A short interview-style YouTube video (hosted by Robert Whitfield MD) discussing why surgeons should remove the periprosthetic capsule during breast implant explantation. Dr. Whitfield recounts a case of breast implant–associated lymphoma that motivated his practice of removing the capsule intact, and explains that retained capsule with biofilm can continue to cause symptoms because the body keeps reacting to it.
Why is it so important to remove the capsule? I feel like there's a whole debate going on of doctors. Some doctors say that they don't want to remove it. You are a fan of removing it? I got mine removed. But what's, what's the deal there?
I had somebody have a breast implant associated lymphoma. So had I not done the operation the way I try to do it and take everything out intact, undisturbed, like I did for you, you could easily leave cancer in your chest.
And the cancer is cancer, specifically from breast implants.
That one, not breast cancer, Correct? Yeah. This is forming on the inside of your scar capsule up against the surface of the implant.
So let me ask you this. If the person did not have the cancer and you left it in, would it be okay? Or are there other things that it's seeping out into your body with?
So if there's retained capsule, like somebody didn't remove it.
Right.
And they had biofilm, they'll still be symptomatic.
Got it.
Because the body will still be fighting what they think is a virus or whatever in the system. Yeah, it's there. That biofilm still there now it's retained just like a package. It's just sitting there.
So in my opinion, I feel like if you're going to go through the explant situation, this seems to be to remove the capsule.
