Removing a capsule is often a straight forward procedure that can cause some pain post-op, but usually not too bad. Best of luck.
Removing the capsules usually takes about two hours. If the capsules are thin, the appearance of your breasts should not change--if the capsules are thick, more tissue needs to be removed and the breasts may be slightly smaller. Most common complication is collection of fluid called seroma but this can usually be prevented. You should recover within 10-14 days. Discuss in detail with in person consultation with a board certified plastic surgeon.
Total capsulectomy usually takes from two to four hours depending on the extent of the capsule. Usually, unless the capsule is very thick, there is no difference in breast size that is significant. Removal is advised in order to avoid future complications and recovery time is about one to two weeks with 5 to 7 days of drains. Recovery of your health is most important and may include antifungals, immune and endocrine support, treatment of co infections and detoxification. Many surgeons will not remove the entire capsule as it can be difficult and they do not have enough experience.
Thank you for your questions and I am sorry to hear of your capsule issues. At times retained capsules can cause problems with fluid accumulation or leaving a palpable thickness to the breast and in these cases a capsulectomy is indicated. Based on your photograph, you should anticipate just a little less volume to each of your breasts, and though the procedure is easier when an implant is still in, it can still be done well. You will feel much better in only a few days after surgery and complications are those of any surgery - pain, bleeding, bruising, hematoma, seroma, and infection. Hope this helps.