[Warning: there is a bit of blood]
So I’ve had an xNT installed between my thumb and forefinger (the usual place) since 2015, but I wanted to open up that space for the expanded capabilities of a NExT. It was time for an upgrade.
I went to my usual guy. We decided the first step should be to remove the xNT and then install the NExT. The xNT was removed through an incision closer to the wrist-side of my hand, then the NExT was installed via the normal implantation method (syringe) from the distal side of my hand.
My xNT had somehow migrated towards the second metacarpal of my hand, and was pretty close to bone. First step was to make an incision through the skin. Once he had located the tag, he made several small incisions to break through the encapsulation my body had produced around the implant. That part was a bit of a struggle, and gripping the implant with tweezers is no small feat because the glass is a bit slippery. The advice on the X-Series Tag Removal page about applying pressure to the end of the tag to prop it up really helps with the incision and removal. Once everything was clear it just popped right out.
As for after care. I’m not a medical professional, but here is what I did. This is a picture from ~24hrs after removal.
Looking pretty good. The removal incision is pretty wide/deep, but we both decided it did not warrant a stitch. Your mileage may vary. I used butterfly closures for ~72hrs (changing every ~6).
I also purchased some Tegaderm, which I cannot recommend highly enough.
Every time I changed a bandage, I rinsed the area with cold water and patted dry with a sterile gauze pad. If you don’t properly dry the area before re-bandaging you can cause maceration, which can delay wound closure. Some people recommend triple-antibac ointment for the first day or two, especially if you’re having a hard time keeping the area clean because of a job or something. Just be wary, too much triple-antibac can also cause maceration. Don’t skimp on your after care supplies. If you’re having trouble removing a bandage because it’s stuck to the wound, wetting the area can help.