Breast implant removal - capsule removal BII

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello @BAquestions23, thank you for your question. It is important to completely remove the capsule, when capsule stays in the body it does not get reabsorbed and the body can show responses to the capsules in the future. Also it would be necessary to carry out a preventive biopsy on the remaining tissue of the capsule. I link to a video that will shed some more light. To obtain more information and recommendations, it is best to consult one or more board-certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” American Society of Plastic Surgery Member (ASPS) (IFATS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

"En bloc" terminology is used for surgery in patients with cancer and is not used to just remove capsules. Most surgeons will try and remove as much capsule as possible without risking damage to your posterior wall and entering the lung or heart space. Sometimes, some of the posterior capsule must remain for safety to your posterior wall.