A short surgical commentary about removing high-profile textured saline breast implants, emphasizing the difficulty of explanting due to dense adhesion and the importance of removing all capsule material to avoid complications such as Breast Implant Illness (BII), implant-based infections, and ALCL. The narrator notes implant fill volumes (~325–375 cc) and differences in tension between sides.
So today we have a set of high profile saline implants. They're textured. These implants can be a challenge to get out of patients because of how densely they adhere to everything. It's not a very thick capsule but still hard to get off of all the surfaces. And this is the implant surface that's more closely associated with alcl. So we don't ever want to leave portions of capsule with that. This is a 325 minimum fill volume. So probably it's between 325 and 375. And that's the left side that everything else looking up intact. Well, this is also 325. It's filled more. You can tell it's tenser. It was harder to get out on the right side. It's definitely filled more. Once again, these are the ones in terms of texturing. You want to make sure you get all the caps for material out so you don't have residual symptoms of BII or implant based infections or any residual things that could lead to a case of AL seal.
