I have researched and there are 2 ethical en bloc removal specialist plastic surgeons who have stopped doing breast augmentation with implant, Dr Feng and Dr H Chun of USA. Here Dr Chun gives fda testimony and talks of 4 million ladies with implants and a 2% risk of alcl is 200,000 who may have alcl. Thus far 660 cases of alcl cancer have been reported worldwide. We may only be seeing the tip of the iceberg. If you have textured mentor, nagor, allergan etc. then I would strongly advise explant. Transpire clinic is the cheapest in the UK offering en bloc removal for £2900 vs the market price is £4-5k.