DR FENG REMARKS REGARDING CAPSULE REMOVAL

[Guest guest]

Note from Ilena: I believe it was not until the mid 80's that PS's

began removing the capsules ... I recall reading that there

was 'consensus' before that the capsules would 'dissolve.'

Patty and several of us have discussed this variable ... and when I

found Dr. Feng's opinion on this ... it mirrored exactly what I had

come to believe.

I posted once before ... but I think our Patty was away then. Any

comments would be so appreciated.

Love to all,

Ilena

(posted on Implant board)

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DR FENG REMARKS REGARDING CAPSULE REMOVAL

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Thanks very much to Dr. Lu-Feng of Cleveland Ohio for these

remarks regarding capsule removal after saline implants)

A biological capsule will form around any implant. Any saline

implant removal will require a total capsulectomy. Like anything

else in life, there are few exceptions. Here are the few exceptions

which would have to be fulfilled before I would entertain the

possibility of not removing the saline capsule.

(1) The capsule has to be tissue paper thin and without contracture.

(2) The patient has to be without any local or systemic symptoms.

(3) The saline implant has to be smooth shelled.

(4) There has to be no previous history of gel filled implant

insertion.

All these conditions have to be fulfilled before I would consider

not taking the saline capsule out. As you can see, few patients

would fulfill these criteria. Invariably, I take out the entire

capsule around saline implants.

[Guest guest]

When we checked recently with Dr. Kolb and Dr. Melmed,

we foung there is still no standard of care that

requires the capsules be removed.

It's terribly, terribly important that a doctor commit

to removing the capsules! . . . En bloc is prefered.

Sometimes it's impossible to remove them en bloc . . .

so you will need to rely on the dependablity of your

surgeon!

We've had many women come to the group who's surgeon

told them the capsule would disolve! That they would

be disfigured, etc. etc. etc. . . NOT TRUE!

I checked with my explanting surgeon's office several

months ago. . . Twelve years after I had my implants

removed, they still do not remove capsules on a

regular basis!

Rogene