Do I Need to Remove Capsules due to Implant Capsular Contracture?

Do I need to have all the capsules removed and both pockets sewn up? What happened if my surgeon said there is no need for this to be done? He said the capsules will shrink in time and so are the pockets. Is this true?

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7 Doctor Answers | Asked by Westminster3073

Doctor Answers (7)
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Removal of Capsule after implant removal

Every patient is different but the majority of the time, you do not need to remove the capsule when explanting breast implants. Sometimes the capsule is very thick or the patient is experiencing problems.. and a different approach needs to be taken. Make sure you are confident in the surgeon you choose and make sure they are a board certified plastic surgeon to get the best results.

Removal of the capsule in patients with capsular contracture

It is usually not necessary to remove the capsule if the capsule is thin.In fact attempts at total removal of thin capsules can cause excessive trauma and bleeding If the capsule is calcified , the calcified portion should be removed.where the implant is ruptured and the capsule totally calcified the capsule and implant can be removed intact The treatment of capsular contracture usually involves capsulotomy ,ie release of the capsuleby making multiple incisions in the capsule without... more

Breast Capsules-should they be removed

If the capsules are after a ruptured implant, I either remove them or the part that may have calcium deposits or not look good. If the capsule is thin and no rupture, I usually do not remove them but do give and discuss with the patient the options.

Capsular contracture and capsule removal

Capsular contracture does not necessitate the capsule be removed. However, frequently the capsule may be scored to break up the scar tissue capsule or a partial capsulectomy (removal) is performed. If the capsule is thickened and calcified, it should be removed. New implants can be placed again, if desired at the same time as the capsule is treated.

Todd C. Case, MD

14 reviews

Tucson Plastic Surgeon

Capsule removal for implant capsular contracture

The capsule does not need to be removed in many patients. There are some special circumstances where complete/partial removal will be beneficial, such as pain from the contracture or a thin patient with a thick capsule.

Anindya Lahiri, MBBS

4 reviews

Birmingham Plastic Surgeon

Capsular contracture

I completely concur with the comments of Dr Shureih. In brief, you do not always have to remove a capsule partially or completely, or at all. You can change the implant pocket to a new location. However, if you have pain related to capsular contracture, I personally believe that capsulectomy will be helpful. If you have more questions about capsular contracture, you can refer to the following page below.

Capsular Contracture

Capsular contracture treatment depend on many factors 1: where is the implant, above or below the muscle 2: age of the implant 3: Is there implant displacement or deformity 4: the thickness of the breast tissue over the implant. There are many options 1: capsulotomy and insertion of new implant 2: Capsulectomy, Most of the time is partial capsulectomy, then insertion of new implant. 3: change of position of implant, to submuscular or NEO SUBMUSCULAR pocket. In... more