In the recent development of breast implant illness and the link of symptoms to breast implants, Dr Doyle is finding an increasing number of women requesting to have their implants removed.
When you get a breast augmentation, your body reacts to the foreign object (silicone implants) being inserted. Your immune system takes a protective measure against potential harm and begins forming a scar around the implant. This is called a capsule and its primary role is to divide the implant from your flesh. When well developed, you shouldn’t be able to feel the capsule, however, as every patient is different, this is not always the case. It is possible for your capsule to thicken, tighten, contract or calcify. This is called capsular contracture and is identifiable by the feeling of hardened implants, pain or a distorted appearance.
An En Bloc Breast Implant Removal requires removing the capsule with the implant still inside to allow your body recuperation to health. If this isn’t possible, the implant will first be removed and followed by the capsule. En Bloc Breast Implant Removal is a technique used by Dr Doyle in which the breast implant and its surrounding scar tissue (capsule) is removed in one piece.
“This means that the breast implant is not actually viewed until it is outside the body. If there has been a leakage of silicone out of the silicone shell of the implant, then the enbloc technique stops this silicone from being left inside the body. The possibility for an En Bloc Breast Implant Removal differs from person to person and technically can’t be performed on all patients,” said Dr Doyle.
This technique removes the complete capsule and allows the complete capsule and any fluid to be sent for pathological tests. There is no scientific test that can confirm a diagnosis of breast implant illness. Dr Doyle has removed breast implants from women who have multiple non-specific symptoms and see a significant improvement in the symptoms after the implants have been removed. To better understand the implications of breast implant illness, Dr Doyle is currently undertaking primary research with his removal patients.
It is possible that a patient with textured implants can develop a type of lymphoma (ALCL) associated with the capsule. The risk of developing this illness is extremely low, significantly lower than developing breast cancer, and the risk also varies between different brands of implants. All patients having their capsule removed have their tissues removed and tested for this lymphoma. Dr Doyle is aware of the stress this can cause and is becoming increasingly compassionate for victims of breast implant illness.
Much of the risk for ALCL comes from the type of implants placed in the breast. The texture on the outer side of the implant contributes to the formation of biofilm, a layer of bacteria that forms on the surface of the implant. It is thought that the biofilm on textured implants predisposes to the development of ALCL.
There have not been any cases of ALCL in patients who have only had smooth breast implants. With this in mind, Dr Doyle uses Motiva implants, which have a nano-textured surface, which is seen by the body as a smooth surface. They are only provided to Plastic Surgeons.
‘The quality of Motiva implants makes a significant difference in the outcome of a breast augmentation. I really can’t risk using textured implants,’ said Dr Doyle.
The best results of this procedure will come from the complete removal of your implants so your breast tissue can reform and tighten together as it once was. This procedure isn’t recommended if you want to retain the size and appearance of your breasts, and the only post-operative options for regaining size are fat injections to fill the breast or a lift to tighten the breast skin and lift the breast tissue.
Finally, it’s important to understand that a Plastic Surgeon is not a magician and cannot make your breasts look like twins if they’ve once looked like cousins.
To see Dr Doyle demonstrate an En Bloc removal, watch the following video.
Disclaimer: Contains graphic content – not for the faint-hearted!