Questions to Ask your surgeon before you Explant

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  1. How many breast Explant procedures and capsulectomies do you do each year?
  2. Can my implants be removed “en bloc”? Simply meaning still contained in the capsule.  Preferred method for RUPTURED, PIP or Dow Corning , or where illness is involved  (En bloc is to prevent silicone spillage into surrounding tissue)
  3. What is the most common complication you encounter with Explant surgery?
  4. What is your re-operation rate?
  5. What is the most common type of re-operation you perform?
  6. How long will I be in pain after the surgery?
  7. What is my expected recovery time?
  8. Will I need help at home for normal activities (e.g. bathing, housework, shopping) after the surgery and if so for about how long?
  9. How long do you expect my operation to take?
  10. Ask the plastic surgeon about the type of procedure will be performed if they discover your implants are ruptured? Will this delay your time in Surgery?
  11. What (if any) secondary procedures associated with my Explant/breast reconstruction will be required?
  12. How likely is it that I will get an infection after the surgery?
  13. How much risk is there from the anaesthesia?
  14. Where will my scar be?
  15. Will the Explant affect my ability to breastfeed a baby?
  16. What results are reasonable for me to expect?
  17. Do you have before and after photos I can look at for the procedure, and are they your patients, do you have progress pictures of these patients?
  18. Will I need drains? And if so how long will they be in?
  19. Does the plastic surgeon use antibiotics (intravenously and orally) to minimize the possibility of infection? If so, what type? When? And for how long does the surgeon believe you will need to take them after your surgery?
  20. What type of pain medication does the surgeon recommend for you after surgery (intravenously and orally)? (For example, does the surgeon prescribe a “pain pump” if you are staying overnight in the hospital?) Ask about the pros and cons of different pain medicine so that you can make an informed choice.
  21. Will the surgeon send your implants and scar capsules and associated tissues away to be tested
  22. When can I begin massaging my breasts?
  23. When can I resume exercising?
  24. What are my options if I’m dissatisfied with the outcome of my explant surgery?

Be sure that you are informed of all possible risks and complications involved with the breast Explantation/Capsulectomy. So make sure you ask the plastic surgeon to outline everything for you, this includes all possible risks and all the possible complications that may occur.