What if You Need to Remove the Capsule Years After a Capsullorhaphy?

What if you need to remove the capsule (capsulectomy/capsulotomy) years after a capsullorhaphy that was done under the muscle? Is it possible? When you get a capsullorhaphy, what happens to your capsule, is it sutured with permanent sutures that never disappear or the capsule has dissolving sutures and the capsule "grows" to another part of your breast inside?

Doctor Answers (7)

What if You Need to Remove the Capsule Years After a Capsullorhaphy?

+1

There are varied techniques for capsulorrhaphy, and some surgeons prefer permanent, some prefer dissolving sutures. 

If a capsulectomy becomes needed for some reason, it may be a little more difficult than if no capsulorrhaphy had been done, but if it could be done without the capsulorrhaphy, then it can be done after one ahd been done. 


Seattle Plastic Surgeon
4.5 out of 5 stars 30 reviews

Not an easy answer

+1

You need to get this information from the doctor who will do your surgery. They need to know why you need it and what your problem is. All we can do is guess.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.0 out of 5 stars 9 reviews

Capsuloraphy, Capsulectomy.

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Capsulorpaphy is simply the suturing of a usually thin, pliabe layer of tissue that forms around the breast implant as the body heals itself after breast augmentation.  This is done in revisionary procedures to change the position, volume, or shape of the pocket to reposition the implant.  Capsulotomy/ectomy is the cutting or removal of this same capsule to either assist in shaping the pocket further or to avoid palpability issues if it has hardened significantly.   Visible and palpable hardening is called capsular contracture.  Either permanent or temporary sutures are used for capsuloraphy and driven by surgeon's preference.  Either procedure can be performed alone or together.  The remaining tissues heal to themselves and usually conform to the new shape of the breast capsule.  Hope this helps your understanding and satisfaction with your procedure.  Best Wishes.

George Bitar, MD
Fairfax Plastic Surgeon
4.5 out of 5 stars 25 reviews

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Removing the capsule- capsulectomy.

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Removing the capsule that forms after breast augmentation is usually only done for the development of a problem. This problem is called capsular contracture or "hardening of the implants." It typically is not removed unless there is some issue. It can be removed partially or completely. 

I believe complete capsulectomy is the best treatment and has the lowest chance of recurrence. Partial capsulectomy or capsulotomy has higher chances of the hardness returning.

Capsulorhaphy is done to lower or raise the implants. It might be done at the same time as capsulectomy if implant position is off.

Both permanent or absorbing sutures can be used. It is up to the surgeon on this decision. One is not better than the other.

Hope this helps. Good Luck!

Dr. Chris Saunders

Christopher Saunders, MD
West Chester Plastic Surgeon
5.0 out of 5 stars 21 reviews

Capsulorrhaphy

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A capsulorrhaphy is a general term used to describe manipulation of the capsule of the breast implant. It can range fro simply placing sutures into an intact capsule to changing the perimeter, size, or shape of the capsule. The capsule will re-form after a capsulectomy or capsulotomy  to produce a new capsule around the implant.

Robin T.W. Yuan, M.D.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 7 reviews

What is the reason for the capsule removal

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The main question is why you are concerned about your capsule now and what kind of implants you had before. Please send pictures and more information about your past surgeries.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 51 reviews

Capsulorraphy and Future Breast Implant Capsule Work?

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Thank you for the questions.

Keep in mind, that you may find that every plastic surgeon does things differently.  When I perform a capsulorrhaphy technique, I removed a segment of redundant capsule tissue ( creating a raw surface) and suture residual edges of capsule tissue to one another with 2 layers of permanent suture.

 It is possible to have capsulectomy or capsulotomy performed in the future once the capsulorraphy procedure has been carried out.

 I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 681 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.