Remaining Scar Tissue After Capsulectomy?

The goal is to take as much of the capsule out if it is scarred in. Sometimes the entiere capsule can not and often this softens and disappears.

Scar tissue tends to dissipate over time through a process called scar maturation. It will generally be thin and soften as long as most of the foreign body is removed. 

There are two surgeries available, a partial or complete capsulectomy; to remove capsule and scar after augmentation.  It is usually not necessary to remove the entire contents of the capsule, as the anterior portion predominately contributes to asymmetry and distortion.

When it comes to capsulectomy (removal of breast capsules), there is no universal agreement. In general, if a surgeon is able to remove the entire breast capsule, then it should be done. This is usually done more easily for implants that are placed in the subglandular position. For implants placed in the submuscular position, removal of the the capsule underneath the implant can be tricky. For some patients with this situation, it is safer to leave the posterior capsule in place. This... more

Once the implant is removed, the capsule is staring the surgeon in the face. it may be tough going, but all capsule should be removed if the will is there.

After a capsulectomy, you'll had a small amount of scar tissue at the junction of the breast tissue. If you receive another implant in this pocket, your body will re-create another capsule. If you receive an implant in a different location in your breast, your body will create capsule at the new breast implant location and the old implant location will collapse and eventually scar together.  

It really depends on the situation at hand whether the scar tissue around the implant is removed completely. In general, where there is suspicion of ruptured silicone and/or a thickened scar then it usually is all removed competely. If the scar tissue is thin and the implant is a saline implant, then most commonly it is left alone to adhere to each other and heal over time. Hope that helps.

If your plastic surgeon tells you that he/she removed all of the capsule or scar around the implant, there should be none of it remaining. Whether ot not it needs to be removed is case by case dependant. Capsules around older silicone implants (greater than 20 years old) most often should be removed due to the higher chance of silicone free inside the capsule. If in the operation it is felt that the back of the capsule is very adherant to the chest wall, it is sometimes left. Capsule... more