Is capsulectomy necessary with no signs of capsular contracture?

Question

I want to have my boobs redone after having two kids to fix asymmetry. I have no signs of capsular contracture but I do have bio cell recalled implants (no symptoms of ALCL or BII). My surgeon recommended a capsulectomy with lift and reimplant. Everything I see online talks about capsulectomys in relation to bii, alcl and casuals contracture. I’m going purely for cosmetics, & although my implants are recalled, Im asymptomatic. Necessary or no?? Can I refuse a capsulectomy or is it his choic

Daniel Barrett, MD · Answer

Dear madisonkgraves,
as long as you don't have capsular contracture or thick capsules, there is no need for their removal. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

A lift is certainly easier without capsulectomy.  Unsure in your case. I recommend getting other opinions. You may be able to avoid the capsulectomy

Gary M. Horndeski, MD · Answer

You have the right to refuse a capsulectomy.  A capsulectomy combined with a lift can cause more ischemia problems with possible nipple necrosis.  You need to discuss this with your surgeon to reach a satisfactory conclusion.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

First your own implants have not been recalled, but those unsold on the shelves were. Second, if you are having no issues with the capsules, they can remain. With Biocell implants, some capsule may still be removed with the implants since it sticks to the implants. I would suggest referring to your surgeon's best judgement.

Sharon Y. Giese, MD · Answer

No capsulectomy is necessary if your implant is not encapsulated. If you are unsure if you are encapsulated then you can ask your doctor for a script for an MRI which will or will not determine a capsule.

Is capsulectomy necessary with no signs of capsular contracture?

Answers (6)

Answer: Surgery

Answer: Surgery

Answer: Capsulectomy

Answer: Capsulectomy

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Is capsulectomy necessary with no signs of capsular contracture?

Answers (6)

Answer: Surgery

Answer: Surgery

Answer: Capsulectomy

Answer: Capsulectomy

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.