En Bloc Breast Implant Removal

Breast Implant Removal (Explant)

Over the past few years, there has been an uptick in cosmetic surgeries performed by inexperienced doctors that have had complications in their surgeries. In North America alone have reported a wide range of illness also referred to Breast Implant Illness or BII for short. This has become the most discussed topic in the field of Breast Augmentation in the last few years.

Dr. Sean Rice is an industry leader in breast implant removal with full capsulectomy (En bloc). A capsulectomy is the surgical removal of scar tissue or capsule that has thickened and hardened around a breast implant over time. The capsule is composed of fibroblast, collagen, and blood vessels. Dr. Sean Rice has performed over 250 En Bloc breast implant removal procedures in the last 5 years. Gracemed | Rice Cosmetic Clinic is the leading Explant Surgery Toronto Clinic. 

The removal of breast implants is requested for various reasons by women. Women make the decision to have their breast implants removed for a number of reasons including capsular contracture, breast implant illness, calcium buildup, infection, product recall, rupture, personal health concerns, discomfort. Dr. Rice will discuss the procedure, expectations, and recommend a plan for your implant removal.

Benefits of En Bloc Capsulectomy

• Capsular contraction

• Discomfort
• Health Concerns
• A more natural appearance
• Feeling comfortable in your own skin
• Feeling the natural softness of your breasts
• More streamline form and silhouette
• Being comfortable in your bra
• Ability to workout and do strenuous activities without discomfort
• Ability to sleep in a many positions
• Renewed and better image of your body

Some women choose to have their implants removed altogether. The En Bloc breast implant removal procedure is the most complex and sophisticated breast implant removal option.

Listen to Dr. Sean Rice explain the En bloc Explant procedure:

What is Breast implant illness?

Considering having your Breast Implants Removed due to Breast Implant Illness? 

Breast implant illness (BII) is a term used to refer to a range of symptomatic issues that may develop after undergoing breast augmentation or reconstruction with implants. The illness can look like an autoimmune/inflammatory syndrome induced by adjuvants (ASIA). BII may occur with any type of breast implant, including silicone gel-filled, saline-filled, smooth surface, textured surface, round, or teardrop-shaped. The effects/symptoms of BII can be different for each individual.

Symptoms can include:

• Brain fog – memory and concentration problems
• Chronic joint and muscle pain
• Extreme tiredness
• Respiratory issues
• Rashes and skin problems
• Anxiety, depression
• Migraines and headaches
• Gastrointestinal issues

Learn more about Breast Implant Illness (Bii) here:

• Breast Implant Illness 
• Breast Cancer.org

En Bloc Candidates

Not all patients are candidates for En Bloc capsulectomy. On occasion, the capsule is so dilapidated that it is nearly impossible to remove in one piece. Especially true for thin capsular tissue adjacent to the ribcage, where cutting deep can lead to a punctured lung cavity or prolonged pain.

En Bloc Procedure

En Bloc means ‘in one piece’ and this well describes how the surgeon goes about removing the implant. Very carefully, the surrounding soft tissue needs to be detached from the capsule, which has formed around the implant. The capsule has to be removed in one piece. If for some reason, this is not possible, any remaining pieces of the capsule have to be found and removed. In some cases, the implant may have ruptured. This is when experience and patience are needed to carefully remove any tissue that has become contaminated. This process can take several hours.

En Bloc Breast Implant Removal is arguably the wisest and the best way to explant breast implants. This procedure involves the removal of the implant, all extruded material, and capsule in full as one.

En Bloc vs. Capsulectomy – What’s the difference?

En Bloc can be confused with a Capsulectomy. These terms are sometimes misunderstood as the same procedure. A capsulectomy just removes scar tissue surrounding the implant and does not always involve the removal of the implant. In the advanced En Bloc Implant Removal procedure, the implant remains in the capsule, and the entire unit is removed. Together, removing the scar tissue and implant together reduces the risk of rupture or other potential complications.

Watch GraceMed’s Dr. Rice talk about En Bloc

Candidates for a Breast Lift after Breast Implant Removal

After an explant procedure,  patients find that their breast tissue has extreme laxity and sagging after implants have been removed.  Breast tissue has been stretched and expanded by the existing implant and has no ability to shrink back to the natural, original size. Every patient is different and breast appearance post-surgery can vary greatly from person to person. Not all patients may be a candidate after an En Bloc Explant procedure.

Patients may see and experience one or more of the following:

• A deflated breast appearance
• Breast sagging (ptosis)
• 6’oclock nipples that point downward
• Loose breast tissue that has accumulated over time e

Explant and Breast Lift Procedure

General anesthesia is used to ensure that your procedure is safe and pain-free. If the desire is only implant removal and Dr. Rice agrees that no lift is necessary, an incision will be created along the scar from your previous augmentation surgery. The implants are removed, and the incisions are closed. In some cases, patients will require surgical correction of the breasts after explant for pleasing outcomes.

Doctors of Distinction

Dr. Sean Rice has been featured on the Doctors of Distinction website via personal recommendations provided by women who have successfully explanted. Ensure you are getting a proper En-Bloc/Total Capsulectomy explant by the best. 

Explant Surgery Toronto

All breast implant removal procedures are performed within the comfort of the Rice Cosmetic Surgery suites Toronto. Prior to your surgery, a GraceMed anesthesiologist will administer anesthesia to ensure that the procedure is completely painless. The surgery is entirely planned out and designed specifically for your needs and desired results. Don’t trust your En Bloc Explant to any plastic surgeon. Work with the top En bloc Capsulectomy and breast implant removal specialists in Canada. If you have questions or concerns regarding breast implant explantation. Please contact us directly at our Toronto location.