel confident and supported every step of the way.
Why Choose Dr. Pancholi for En Bloc Implant Removal?
- Committed to Patient Safety: Dr. Pancholi prioritizes patient safety by performing surgeries in an accredited facility, backed by his extensive expertise as an author and lecturer in the field of cosmetic surgery.
- Open Communication & Support: Dr. Pancholi fosters open communication and welcomes family or close friends to join you during consultations, pre-op, and post-op appointments, ensuring you feel supported throughout your cosmetic surgery journey.
- Customized, Natural Results: Every procedure is tailored to your unique needs, whether your goal is to address health concerns, restore natural contours, or prepare for future enhancements. Dr. Pancholi prioritizes results that complement your body and support your overall well-being.
- Comprehensive Care: From your initial consultation to follow-up appointments, Dr. Pancholi will be with you every step of the way, offering guidance and answering your questions to ensure a smooth and informed journey.
- Precise En Bloc Technique: Dr. Pancholi specializes in en bloc capsulectomy, where the implant and surrounding capsule are removed together intact. This meticulous approach is ideal for addressing concerns such as breast implant illness or rupture while minimizing risk and promoting healing.
- Renewed Confidence & Wellness: En bloc implant removal isn’t just about physical change—it’s an opportunity to prioritize your health, restore your confidence, and feel empowered in your body.
- Surgical Expertise: With extensive experience in breast surgery, Dr. Pancholi combines technical skill with an understanding of your unique needs, ensuring results that exceed expectations.
Continue reading to learn more about breast implant removal in Las Vegas, or schedule your consultation with Dr. Pancholi today. We are located in Las Vegas and proudly serve patients from Summerlin, Southwest Las Vegas, Spring Valley, Enterprise, Paradise, Henderson, Whitney, Sunrise Manor, and North Las Vegas.
What is en bloc capsulectomy and why is it an important breast implant removal technique?
Las Vegas cosmetic surgeon Dr. Pancholi is well known for his expertise in breast augmentation and breast implant revision; this includes expertise in breast implant removal (explantation). There are many details he considers to ensure a safe, successful procedure and an aesthetically pleasing outcome, whether you are getting new implants or not.
One detail Dr. Pancholi will discuss with you is en bloc capsulectomy: removing your breast implants and the surrounding scar tissue all in one piece. Dr. Pancholi strongly prefers this option for breast implant removal, as he feels it’s often best for his patients’ safety and long-term outcomes.
After breast augmentation, your body forms a natural layer of collagen scar tissue around the breast implant. This is called a capsule. The capsule seals the implant from the rest of your body and provides some structure as well.
During breast implant removal, the surgeon may remove this capsule when they take out the old implants. This is called a capsulectomy. A surgeon can open the capsule, remove the old implant, and then peel the capsule away. Alternatively, the capsule can be peeled away from the surrounding tissues while the implant is still sealed inside; this is called en bloc breast implant removal. When performed en bloc, the body is shielded from the actual implant and its contents. This is particularly important when an implant has ruptured.
Dr. Pancholi prefers en bloc implant removal for several reasons
- It’s often the method of choice to remove silicone implants that may be ruptured. The capsule acts as a barrier between a ruptured implant and your body. If the capsule can be removed with the broken implant still sealed inside, it can serve to keep the surrounding tissues clean and free from any free floating silicone from the implants.
- En bloc removal helps to ensure removal of the entire implant shell and contents during explantation. Surgically removing the capsule is one of the most powerful steps in removing the “footprint” of breast implants. The capsule contains cellular and microbial matter, and possibly even silicone particles from a textured implant shell, that may remain after the implant is removed. Removing the capsule en bloc ensures all of this matter is removed thoroughly.
- Reduced risk of complications after breast implant removal. Leaving the capsule behind after implant removal can create a situation where the body seals the opening made to remove an implant and the capsule fills with fluid. This is known as a seroma and can cause issues later on. Removing the capsule drastically reduces these risks.
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How is en bloc breast implant removal in Las Vegas, NV performed?
When performing breast implant removal using en bloc capsulectomy, Dr. Pancholi meticulously separates the capsule from the surrounding tissues (breast tissue and muscle) while avoiding puncturing the sometimes paper-thin capsule. This way, the implants are left sealed inside the capsule and together the implants and capsule are removed without exposing the implants to the rest of the body.
Typically, this procedure can be done using your previous breast augmentation incision sites. However, in some cases, Dr. Pancholi may need to make an additional incision to ensure complete removal of the capsule.
En bloc breast implant removal is not always possible
Dr. Pancholi performs en bloc removal when he can do so safely; however, not every patient is a good candidate for this method of breast implant removal. En bloc removal may not be possible if:
- The capsule is too thin and delicate to remove in one piece. In this case, Dr. Pancholi will remove as much of the capsule as possible with the implant and then carefully remove the remaining scar tissue before closing the incisions and/or replacing the implant.
- The breast tissue or skin over the capsule is very thin. For patients with very thin skin, removing the capsule could risk over-thinning of the skin and result in tissue necrosis (tissue death); in such cases, leaving the capsule intact may actually be safer.
- The capsule is adhering to vital tissues. For example, if scar tissue is tightly attached to the rib cage, removing the tissue could risk injuring the lungs.
Removing the capsule can require a more complex surgery, so sometimes it is actually best to leave it alone, especially if Dr. Pancholi feels removing it may introduce new risks to your health or appearance after surgery.
Trust Your Care to an Expert—Schedule Your Breast Implant Removal Appointment Today
As a fellowship-trained cosmetic surgeon, a diplomate of the American Board of Cosmetic Surgery, and a specialist in breast implant revision, Dr. Samir Pancholi has helped hundreds of women in Las Vegas correct problems with their implants through individualized breast implant revision surgery. He is known for his precision, artistry, and attention to detail.
In fact, his motivation to specialize in breast surgery grew from the realization that a lot of women in Las Vegas were unhappy with their results from less experienced surgeons. Dr. Pancholi finds implant removal surgery especially rewarding, as his patients regain confidence in their appearance and get peace of mind.
Patient safety is Dr. Pancholi’s top priority, and he will take all the time you need during your consultation to make sure you understand your options for breast implant removal and replacement. Please contact as online or call our Las Vegas office at (702) 363-0240 to request more information or schedule your appointment with Dr. Pancholi at Pancholi Cosmetic Surgery of Las Vegas.
Glossary
- Anesthesia: Medications used to prevent pain during surgery; can be general (inducing unconsciousness) or local (numbing a specific area).
- Breast Implant Illness (BII): A term used to describe a variety of symptoms thought to be potentially associated with breast implants, such as fatigue, chest pain, hair loss, and headaches.
- Capsular Contracture: A complication of breast augmentation where scar tissue forms around the implant, causing firmness, distortion, and sometimes pain.
- Capsulectomy: The surgical removal of the capsule of scar tissue formed around a breast implant.
- En Bloc Removal: A surgical technique used in breast implant removal where the implant and the surrounding scar tissue capsule are removed together in one piece.
- Explant Surgery: The surgical procedure for removing breast implants. This can include different techniques, such as en bloc removal, where the implant and surrounding tissue capsule are removed together, or simple removal of the implants without the capsule.
- Implant Rupture: A tear or hole in the implant’s outer shell, which can occur in both saline and silicone implants.
- Inframammary Fold: The natural crease under the breast, often used as an incision site in breast surgeries to minimize visible scarring.
- Saline Implants: Breast implants filled with sterile salt water (saline). If these implants rupture, the saline is safely absorbed by the body.
- Scar Tissue: Fibrous tissue that forms as a natural part of the healing process following surgery or injury. In the context of breast implants, it can sometimes form a tight or thick capsule around an implant.
- Silicone Implants: Breast implants filled with silicone gel. If these implants rupture, the gel may either stay in the implant shell or escape into the breast implant pocket.
- Subglandular Placement: Placement of breast implants above the chest muscle but beneath the breast tissue.
- Submuscular Placement: Placement of breast implants beneath the chest muscle.
References
- Anastasio Collins R, Lima HK. Surgical Performance of En Bloc Total Capsulectomy Breast Implant Removal With Uninterrupted Breastfeeding. Journal of Human Lactation. 2023 Feb;39(1):76-81. doi: 10.1177/08903344221127195.
- Bewtra C, Gharde P. Current Understanding of Breast Implant-Associated Anaplastic Large Cell Lymphoma. Cureus. 2022 Oct 20;14(10):e30516. doi: 10.7759/cureus.30516.
- Habib PM, Serena T, Derosa A. Breast Implant Illness: A Case Series. Cureus. 2022 Mar 31;14(3):e23680. doi: 10.7759/cureus.23680.
- Lee M, Ponraja G, McLeod K, Chong S. Breast Implant Illness: A Biofilm Hypothesis. Plastic and Reconstructive Surgery Global Open. 2020 Apr 30;8(4):e2755. doi: 10.1097/GOX.0000000000002755.
- Swanson E. Evaluating the Necessity of Capsulectomy in Cases of Textured Breast Implant Replacement. Annals of Plastic Surgery. 2020 Dec;85(6):691-698. doi: 10.1097/SAP.0000000000002301.