350cc, removing Mentor implants 1 month post op, is there going to be a capsule formed around the implant? (Photo)

Normally, 4 weeks following an uneventful surgery and recovery, there is a Baker grade 1 (thin and soft) capsule around each implant. Implant removal and pec muscle repair are all that are necessary. The capsule does not need to be removed.

I would expect a high percentage of skin retraction under the circumstances you have described.

Just remove the implants, don't worry about the capsule. There is never any need to remove a capsule in explantation unless it is calcified or palpable. These are thin, compliant structures. The pocket sticks down after a while.
There may be some concern about getting a seroma. This can be monitored by exam or ultrasound after explantation and treated by aspiration if it occurs. Some authors also recommend putting a foam pad and compression while monitoring for three weeks. Hasn't been a problem in my experience.
Your skin should go back to looking the same after so short a time.

I'm sorry to hear that you are feeling dissatisfied following your breast augmentation procedure. Given that your surgery was performed only a month ago, it is unlikely that a significant capsule has formed around the implants at this early stage. As such, the thin capsule can typically be left in place safely during explantation.

Should you choose to proceed with implant removal, the surgery and recovery process are generally straightforward. However, I would recommend considering repair of the pectoralis muscle during the procedure, as this may contribute to an improved aesthetic result.

I wish you the very best in making your decision and in achieving an outcome that aligns with your goals.

At 4 weeks there will likely be a very thin, immature capsule film starting to form. It is likely so thin at this point that there is no need to worry about removing every last bit of it. It would likely cause more damage than benefit to be aggressive with capsule removal at this point. Also, being only 33 years young, your skin has good elasticity and will likely bounce back pretty nicely. Of course there is a risk it got a little stretched out but unlikely to a significant degree. Good luck!

It’s completely understandable to reconsider your choice and want to reverse the augmentation at this stage.
At 4 weeks post-op, the formation of a capsule (the natural scar tissue around implants) typically has begun but is usually very thin and not fully developed. In most cases at this early stage, extensive capsule removal (“capsulectomy”) or en-bloc explantation generally isn’t necessary or beneficial. Typically, surgeons remove just the implants themselves, leaving minimal residual scarring inside.
Given your age (33), good pre-operative skin quality, and the relatively short period your implants have been in place, your skin elasticity is likely still excellent. Usually, patients in a similar scenario see their skin and breast tissues bounce back nicely, returning close to their original appearance. However, exact outcomes vary individually.
It’s important to discuss your expectations and concerns directly with your surgeon, who can provide guidance tailored specifically to your anatomy and situation.
I hope this helps clarify your concerns. Consulting closely with your surgeon will provide the best approach.
— Güray Yeşiladalı, MD

So sad to about your dissatisfaction, Kylie.
Breast implant removal is a very easy and, in the right scenarios, rewarding operation. Simple removal is performed in the office, using local anesthesia only. Occasionally the patient may ask for an oral sedative but unless she is s nervous wreck , it really isn't needed. There is no need to miss meals. You do not need a driver and it can be performed without taking days off of work or your usual activities. The existing incision suffices without adding new incisions. No drains are needed. And because it is performed without an anesthesiologist, the cost are significantly reduced compared to the cost of you previous primary augmentation.

Believe it or not, by 4 weeks post implantation, your body has in fact already started forming a capsule around the implant. In my opinion, it should be removed, because once a capsule forms your body will not absorb it.

Thanks for your question! It takes some time for that capsule or scar tissue to form. You should be fine to just remove the implant. I'm sure that you skin will bounce back as long because you didn't have a huge implant. Good luck!

Thanks Kylie25 for your question! It's normal for a thin capsule of scar tissue to form around breast implants. However, at four weeks post-augmentation, the capsule is likely still quite thin and soft. In most cases, removing the implants themselves should be sufficient. Your surgeon will be able to assess the specific situation during the procedure. Most importantly , removal of capsule is not needed in every case.
Depending on personal characteristics including age, skin elasticity, and the degree of tissue stretching during the first operation, your skin's capacity to "bounce back" following implant removal may differ. It's crucial to manage expectations even though many patients see a return to their pre-surgery appearance.
The following variables affect skin elasticity and recovery:
-Age: The elasticity of younger skin tends to be higher.
-Skin Quality: Skin that is inherently elastic could heal faster.
-Tissue Stretch Extent: Excessive stretching might affect the skin's capacity to regain its natural form.
-Post-Operative Care: You may maximize healing by according to your surgeon's wound care and recovery recommendations.
-Talking to your surgeon about your worries is crucial for the most precise and individualized information. They may provide you precise information regarding your situation, such as possible dangers, advantages, and anticipated results.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian
TRIPLE Board Certified Plastic Surgeon

Hello and thank you for your question. Everyone's body responds slightly differently but in general there is capsule/scar tissue formation that begins to happen in the first few weeks after implant surgery. More than likely this will be a very thin, soft tissue which will be benign to leave in place after explantation. Some surgeons perform some "scoring" of the capsule scar tissue after explantation to get better adhesion and healing of the two layers after removing implants. Good luck with your journey!

Capsules start to form right after the augmentation. Some do form faster than others. I have seen capsules as early as 4 weeks. My recommendation is to have the entire capsule removed in it's entirety, en bloc fashion. As for your skin to retract, younger women tend to have a better chance of this. Normally at the one year mark of explant, is where the breast tissue will settle.