I am planning on removal of my implants. Should the capsule be removed?

Hello @Diligent99194, thank you for your question. . I believe that every time an explant is performed, the capsule must be removed. Complete capsulectomy. Whether it is en bloc does not matter as long as the whole capsule is removed and the tissue is sent for pathology after taking the capsule out. This will prevent future inflammatory responses from the body and hinder your recovery. To shed more light, I share a video. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

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

Leaving a non-pathologic capsule in place should not hinder your recovery. En bloc or other types of capsulectomy are not necessarily a normal part of an implant removal procedure as they can cause bleeding, pneumothorax, and other significant complications compared to a routine explant procedure. However, if leaving the capsule will cause you stress over the symptoms of breast implant illness, then this is something that I would speak with your surgeon about and ensure that this is something they are comfortable with. The procedure with capsulectomy may have additional cost associated with it since it is more work and more anesthesia time. Furthermore, I would make sure that you are utilizing a board certified plastic surgeon and an accredited operating room due to the increased risks.