Ruptured Implant Removal With Capsulectomy in Raleigh, NC
Concern
This 48-year-old woman had bilateral submuscular textured implants placed at the time of mastopexy 10 years ago by another plastic surgeon. She developed problems with fluid leakage from her nipples, which prompted a mammogram, which revealed evidence of a disrupted left breast implant. Ultrasound confirmed the finding. The patient wanted the implants removed and replaced.
Surgery
She underwent an en bloc capsulectomy of her right implant. The left side also had an en bloc, although during the explantation, the silicone was leaking posteriorly and the capsule was adherent to the intercostal interspace (with lung directly beneath). To avoid chest wall damage, the leaking material was contained with a Betadine-soaked surgical pad, and the entire capsule and implant material were removed without leakage into the tissues. There was no sign of infection. The patient had her smaller, smooth-walled silicone gel implants replaced. She also had the mastopexy revised. Pathological material was submitted to rule out ALCL. All of this was negative.
Result
The patient has done well 3 months postop. Textured implants have recently received attention because of a rare association with a form of lymphoma called ALCL (Anaplastic Large Cell Lymphoma). Usually, it is associated with a fluid collection around an implant (this patient had minimal fluid and no pathologic evidence of ALCL). If you have textured implants and are having problems, make sure you visit an experienced board-certified plastic surgeon.
Dr. Lyle offers Breast Revision surgery for patients seeking corrections or improvements after previous breast surgery. This includes implant exchange, correction of asymmetry, or addressing complications such as capsular contracture.
Dr. Glenn Lyle is a board-certified plastic surgeon serving the Raleigh, NC community at Lyle Plastic Surgery & Aesthetics Center since 2002. With over 30 years of experience, he specializes in breast surgery and body contouring, to enhance patients’ appearance after weight loss, pregnancy, and the effects of aging.
Lyle Plastic Surgery is committed to exceptional patient care – you can read Dr. Lyle’s 5 star patient reviews on Google, Realself and Facebook.
Dr. Lyle completed his medical degree at Wayne State University School of Medicine, followed by a general surgery residency at the University of Massachusetts and a plastic surgery residency at the University of Texas Medical Branch.
He is certified by the American Board of Plastic Surgery and is a member of both the American Society of Plastic Surgeons and The Aesthetic Society (previously American Society of Aesthetic Plastic Surgeons).
Throughout his career, Dr. Lyle has contributed to the field of plastic and cosmetic surgery through research, publications, and presentations at national meetings. His practice emphasizes patient safety and personalized care to achieve natural results.
Next Steps
To find out more about our procedure prices and costs of surgery – visit our surgical pricing page. Please note that our practice no longer takes insurance patients.
If you’re considering surgery in Raleigh NC and want personalized advice about your suitability, recovery, risks, and results, Dr. Lyle would be happy to meet with you for a consultation.
Let’s work together to help you achieve your best results – safely and beautifully. To make an inquiry or book a consultation, please fill in the contact form or call (984) 367-1110
