Complete Capsulotomy - Tissue Removal & Time Surgery Takes

How much breast tissue is removed with a capsulectomy? Remove implant and replace with new implant. If your removing the crusty capsule do you also take breast tissue with it and how much. If the implant is broken do you have to remove additional breast tissue? Would you know as a surgeon with a mammogram that you would have to remove breast tissue? How long does this type of surgery take?

Doctor Answers 4


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When you do a capsulectomy, care is taken to use your original incisions. However, sometimes additional incisions are needed.  A capsulectomy involves removal of the capsule (which is like an envelope around the implant) completeley with the implant inside.  Ideally, as a surgeon, you do not even want to get into the capsule or see the implant.  If the implant is broken, again the capsulectomy will not require additional breast tissue to be removed typically.

Breast capsule removal

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Usually the capsule is removed with a minimal amount of breast tissue in a capsulectomy.  But, every patient is a bit different.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast implant capsule

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With breast implant capsulectomy, there is minimal if any breast tissue is removed, There might be a drop of fat here and there removed, but it is miniscule.

Doing a capsulectomy with enblock removal of possible implant rupture, then the incision has to be made slightly longer.

Samir Shureih, MD
Baltimore Plastic Surgeon

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Capsulectomy only removes Capsule

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Only the capsule is removed in a capsulectomy with little or no breast tissue. Typically the surgery takes 2-4 hours in most cases. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.