A short YouTube Q&A in which Robert Whitfield MD explains that when removing breast implants for suspected implant-related symptoms, he removes both the implant and the surrounding capsule intact (likening the goal to removing an undisturbed Easter egg), because biofilm is located on the inner capsular surface adjacent to the implant.
If you suspect that somebody's symptoms are due to their implants and you've ruled out everything else, and you've determined with the patient that an explant is the. Is the right course of action to take, are you removing just the implant or the implant as well as the capsule?
Yeah. So we take everything out, and we're trying to do it intact. So I tell everybody I'm trying to take everything out like an undisturbed Easter egg. Because the capsule, the patient's scar that they create around the implant, is what I've biopsied thousands of time, and that's where the biofilm lies. So it's inside that capsular surface up against the implant.
