Updated: Sep 22, 2020
Written by Board Certified Plastic Surgeon Nima Naghshineh, MD, FACS on July 8th, 2020.
If you subscribe to the idea that the cause of BII (Breast Implant Illness) is related to abnormal inflammation and/or bacterial colonization and biofilm around the implant, the first precautionary and potentially preventative step is during the initial surgery and placement of the implants. Employing sterile “no-touch” techniques when placing the implants could reduce the risk of bacterial contamination and subsequent inflammation and BII as a result. But if you already have implants, the most effective way of reducing your risk of BII is to remove them and replace them with your own fat AND to have a complete removal of the capsule or scar tissue surrounding the implants, also known as En Bloc Total Capsulectomy.
See article on En Bloc Total Capsulectomy.
A picture of an En bloc total capsulectomy I performed on a 45-year-old woman with painful breasts and worsening joint and muscle aches. She had notable improvement after removal of her implant and capsule.