Capsule removal after explant, what's the recovery time & how painful is the surgery?

Removing the capsules will be more involved than just opening the scar tissue. However, nerves are not in the actual capsule, so many women do not have much pain.

Breast pain is pretty common, and this may or may not be due to the capsule.
Did you have capsular contractions when you had your implants removed? There are different ways of doing this, but it’s generally best to remove the capsule at the same time as implant removal.
I have found that removing the capsule without an implant holding the capsule tight makes it technically difficult.
my approach would probably be to put in a temporary breast, implant sizer and use that to create some tension on the capsule when attempting a complete capsulectomy years after explantation.
The amount of discomfort after surgery depends on how aggressive the surgeon is and how much dissection is needed to get the capsule out.
It depends on if the capsule is removed 360°.
Part of the capsule may be adhered to your pectoralis muscle and part of it may be on your rib cage.
Part of it depends on what position your implant was placed if it was above the pectoral muscle, or below the pectoralis muscle.
Amount of discomfort may be similar to having breast augment, but without the tight sensation.
It’s generally easier to remove a thick, scarred, contracted capsule, then a thin flimsy one.
This is why knowing if you had a cap or contraction at the time of explantation would be useful knowledge.
If your capsule was thin and did not have evidence of contraction then the capsule is probably not causing pain for you.
These are really issues you need to talk to your surgeon about.
Best,
Mats Hagstrom MD