Dr Fredric (Breast Implant Removal Surgeon) Barr performs a total capsulectomy procedure, which is the removal of the breast implant and the capsule in one piece. He has been performing breast implant explant surgery for many years. In 2019, Dr Barr announced he would no longer perform breast implant surgery. It is imperative to find a doctor and staff that believes in BII and listens to their patients for emotional support on their journey. Dr Barr gives his patients pictures of the capsules, along with the removed implants. He will send all necessary specimens to pathology post-surgery and follow his patients’ progress. His patients report significant relief from their BII symptoms.
Most symptoms of BII come from reports, including discussions on social media. Currently, BII is not an official illness, and there are no diagnostic tools. However, the U.S. Food and Drug Administration (FDA) closely monitors the potential existence of BII.
Your plastic surgeon may consider breast implant removal surgery to be the most effective treatment to address BII and symptoms and capsular contracture. Ninety-five percent of Dr. Barr’s patients report immediate BII symptom relief after undergoing breast implant removal surgery.
The causes of BII are not clear, and doctors are not sure if individuals with certain medical conditions are more likely to experience BII symptoms.
Proposed causes of BII include:
The issue of BII gained traction after it recently became clear that some implants may cause anaplastic large-cell lymphoma (ALCL), which is a cancer of the immune system that develops in the scar tissue capsule. In this setting, this type of T-cell lymphoma is called breast-implant associated anaplastic large cell lymphoma (BIA-ALCL). The rationale is that, if implants can cause cancer of the immune system, it makes sense that implants can cause immune disorders.
If the pathology results indicate BIA-ALCL, breast implant removal surgery is the recommended treatment. A plastic surgeon will typically recommend exploring complete removal of breast implants as well as the surrounding scar tissue, but each woman’s case is different, and the decision belongs to the patient. It is important to schedule a consultation with a plastic surgeon who is knowledgeable of BIA-ALCL and experienced in performing Total Capsulectomy procedures in order to explore this option. Patients are then often advised to consult with an oncologist for further treatment.
At Palm Beach Plastic & Cosmetic Surgery, we don’t recommend this approach. In the case of BII, there are too many variables to recommend an implant replacement. An adverse reaction to the removed breast implants may be a predisposition. Additionally, both saline and silicone implants have silicone shells. If your body has an inflammatory response to silicone, replacing silicone implants with saline types may not be an effective treatment.
In most cases, the appearance change that results from implants is not worth experiencing the symptoms of BII and the effect they have on an individual’s quality of life. However, the decision to undergo an implant- or breast implant removal surgery is, ultimately, yours.
To make an informed decision, schedule a consultation with a patient counselor at Palm Beach Plastic & Cosmetic Surgery. After listening to your concerns and gathering the information they need, they will schedule an appointment for you with Dr Fredric M. Barr, a board-certified and renowned Palm Beach plastic surgeon with 34 years of experience and an excellent track record.
Please understand Dr. Barr will do his very best to achieve a pleasing result – HOWEVER, due to the unknown effects of tissue damage caused by the implant and its removal, cosmetic results are unpredictable and cannot be guaranteed.
The answer depends on multiple factors, including the specific combination of procedures, your recovery rates, your age and health status, and your behaviors or habits. More invasive surgeries typically require recovery time ranging between 6 and 12 weeks to 6 months, and surgeries to the same area of your body will also generally require recovery time between procedures.
However, if you are in good health and the combination of procedures in question will be performed on different parts of your body and are not especially invasive, a combination of procedures could potentially be approved together on a case-by-case basis. It is imperative that the combination of procedures does not compromise your healing, and your attention to prescribed pre-operation and recovery habits also plays a significant role. Schedule a consultation for an assessment and guidance regarding the procedures you are considering.
While aging affects us all, there are steps we can take to put forth a more vibrant appearance. We seek to perform subtle adjustments to address imperfections and the wear of time while retaining your natural look. While you should notice an improvement, the glaring changes or distortions in appearance you are concerned about and may have seen from other surgeons’ work do not meet the standard of quality plastic and cosmetic surgery we perform in our office.
Dr. Frederic M. Barr is a board-certified Plastic & Cosmetic Surgeon with over 30 years of experience performing Plastic Surgery in South Florida. We enhance and refine your appearance according to your goals. Review our Gallery of Before & After Photos to see some examples of our work.
For patients with Breast Implant Illness (BII), which can include allergy, auto-immune, and thyroid hormone issues, this has been an emerging topic with significant press coverage in recent years. Although numerous medical professionals have demonstrated varying responses to these women’s concerns, we believe in addressing these women’s experiences and symptoms. In response to this phenomenon, we have also chosen not to perform new breast implant surgeries. We perform Total Capsulectomy on patients with breast implants, which involves the removal of both the saline or silicone implant and the capsule around it.
Removal of the implants and surrounding scar tissue has been shown to improve women’s health concerning these symptoms. While some women choose no further procedure following Breast Explant Surgery, some patients elect to have a Mastopexy procedure that involves reshaping the breast tissue for a pleasant cosmetic breast appearance. We welcome your specific questions regarding these procedures and their anticipated effects for your situation. See our Breast Implant Explantation (Total Capsulectomy) page for more detailed information, including before-and-after photo examples.