Implant Removal Without Capsulectomy: Does It Impact Future Breast Cancer Screening?

I'm planning to remove my 2.5 year old silicone implants and considering leaving the capsules in. Will the remaining capsule impact future breast cancer screening (I.e. will it make it difficult to distinguish lumps, or have an effect on mammography)?

Doctor Answers 5

Leaving capsule in place after explantation

If you have a normal capsule then there would be no problem in leaving the capsule in place.  Eventually it will shrink down.  It will not interfere with a mammogram.  

Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Implant Removal Without Capsulectomy: Does It Impact Future Breast Cancer Screening?

Assuming the breast implant capsules are soft, non-calcified or thickened, it is unlikely that they will interfere with cancer screening, either by physical examination or mammography.

 I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Implant Removal Without Capsulectomy

I think it unlikely a capsule would interfere with breast screening if it is not calcified or nodular. If the silicone implants have leaked it may be advisable to take the caqpsules out, otherwiseit should be OK. But this is a question for your surgeon as he has details of your situation we do not.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

Capsulectomy and future screening

Removing the capsule when removing the implants can be done.  There are multiple factors determining whether it should be removed. As for mammography screening it should not have a significant impact.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast Implant Removal and Breast Cancer Screening

It is unlikely that leaving the capsule will have any negative effect on breast cancer screening. The decision of whether to remove the breast implant with a capsulectomy (removing the capsule) or a capsulotomy (leaving the capsule) or even a partial capsulectomy (somewhere in between) is made on an individual basis, and mostly depends on the nature of the capsule, the location of the implant with respect to the muscle and for silicone implants, if the implant is intact or ruptured. If the capsule itself is abnormal, it should be removed. Discuss the pros and cons with your plastic surgeon, as they have much more information about your case, and can provide you more specific guidance.

Joseph Mele, MD
Walnut Creek Plastic Surgeon
4.5 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.