What is "En Bloc"
This term is widely used among patients, however many surgeons refer to the procedure as a capsulectomy. En bloc and capsulectomy having the same meaning. For suffers of breast implant illness it is very important the capsule is removed in its entirety with the implant. The capsule and implant is kept in-tact so as not to further contaminate the body. The "capsule" is referring to scar tissue surrounding the implant, this is normal. When any foreign body enters our body, the natural defense mechanisms are triggered. From day one of the implant being inserted the body begins to produce scar tissue, over time this scar tissue increases and forms a capsule surrounding the implant.
If the implant is contaminated, ruptured or causing illness it is believed by patients the capsule is contaminated by the silicone. Research is currently underway in regard to bacteria living on and around the implant. This bacteria lives in what is referred to as a bio-film. The bio-film lives independently without a blood supply.
Having an "En Bloc" procedure is sought after by patients as they want reassurance the implant, any bio-film and any possible silicone is removed entirely. Women suffering breast implant illness want to move on with their lives and rightfully so. This debilitating illness destroys lives. Some surgeons are empathetic and appreciate the patients high anxiety levels as a result of their implant journey. However others refuse to acknowledge the illness until scientific evidence proves the disease is in fact real. However we believe remaining non-bias and supporting women is imperative. Not so long ago Chronic Fatigue was not a recognized illness. Let's also mention the stomach ulcer which was believed to be from stress, until a doctor induced the bacteria and proved the stomach ulcer was curable and in fact as a result of bacteria.
We have constructed a list of the TOP Australian En Bloc surgeons;
Sydney: Dr Marucci, Prof. Anand Deva, Dr Rob Knight and Dr Amira Sanki
Canberra: Dr Ros Farhadieh and Dr Vlad Milovik
Melbourne: Mr Dean White, Prof. Ashton and Dr Jeremy Richardson
Queensland: Dr Doyle, Dr Dilip Gahankari, Dr Magnusson, Dr Widdowson, Dr Craig Layt
Carins: Dr Isolde Hertess
Brisbane: Dr Scott Ingram
Adelaide: Dr Cooter and Dr Lam
Perth: Dr Edward Van Beem, Dr Anh
Tasmania: Not enough research as yet
Northern Territory: only two Specialist Plastic Surgeons reside in NT
Please contact us if you would like more help finding a En Bloc surgeon.
*There is no financial incentive or affiliation with any of the above surgeons. This list has been created from our independent research and as a guide only. We encourage all patients to seek a second opinion whenever considering an invasive procedure. *
If after a lot of careful self evaluation and soul searching - you have decided to have explant surgery, then you will need to be prepared to make the next important step which is finding a explant surgeon. Most surgery involves serious operations that can never be guaranteed to work perfectly but the chances of them going wrong are much less if your surgeon is qualified, ethical and trustworthy. That is why searching for a surgeon becomes a much clearer and easier task if you know what to look for and where.
It is important to point out at the early stages of your search for a explant surgeon, that many kinds of doctors perform explant surgery, even though they may have no specific training in plastic surgery. Certain laws allow them to advertise a certification in another field of surgery without actually specifying which the field, because of limited consumer protection, such doctors are allowed to perform explant surgery in an office based surgery setting regardless of whether they are actually specialized in cosmetic and plastic surgery.
Advertising by such doctors can be confusing and even misleading, it is advisable that you shortlist explant surgeons that are specially trained, certified, and experienced in the procedure that you want.
Why place yourself in the hands of a doctor or surgeon that isn't actually trained and experienced in the field of explant surgery?
That is why we have a directory of fully qualified, trained and compassionate surgeons for you to choose from.
Here is a check list that can help you define your search criteria
Ideally Your Explant Surgeon should have the following credentials
I have put together the following tips for making life easier both before and after your explant surgery.
Things you will need to purchase in advance:
Organise the following in advance:
* Things for your bedside table –
Remember all of are different and there are no hard and fast rules in what you will need. The items and hints listed here are suggestions I have made over the years and other women have found them useful or wished they had known these things in advance.
Let your body do its job in healing itself, your job is to be loving and kind to yourself and keep hydrated while the healing takes place ?
LIFE AFTER SURGERY
After surgery you will be taken to a recovery area to be monitored. Your breasts will be wrapped in gauze, compression garment, bandages or a surgical bra.
Your surgeon should describe the usual after surgery (postoperative) recovery process, the possible complications that may occur, and the recovery period. Following the operation, as with any surgery, you can expect some pain, swelling, bruising and tenderness. These effects may last for a month or longer, but should disappear with time. Scarring is a natural result of surgery. Prior to surgery, ask your surgeon to describe the location, size and appearance of any expected scars. For most women, scars will fade over time into thin lines.
Your surgeon may prescribe medications for pain and/or nausea. If you experience bleeding, fever, warmth, redness of the breast, or other symptoms of infection, you should immediately report these symptoms to your surgeon. Your surgeon should tell you about wound healing and how to care for your wound.
You may need a postoperative bra, compression bandage or jogging bra for extra support as you heal. At your surgeon’s recommendation you will most likely be able to return to work within a few days, but you should avoid any strenuous activities that could raise your pulse and blood pressure for at least two weeks.
Ask your surgeon about a schedule for follow-up visits, limits on your activities, precautions you should take, and when you can return to your normal activities, including exercising.
Help at home
Depending on the complexity of your explant surgery, you may need help with household chores, dressings, transportation etc. If you have concerns in any of these areas, please talk with your surgeon or family doctor before your explant surgery.
Increase in rare cancer linked to breast implants
Increase in Australian cancer cases linked to breast implants
What to know about the FDA warning about breast implants
Associated Medical Association – Breast implants linked to cancer
Link found between textured breast implants and rare cancer
The Medical Journal of Australia – Improving the safety of breast implants – implant associated lymphoedema
Textured breast implants pose greater risk of infection than smooth breast implants
Medical Press – Research reveals which breast implants pose the greatest risk of implant-associated cancer
ABC News Contaminated breast implants linked to rare cancer, plastic surgeons warn
New Macquarie University Health Sciences Centre research links rare cancer to breast implant infection
Australian Society of Aesthetic Surgeons – Breast Augmentation 14 Point Plan
14 Point Plan – Professor Anand Deva
Safer Breast Implants