Thank you for the question.
When breast implants, or any other foreign body, is inserted into the human body, the body forms a lining around it. This lining is referred to as the “capsule”. This capsule is normally very thin and soft; however, it can become thick and hardened in a process called encapsulation or capsular contracture.
In the process of breast implant removal, assuming the breast implant capsules are soft and asymptomatic, there is no reason to remove them (capsulectomy). Removal of breast implant capsular tissue increases the risks of surgery (for example bleeding). On the other hand, if the patient with a silicone gel breast implant leak, wishes or have the surrounding breast implant capsule removed, I would not argue. In other words, I do not believe that there is any “standard of care” answer to your question.
I hope this, (dedicated to breast implant removal concerns) helps.