Who should perform my explantation?
Often women return to their implanting surgeons if they suspect they are having an implant problem. Many surgeons and other doctors, such as rheumatologists, firmly believe that there is no association between systemic disease and implant failure. I would advise that you not choose an explanting surgeon with these beliefs. Explantation is often a tedious and time consuming process with a risk of chest wall deformity and/or leakage of the silicone into the systemic system with possible consequences of an exacerbation of systemic disease. Surgeons who do not understand the science of silicone or the immune system may not take precautions against systemic leakage. Surgeons who have not performed more than 50 explantations may not have the surgical skill required in this often-difficult procedure. Choosing a surgeon with sufficient explant experience and one that is also familiar with the processes to obtain insurance coverage is important. At Plastikos we offer the advantage of understand
