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INFORMED CONSENT OPEN CAPSULECTOMY WITH BREAST IMPLANT REPLACEMENT USING SILICONE FULFILLED IMPLANTS INSTRUCTIONS This is an informed consent document that has been prepared to help inform you about
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To fill out an informed consent for open capsulectomy with:
02
Read the informed consent form thoroughly to understand the procedure and its risks and benefits.
03
Make sure you have all the necessary information about the procedure and ask any questions or concerns you may have.
04
Write your full name, date of birth, and other personal information as required in the form.
05
Clearly state that you understand the nature of the procedure, including the potential risks and complications.
06
Sign and date the informed consent form to indicate your agreement to proceed with the open capsulectomy.
07
Keep a copy of the signed form for your records.
08
If needed, seek legal or medical advice before signing the consent form.

Who needs informed consentopen capsulectomy with?

01
Informed consent for open capsulectomy with is required for individuals who are scheduled to undergo or considering the procedure.
02
This includes patients who have developed capsular contracture (scar tissue around breast implants) and require removal and replacement of implants.
03
It also applies to those who have experienced complications or dissatisfaction with previous breast augmentation or reconstruction surgeries and are opting for revision surgery involving open capsulectomy.
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Informed consent for open capsulectomy is typically obtained from the patient prior to the procedure.
The healthcare provider performing the open capsulectomy is responsible for obtaining and filing the informed consent form.
The informed consent form for open capsulectomy must be filled out with detailed information about the procedure, risks, benefits, and alternatives, and signed by the patient.
The purpose of informed consent for open capsulectomy is to ensure that the patient understands the procedure, risks involved, and gives their voluntary consent to undergo the surgery.
The informed consent for open capsulectomy must include details about the procedure, risks, benefits, alternatives, potential complications, and the patient's acknowledgment of understanding.
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