Can total capsulectomy be performed through the areolas only?

To prevent another scar, the same incision could likely be used again to remove the implants if a capsulectomy is not required and the implants have not ruptured. Pros of periareolar incision for removing bilobed mammary gland: scar can be camouflaged; easier to control bleeding during surgery; periareolar incision point can be reused in future surgeries on the breast. Cons of periareolar incision for removing mammary gland: scar may not heal well; surgeon must be careful not to sever milk ducts and nerves; causes a greater risk of capsular contraction.

Yes, your implants and the capsules can be removed from your current scars and avoid new scars. I would suggest discussing this with your surgeon.