A doctor hasn't placed implants in three years, calling it a pandemic. Robert Whitfield MD found that submuscular placement hides capsular contracture and scar tissue that only shows up during explant surgery.
Now we know. And in the past three years, I never put any implants for my patients. And in the future, never we use the implants and I start to make a very important education for the patient. And I think, doctor, this is a new problem. This is a new situation. Everybody say, hey, the scientific articles and the scientific publications, you can say, you can say that. I say, no, this is a new problem. I think it's a very big problem, like a pandemia, because we have many patients very happy, but with symptoms. They don't know what happened, and they lose, day by day, the wellness. And it's very important to understand for.
All the people I just found it, you know. Okay, so the reason devices got placed behind the muscle was really to avoid capture contracture. And I don't think, and you may comment on this, it doesn't really avoid capture contracture, just makes it less obvious to both the patient and the examiner. To me, because many times when I do explants, I find contractures that, you know, on exam don't feel that way because there's too much tissue between the examiner's hands and the device and its scar tissue capsule. Because it just struck me when I read the paper, I'm like, oh, okay, that makes a lot of sense. Because when I take these things out, many times it's a struggle. Not because it's hard for me to do, but because the thing is so tightly wrapped around the device. And I'm sure you probably will say the same thing. Thickness of capsules is not really so much the sine quinon in this.
