There are patients who previously had implants removed and later decided they wanted implants put back in. There are a variety of circumstances in which this can occur. Some patients may have thought they simply did not want implants any longer and had them removed, even though they had not a specific complaint. Some patients had a large weight gain, had their implants removed because their breasts became too large, and later lost weight and decided they wanted implants back. After recurrent capsular contracture, some patients will have removed their implants and at some point later on decide that they want to try again to see if implants will work for them. There are also patients who needed to have their implants removed because of infection who later decide to put implants back in.
When implants were removed in which there was no specific problem, the surgery is generally straightforward. But when there was infection, there is probably an increased chance of the implant getting hard after a reimplantation, because there is a relationship between infection and hardening around the implant. Patients who had their breast implants removed after severe and recurrent capsular contracture may still be at increased risk for recurrence of capsular contracture. It is impossible to give the percentages of likelihood these problems will occur, because the circumstances are too individualized to draw general conclusions.
Dr. Teitelbaum has consulted with many patients suffering in these situations. When patients see Dr. Teitelbaum for reimplantation, they should come with a clear picture of the reasons that the implants were removed and with a vision for how they would like to look.
Dr. Teitelbaum was a member of the national plastic surgery task force that developed the Covid-19 protocols for plastic surgery offices. He is therefore well-versed in all of the recommendations and his office meets or exceeds all of them. By now you are familiar with all the obvious measures such as reminding patients and staff not to come to the office if they have any symptoms, taking temperatures, maintaining social distancing, having everyone wear masks, placing hand sanitizers everywhere, reducing the number of patients in the office at one time, testing all surgical patients, etc. One unique feature is that Dr. Teitelbaum’s operating room has "laminar flow" – a very advanced system that directs the flow of air from a large diffuser on the ceiling to exhausts near the floor, ensuring that the fresh air flows in one direction. This not only reduces the chance of COVID infections for the patients and staff, but it also reduces the risk of surgical infections.
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