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| 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.
| | If a modification artist is said to be '''underground''', it generally means that they are working without recognition from their "governing community." |
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| {| class="wikitable" style="text-align: center;"
| | An ''underground [[Cutter|cutter]]'' is a surgical practitioner working without the approval of the medical community. A slight variation on that would be the ''underground doctor'' who is recognized by the medical community, but also does work "underground"—typically this includes doctors willing to quietly perform [[Subincision|subincisions]], [[Castration|castrations]], [[Amputation|amputations]], and so on, with relatively few questions asked. Often, these procedures take place outside of their mainstream studio (ie. in a hotel room, or a [[Medical fetish|medical fetish]] club), or often in a studio in a country like Mexico with less restrictions on doctors' actions. |
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| |! Typical "good" healing in a transdermal, removed not much longer
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| |! Three and Four-lobed transdermal implants, freshly removed | |
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| |[[File:ProblemTransdermal.jpg]]
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| |[[File:BackTransdermalsOut.jpg]]
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| 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.
| | In terms of [[Piercing|piercing]] or [[Tattoo|tattooing]], calling someone an underground artist usually means that they're not sanctioned as qualified by any studio and are working out of their home (or out of a bag). |
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| |! Typical transdermal removal procedure
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| |[[File:BloodyTransdermalRemoval.jpg]]
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| 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.
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| {| class="wikitable" style="text-align: center;"
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| |! "Simple" removal results, fresh
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| |! Problematic ([[Deep Transdermal Placement]]) removal, fresh
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| |[[File:SimpleTransRemoval.jpg]]
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| |[[File:ProblemTransRemoval.jpg]]
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| |}
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| 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:
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| |! "Simple" removal results, healed
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| |! Problematic ([[Deep Transdermal Placement]]) removal, healed
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| |[[File:HealedRemoval-1.jpg]]
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| |[[File:HealedRemoval-2.jpg]]
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| |}
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| 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.
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| == <b>See Also</b> ==
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| * [[Transdermal Implant]]
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If a modification artist is said to be underground, it generally means that they are working without recognition from their "governing community."
An underground cutter is a surgical practitioner working without the approval of the medical community. A slight variation on that would be the underground doctor who is recognized by the medical community, but also does work "underground"—typically this includes doctors willing to quietly perform subincisions, castrations, amputations, and so on, with relatively few questions asked. Often, these procedures take place outside of their mainstream studio (ie. in a hotel room, or a medical fetish club), or often in a studio in a country like Mexico with less restrictions on doctors' actions.
In terms of piercing or tattooing, calling someone an underground artist usually means that they're not sanctioned as qualified by any studio and are working out of their home (or out of a bag).