Most plastic surgeons do not remove the entire capsule as it is very difficult. Both Dr. Ghazi and Dr. Feng are very experienced plastic surgeons in explantation so they realize that partial capsulectomy is not a good idea. Peer reviewed literature in plastic surgery confirms that total capsulectomy is needed in order to avoid future complications from seroma, infection and difficulty with cancer detection. If one is ill from breast implants, then antifungals, immune and endocrine support as well as detoxification and treatment of coinfections including intracellular bacteria, yeast, mold, and viruses is important in order for the patient to regain their health. For example, in ALCL, the factors that lead to lymphoma are chemical and mold biotoxins, so leaving even a portion of the capsule with a textured implant, would not be a good idea.