Is leaving the capsule in during breast implant removal ever beneficial?

Question

I’ve read ONCE on here that leaving the capsule in can help with breast shape after implant removal however I haven’t seen that repeated. I’m curious if this is true and if there are any other benefits to leaving the capsule in (if silicone implant is NOT ruptured) such as easier recovery, etc. I also am curious if since the capsule is my own scar tissue if that means it’s a safe part of me now or if it will be a hindrance/danger later on.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question. I do not think that the capsule is beneficial from a shaping point of view, but at times it is left in place if there are concerns of skin healing issues due to thin breast skin.  As the capsule is your own body's response to the implant, it does not pose a danger to you in the future.  Hope this helps.

Camille Cash, MD · Answer

Leaving the capsule behind doesn't necessarily help with shaping.  If the capsule is thin and there are no issues with the implants it is option to have it removed or leave it behind.  If the capsule is thickened it should be removed along with the implants.  Leaving the capsule behind makes for a simpler surgery and may also make for an easier recovery.

Kenneth Hughes, MD · Answer

Leaving a capsule behind is preferred if it is thin and pliable. If there are calcific components, or silicone granulomatous material, or if the capsule is deforming the breast tissue, then removal of the capsule may be warranted.  Removing a capsule unnecessarily could result in bleeding and slight tissue loss.Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs or told us your bra size.  However, I rarely remove the capsule unless there is indication such infection or calcification.  The technique I recommend is explantation using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear easycoast,
most plastic surgeons don't remove capsules when removing implants. Only in case of thick capsules or capsular contracture, plastic surgeons remove implant together with capsules around it. 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

Is leaving the capsule in during breast implant removal ever beneficial?

Answers (5)