Implant explant capsule removal/leave

If the capsule is thin and not contracted it's absolutely okay to leave it in place. A lot of the emphasis for "en bloc" capsulectomy come from breast implant illness pages. There isn't any conclusive scientific data to support this and it can have more risk involved and tissue removal - resulting in more volume loss and deformities. There was a recent consensus statement put out on the terminology and need for en bloc capsulectomy - it's really only indicated when there is a cancer involved - which is extremely rare.
My logic is that the capsule is scar tissue and once the is removed it shrivels up and contracts quite a bit. Never goes away completely though. If we removed your body creates more scar tissue there. So you'll never not have any scar tissue related to the implant. Capsulectomy requires drains, is more painful and has higher risk of seromas after surgery. A simple implant removal can often be done under local anesthesia with a quick and easy recovery. Discuss the pros and cons with your surgeon and make sure you're doing what's necessary, not what blogs suggest.

Dear Optimistic166510,
generally speaking, if you have capsular contracture or thick capsules, then they should be removed. Thin capsules can be left inside the breast. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for asking. En bloc or 100% total capsulectomy is recommended. The capsule is which contains all of the gel bleed or silicone toxicity. Capsules should always be removed.