Is an en bloc capsulectomy procedure easier over the muscle than under it?

Capsulectomy is indicated when there are abnormalities of the capsule secondary to a breast implant. I had a case today of a calcified capsule I removed in it's entirety. I believe it is best to remove any capsule that has abnormalities. Whether the capsule is above or below the muscle has little effect on the ability of a qualified plastic surgeon to remove it.

It will pretty much be the same to you either over or under the muscle. If you are under the muscle, your muscles have already been stretched. If you are over the muscle, the muscles won't be stretched.

Dear klmtc,
Generally speaking, it is a bit easier to remove implants and capsules when they are located over the muscles. But for a board-certified plastic surgeon, even under the muscle implants placement should be no problem. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery