 Good morning everyone. Dr. Saul here in Beverly Hills. We have a very important patient. She's from out of town. She came to visit us here and She has capsules. Let's give her a little rundown. She's in her 50s. She's healthy. She's an excellent shape. Look at that Goals for everyone this summer is to get a stomach and get a youth thing like this. This is she looks Amazing in her 50s. She just told me her secret. She plays tennis So I guess she's doing a lot of running around in the tennis court, but amazing breast augmentation done in 2006 And she has capsules. You could see her pocket her breast pocket is empty Because her implant is sitting up here where as she turns around you could see it doesn't fall Incorrectly if it falls incorrectly Interest tissue, but she has a fairly good size. So I'm not worried about that. We're gonna peel peel that off So there's no capsule. We're gonna insert implants. She's sure because they're compressed So we're gonna go through the peri area over take out the capsule as much as we can from behind on both sides Within a nice new implant for her. It looks magnificent We're gonna help her breast get ready for a hot girl summer 2022 boom, let's go going to do it. This is a pretty simple, I mean, it's a little difficult, but it's nothing Really difficult the capsule we're gonna try out take out the capsule The only thing I'm worried about is if the capsule has ruptured If the implant has ruptured inside the capsule, that's my only worry because once it's ruptured although It could be ruptured and contained in the capsule the implant the gel will be everywhere So that's my only concern in this case. Otherwise, you know, she's very thin We got to be careful because we're gonna be on the ribs and near the lungs and everything But I'm not really worried about that the exact except as I said, I just hope that she doesn't have a Contained ruptured implant if the implant is ruptured that gel is gonna be everywhere. Keep your fingers crossed Let's see what we have So we're going to use the her oldest incision. She had a peri area all her incision We're gonna go through the same scar and Get the implant out and then the capsule So here it's the interface between the muscle the capsule and the implant underneath it You could see how the capsule is formed right underneath the muscle So what it does is that the capsule separates the implant from the body So because it recognizes it as a foreign object It's separating it from the body So what I feared most is true. It's a ruptured Implants, there's the gel you can see the gel coming out. There it is. You see that? There it is. You see it's coming out. You see there it is In this way you maintain your spillage and it's just coming into here. There Look at that. We're even taking out the implant shelf Perfect. There's the implant. There it is all of it So there it is. We set up the gizmo, then we put the suction. There it is. The gel comes out. You see that? That's all gel We're trying to prevent it from spilling everywhere so far. We've done a good job There it is This one is intact. So let's say we're doing multiple rounds of Irrigation to make sure we take out all the gel if any of it leaks but you saw we had a nice Containment of it and got all of it out. So we're just cleaning it out even more It's very looks very clean. Look. There's the inside looks very clean Just some of the irrigation fluid. So look at that beautiful. No gel. No nothing. We're ready to go