Should the capsule be removed during breast implant removal?

I have only had my implants for 2 years. Silicone, places under muscle. I have had no trouble but would like them out. I am wondering if the capsule should be removed? I don't quite understand this process. En bloc? Thank you for your help.

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7 answers to “Should the capsule be removed during...”

A: En Bloc means in one piece

John P. Di Saia, MD

Hello, I usually have the capsule removed in part (at least) depending upon how firm and thick it is. They tend to be thicker with old silicone gel implants, but of course this varies. With really old implants, I remove most if not all of it. In this case, "En Bloc" means to remove an implant... more

A: Removing the capsule during removal of breast implants

Steven H. Williams, MD

Thanks for your question - Capsule formation is a normal part of healing after any implantation of foreign material (like a breast implant).  Capsules can be thick or even painful when the scarring is excessive.  In our San Francisco office we use techniques to minimize capsule formation.  When... more

A: Implant and capsule removal

Richard P. Rand, MD

 With non-encapsulated under the muscle implants that have only been in for 2 years you do not need to remove the capsules with the implants.  Just be absolutely you want the implants out and understand the consequences of their removal.

A: Capsulectomy with breast implant removal

Sam Jejurikar, MD

I'm sure you have reasons for removing the breast implants, despite your declaration that they are causing you no problems.  Make sure you know, though, that your breasts will not return to their pre-operated look.  Intact implants for 2 years will have undoubtedly stretched the skin envelope,... more

A: En Bloc breast implant removal

Robert Vitolo, MD

The 'en bloc' removal is usually needed for silicone breast implants that have been in the body for many years. If your implants were placed prior to 1992 then it may be necessary for a capsulectomy. Since you appear to have the latest generation of Silicone gels implanted only two years ago, it may not be... more

A: Should the capsule be removed during breast implant removal?

Peter A. Aldea, MD

"I have had no trouble but would like them out." - Breast implants were not meant to be replaced frequently. Each surgical procedure changes and irreversibly scars the breast. I you are absolutely intent on having your implants removed, you need to understand that the resulting breasts will likely... more

A: Capsule Removal

Farbod Esmailian, MD

It really depends.  If there is any chance of the implant being ruptured then I like to do an en bloc remove of the implant with the capsule without entering the capsule so to not spill or have any of the silicone touch the breast tissue. But this is probably not absolutely necessary.  You could have... more

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