During explant, is scoring, rubbing or partial capsule removal required if capsule is thin?

Question

removing saline implants without replacement within 6 months of getting them , plan to leave capsule in (feel soft and not stiff). Am thin and couldn't fill an A cup prior to augmentation. Would it be a good idea to rub, score or do a partial removal of the capsule or is it best to leave it as is?

Jeff Angobaldo, MD · Answer

Thank you for your question.  If the capsule is thin then the capsule can be scored, partially removed  or left alone.  Drains and/or sutures can be used to close the pocket.  Consult with a board certified plastic surgeon. Best Wishes

Camille Cash, MD · Answer

Since you are not experiencing any complications with your implants or the capsules, it is fine to leave the capsules alone when the implants are removed.  Drains may be placed during the procedure to collect any fluid that may be in the pocket, but they are usually removed within a week.

Steven H. Wiener, MD · Answer

After removal of an implant, or ex-plantation, it is necessary to remove, or score the capsule if it is thin and pliable.  In some cases, complete capsular excision is required.  Factors that may contribute to the need for more extensive capsular excision include the thickness or hardness of the capsule, the length of time the implant has been in.  At the time of surgery the extent of casulectomy is often determined.

Payman Danielpour, MD, FACS · Answer

Thank you for your question. There is no reason to do anything with the capsule as long as it's not thick. However the pocket needs to be closed or collapsed using a drain so there isn't fluid build up in the empty space after removal of implants.

Tom J. Pousti, MD · Answer

I think that you are correct in that removal of breast implant capsules is not necessary in your case.  Exactly what maneuvers are done during surgery will vary from one practice to another; your chosen plastic surgery will likely have his/her own thoughts for you.

In my practice, for patients in your situation, I generally remove a small segment of capsule with the hopes that this will allow for better fluid absorption and decrease chances of fluid buildup. I also use drains.

Best wishes for an outcome that you will be very pleased with.

During explant, is scoring, rubbing or partial capsule removal required if capsule is thin?

Answers (7)