Breast implant removal is a significant decision, and patients often encounter the term “en bloc surgery” during their research. Miss Anca Breahna, a consultant plastic surgeon based in Chester, UK, addresses the misconceptions surrounding en bloc surgery and provides clarity on why it is not always necessary. With her expertise in personalised patient care, Miss Breahna ensures each individual’s needs are carefully assessed to determine the most suitable surgical approach.
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What is En Bloc Surgery?
En bloc surgery refers to a specific surgical technique where the breast implant and its surrounding scar tissue (capsule) are removed together as a single unit. This technique is often discussed in relation to breast implant removal, particularly in the context of concerns about implant-related health risks.
In recent years, en bloc surgery has gained attention, largely due to social media and online discussions. While it can be a necessary approach in some cases, it’s important to understand its true indications and limitations.
When is En Bloc Surgery Necessary?
There are specific medical conditions where en bloc surgery is essential. These include:
- Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL): A rare form of lymphoma linked to certain types of breast implants.
- Breast Implant-Associated Squamous Cell Carcinoma (BIA-SCC): A rare type of cancer that can develop in the capsule around the implant.
Anca Breahna explains, “En bloc surgery is a vital tool for managing specific medical diagnoses. However, for the majority of patients undergoing breast implant removal, it is not necessary.”
Why En Bloc Surgery is Not Always Necessary
For patients without a confirmed diagnosis of implant-related cancer or other severe complications, en bloc surgery may not offer any additional benefits. Instead, it could increase surgical complexity, recovery time, and risks, such as:
- Larger Incisions: Required to remove the implant and capsule intact.
- Prolonged Recovery: Due to the invasive nature of the procedure.
- Increased Scarring: A potential outcome of the larger surgical area.
Miss Breahna’s approach focuses on safety and efficacy, ensuring that every patient’s surgery is tailored to their individual needs.
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Alternative Techniques for Breast Implant Removal
Not all breast implant removal procedures require en bloc capsulectomy. Depending on the patient’s condition and goals, other options include:
- Total Capsulectomy: Removal of the entire capsule, but not necessarily as one unit with the implant.
- Partial Capsulectomy: Removal of only a portion of the capsule if full removal is not indicated.
These methods are less invasive, result in shorter recovery times, and are appropriate for patients without specific medical complications. Anca Breahna’s expertise ensures that each surgical plan aligns with the patient’s health and aesthetic goals.
Comprehensive Checklist: Preparing for Breast Implant Removal
Before Your Consultation:
- Research Surgeons: Ensure your surgeon is highly qualified and experienced in breast implant removal.
- Understand Your Goals: Reflect on why you’re considering implant removal and what outcomes you hope to achieve.
- Gather Medical Records: Bring any relevant information about your implant history or health concerns.
During Your Consultation:
- Discuss Symptoms: Share any discomfort, changes, or concerns you’ve experienced.
- Explore Options: Ask about en bloc surgery and alternative techniques.
- Review the Risks: Understand the potential complications of each surgical approach.
Pre-Surgery Preparation:
- Follow Instructions: Adhere to guidelines provided by your surgeon, such as fasting or medication adjustments.
- Arrange Support: Plan for someone to help you after surgery.
- Prepare for Recovery: Set up a comfortable space at home and stock up on essentials, such as easy-to-eat meals, over-the-counter pain relievers, and medical supplies recommended by your surgeon.
Post-Surgery Care:
- Attend Follow-Ups: Regular check-ups ensure proper healing and address any concerns.
- Monitor Recovery: Watch for signs of complications and contact your surgeon if needed.
- Follow Recovery Instructions: Stick to activity restrictions and wound care protocols provided by your surgeon.
Do’s and Don’ts for Breast Implant Removal
Do’s:
- Consult a highly qualified surgeon like Anca Breahna.
- Ask questions and clarify any doubts about the procedure.
- Prioritise your overall health and long-term wellbeing.
Don’ts:
- Don’t rely solely on online trends or anecdotal advice.
- Don’t hesitate to seek a second opinion if needed.
- Avoid rushing into surgery without fully understanding your options.
Tailored Care for Chester Patients
Patients in Chester choose Anca Breahna for her personalised and patient-focused care. Located conveniently, her clinic offers state-of-the-art facilities and a welcoming environment. With her extensive experience, Miss Breahna ensures that every surgical plan is tailored to the unique needs of her patients.
Philosophical Insights from Miss Breahna
Miss Breahna believes in empowering patients with accurate, transparent information. She says, “Every patient’s journey is unique, and it’s my role to guide them towards decisions that best support their health and happiness.”
Her philosophy focuses on individual needs and prioritising patient safety over fleeting trends.
Next Steps
If you’re considering breast implant removal, schedule a consultation with Anca Breahna to discuss your options. With her expertise, you’ll receive a personalised plan designed to achieve your goals safely and effectively.
FAQs
What is the primary difference between en bloc and total capsulectomy?
En bloc involves removing the implant and capsule together as one unit, while total capsulectomy removes the entire capsule but not necessarily with the implant intact.
Can en bloc surgery be performed on all patients?
No, it depends on factors such as implant condition, capsule adherence, and the patient’s overall health.
Is en bloc surgery more painful than other techniques?
Recovery experiences vary, but en bloc surgery can involve more discomfort due to its invasive nature.
How do I know if I’m a candidate for en bloc surgery?
Your surgeon will assess your medical history, symptoms, and implant condition to determine suitability.
Does en bloc surgery prevent all future complications?
No, while it addresses current concerns, it does not eliminate risks unrelated to the implants.
Are there non-surgical options for addressing implant concerns?
In some cases, monitoring or minimally invasive treatments may be recommended based on symptoms.
How can I ensure I choose the right surgeon for my procedure?
Look for qualifications, experience in implant removal, and positive reviews or referrals.
Further Reading
- Breast Surgery Collaborative Community Issues Consensus Statement on Breast Implant Capsulectomy Definitions and Management, Plastic and Reconstructive Surgery Journal: https://journals.lww.com/plasreconsurg/Fulltext/2023/07000/Breast_Surgery_Collaborative_Community_Issues.1.aspx
- Consensus Statement from the Breast Surgery Collaborative Community on Capsulectomy Terminology and Management, Plastic Surgery: https://journals.lww.com/plasticsurgery/Fulltext/2023/08000/Consensus_Statement_on_Capsulectomy_Terminology.2.aspx
- Breast Implant Safety Update, American Society of Plastic Surgeons: https://journals.lww.com/plasticsurgery/Fulltext/2023/06000/Breast_Implant_Safety_Update.3.aspx
- Management of Breast Implant-Associated Anaplastic Large Cell Lymphoma, Journal of Clinical Oncology: https://ascopubs.org/doi/full/10.1200/JCO.2023.40.16.9000
- Risks and Benefits of Breast Implant Removal, British Journal of Surgery: https://academic.oup.com/bjs/article/110/12/1450/7219287
Ms Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of 
