Transdermal Implant and Transdermal Implant Removal: Difference between pages

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[[File:TransdermalImplant.jpg|thumb|right|258px]]
Even more so than "normal" [[Implant Removal]], getting [[Transdermal Implants]] out is much more difficult than getting them in, and because of the common problems in healing them, implant removal is often needed (or at least tolerating a far-from ideal healing, or wearing a jewelry design that covers up the problems). The hollow-lobed design of the implant, while good at anchoring it in place, also makes it quite invasive to take out.
[[File:Small_spikes.jpg|thumb|right|260px]]
'''A transdermal (percutaneous) implant''' falls somewhere between a single-hole [[Pocketing|pocketing]] and an [[Category:Implants|implant]]. The simplest way to describe it is as a labret stud with the flat part under the skin, or "a piercing without an exit." The visual effect is that of jewelry (a bead, spike, etc.) that appears to be screwed right into the body. The invention of transdermal implants is credited primarily to [[Steve Haworth]], and his design of the transdermal jewelry base made more effective [[Dermal anchoring|dermal anchoring]] designs possible as well. The first transdermal implant was the "Metal Mohawk" that Steve implanted into Joe Aylward in [[1996]], [http://www.zentastic.com/blog/2012/07/26/the-transdermal-implants-of-samppa-von-cyborg/ [1]] and it lasted almost a decade before Joe requested to have it removed for personal reasons.


The legality will, of course, vary from place to place, but it's hard to say exactly how courts would interpret transdermals. While the end effect is not that different from a piercing, the procedure itself is radically more complex. Whatever the legal interpretation of transdermals are, it is safe to assume that related issues such as the illegal use of anesthetics could pose problems for non-medical practitioners.
{| class="wikitable" style="text-align: center;"
|-
|! Typical "good" healing in a transdermal, removed not much longer
|! Three and Four-lobed transdermal implants, freshly removed
|-
|[[File:ProblemTransdermal.jpg]]
|[[File:BackTransdermalsOut.jpg]]
|}


It should also be noted that in most cases the visual effect of transdermal implants can be mimicked with [[Dermal Anchoring]] and [[Surface Piercing]].
Removal can require anything from the simplest (basically the implant procedure in reverse with a couple extra steps — make an incision in the original location, elevate the implant, excise it from the surrounding tissue, and pull it out) to massive incisions covering the length of the implant or implant series coupled with excision. If there are problems with [[Deep Transdermal Placement]], removal can be far more problematic.


__TOC__
{| class="wikitable" style="text-align: center;"
|-
|! Typical transdermal removal procedure
|-
|[[File:BloodyTransdermalRemoval.jpg]]
|}


== Jewelry ==
Depending on how the implants were removed, basic suturing or wound closure will be required, or in a worst case scenario (barring something really serious like an [[Inward Traveling Infection]] which can also require reconstruction of underlying tissue), a long series of closure.
Successful healing requires proper jewelry that is more complex than simply using a labret stud, which will reject. Effective transdermal jewelry generally resembles a flattened pretzel, a figure eight, a clover, or even just a strip, with a short bar coming out at ninety degrees.  The holes in the base are intended to help anchor the jewelry by allowing tissue to grow through them and closing up the pocket that was created during insertion. Making this specialized jewelry requires advanced machining facilities or titanium casting access.


== Procedure ==
{| class="wikitable" style="text-align: center;"
Performing the implant procedure requires advanced tools, techniques, and an experienced hand. The procedure itself involves making an incision approximately an inch from the desired implant location, creating a pocket under the skin for the jewelry to reside in, and exposing the bar through a hole created by cutting or dermal punch.  
|-
|! "Simple" removal results, fresh
|! Problematic ([[Deep Transdermal Placement]]) removal, fresh
|-
|[[File:SimpleTransRemoval.jpg]]
|[[File:ProblemTransRemoval.jpg]]
|}


In most cases, the procedure goes like this:  
Typically the scars will be quite prominent for the first few months, and settle down over the next few years depending on the individual. Below are two examples that match the procedures I have shown above:


# The location where the transdermal passes through the skin is marked, as well as an incision point (usually an inch or two away).
{| class="wikitable" style="text-align: center;"
# The incision is opened with a scalpel and a dermal elevator (often a septum elevator) is used to create a pocket to slide in the implant.
|-
# Using a dermal punch or scalpel, and using the elevator as a backing (so underlying tissue isn't damaged), the hole that the implant will pass through is made.
|! "Simple" removal results, healed
# Through the first incision, the base of the transdermal is slid in, until its post passes through the hole. If the implant is two parts, the top half is screwed on.
|! Problematic ([[Deep Transdermal Placement]]) removal, healed
# The initial incision is closed with sutures or suture tape.
|-
|[[File:HealedRemoval-1.jpg]]
|[[File:HealedRemoval-2.jpg]]
|}


== Healing and Aftercare ==
All in all, because of the low success rate and complications, transdermal implants are one of the few procedures that BME recommends against — although we fully support people's right to get them, '''if and only if they fully understand and accept the risks.''' It should also be noted that a variety of professionals are trying to solve the problems with transdermal implants.
It is very important to note that transdermal implants can be very difficult to heal. Many tend to stay in a continual state of "not fully healed" and often have scarred and irritated skin surrounding them. Healing can take up to two years to complete. Rejection can occur even after the transdermal is fully healed if it is accidentally bumped (though this is true of any surface piercing as well). However, while success is by no means guaranteed, there are several people who have managed to keep theirs for several years, even as long as a decade or more.


== Related Risks ==
== <b>See Also</b> ==
* [[Inward Travelling Infection]]
* [[Transdermal Implant]]
* [[Deep Transdermal Placement]]
* [[Rejection]]
* [[Keloid]]
* [[Hypertrophic Scarring]]
* [[Bruising#Bruising from heavy mods|Bruising]] (temporary usually)
* [[Transdermal Implant Removal]] is becoming more common as time goes by, usually due to these risks.
* [[Implant Rejection]]
 
== See Also ==
* [[Implant FAQ]]

Latest revision as of 21:13, 25 September 2023

Even more so than "normal" Implant Removal, getting Transdermal Implants out is much more difficult than getting them in, and because of the common problems in healing them, implant removal is often needed (or at least tolerating a far-from ideal healing, or wearing a jewelry design that covers up the problems). The hollow-lobed design of the implant, while good at anchoring it in place, also makes it quite invasive to take out.

! Typical "good" healing in a transdermal, removed not much longer ! Three and Four-lobed transdermal implants, freshly removed
ProblemTransdermal.jpg BackTransdermalsOut.jpg

Removal can require anything from the simplest (basically the implant procedure in reverse with a couple extra steps — make an incision in the original location, elevate the implant, excise it from the surrounding tissue, and pull it out) to massive incisions covering the length of the implant or implant series coupled with excision. If there are problems with Deep Transdermal Placement, removal can be far more problematic.

! Typical transdermal removal procedure
BloodyTransdermalRemoval.jpg

Depending on how the implants were removed, basic suturing or wound closure will be required, or in a worst case scenario (barring something really serious like an Inward Traveling Infection which can also require reconstruction of underlying tissue), a long series of closure.

! "Simple" removal results, fresh ! Problematic (Deep Transdermal Placement) removal, fresh
SimpleTransRemoval.jpg ProblemTransRemoval.jpg

Typically the scars will be quite prominent for the first few months, and settle down over the next few years depending on the individual. Below are two examples that match the procedures I have shown above:

! "Simple" removal results, healed ! Problematic (Deep Transdermal Placement) removal, healed
HealedRemoval-1.jpg HealedRemoval-2.jpg

All in all, because of the low success rate and complications, transdermal implants are one of the few procedures that BME recommends against — although we fully support people's right to get them, if and only if they fully understand and accept the risks. It should also be noted that a variety of professionals are trying to solve the problems with transdermal implants.

See Also

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