I had a silicone explanation done but the capsules were left. Is all of the silicone out of my body?

Assuming that the breast implants had not ruptured, it is likely that the vast majority of silicone material has been removed.  In my practice, unless breast implant capsules are thickened or symptomatic, they are not necessarily removed.   Removal of capsule tissue unnecessarily exposes patients to unnecessary risk. Best wishes for an outcome that you will be pleased with long-term.

Your surgeon would inspect your implants after removal. If the implant shell was intact there would be no leftover silicone present from the implants. The capsules are scar tissue created by your body around the implant. They are not silicone.

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