Confused about implant capsule removal

I've had my implants for 8 years and would like them removed. I have no trouble, but my aunt just found out she had breast cancer, and has gone through surgery and receiving radiation treatment. I just want them out to better monitor my health in the future. I am confused about the removal of the capsule. My doctor said he would leave them in since it's too difficult to remove them all. He said, it would not show or hardly show in X-rays and would heal (disappear)? Please explain this to me. I'm supposed to face breast implant removal surgery next week. Thank you so much in advance.

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5 answers to “Confused about implant capsule removal”

A: Implants and removal

Steven Wallach, MD

Very often, the implant capsule does not have to be removed. If it is hard and calcified, then it is best to remove it as best as possible.  If the capsule is soft, then it usually  is left and eventually remodels.

A: Many times the capsule does not need to be removed

Richard P. Rand, MD

If your implants don't have a hard capsular contracture around them and if you don't have leaking old silicone gel implants and if your implants are below the muscle, it would be fine to just remove the implants and leave the scar capsules alone.  They shouldn't delay the detection of breast cancer. 

A: No need to remove the capsule.

David Rankin, MD

The capsule that forms around your implants forms in response to a foreign body (the breast implant). Therefore, by removing the implant, the capsule will eventually go away too! It becomes very vascular with a robust blood supply and can bleed a lot during removal. Therefore, it is best not to mess with it... more

A: Capsule removed if you have pain, breast distortion, etc.

Hisham Seify, MD, PhD

The capsule around the implant needs to be removed only if it very thick and contracted to the point of creating pain,distortion of breast tissue. If you have a soft breast  ,most likely you do not need capsule removal.

A: Breast Capsule Removal with Removal of Implants

Raffy Karamanoukian, MD

The breast capsule is highly vascularized and can be left in place or removed during your surgery to remove your breast implants. Removal of the capsule is straightforward with minimal risk aside from bleeding which can be controlled intraoperatively.  Deciding on whether to remove the capsule depends on... more

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