Breast implant removal at 3 months after getting implants. Do I need to have the capsule removed? My PS said no

Hello, thank you for your question. It is understandable to be concerned about whether or not the capsule should be removed during your breast implant removal surgery, especially if you have recently had your implants placed. Please watch the attached video that answers your question in detail. If your surgeon has recommended not removing the capsule and you're feeling unsure, it is a good idea to ask for more clarification on why they have made this recommendation. Ask about the risks and benefits of leaving the capsule in versus removing it and/or consider a second opinion. If you feel uncertain or uneasy, it is worth discussing your concerns in more detail with your surgeon or seeking a second opinion. Ultimately, the decision about capsule removal should be based on both medical necessity and your personal preferences.

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