Will a Capsulectomy Affect the Aesthetic Outcome? (photo)

I'm 25, no kids, no weight gain/loss and have had 350cc silicone-mod plus implants under the muscle for 7 months. I'm explanting very soon, and my surgeon is performing a capsulectomy, raising my IMF, and reattaching the chest muscle. My question is whether or not the capsulectomy will affect the final aesthetic outcome? My PS said he never removes any breast tissue with the capsule, but I'm still concerned that something may go wrong. What can I expect?

Doctor Answers 5

Will a Capsulectomy Affect the Aesthetic Outcome?

Capsulectomy alone should not affect the aesthetic outcome of the procedure performed. However, you are correct in that if any tissue is inadvertently removed or injured during the time of capsulectomy, the aesthetic outcome of the breasts may be effected.

 Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Best options with explantation.

Thanks for your question.  It is neither right or wrong to remove the capsule at this point.  If you have a very thin capsule then it could be safely left in place with a drain and it should resolve with time.  If you have a thick capsule then it should be removed.  I would rely on the experience of your surgeon his/her inter-operative findings.

Shaun Parson, MD
Phoenix Plastic Surgeon
4.8 out of 5 stars 46 reviews

Will a Capsulectomy Affect the Aesthetic Outcome? (photo)

Thank you for your question.  Judging from your before photos you did not have an IMF to begin with and that is probably why you ended up with the bottomed out situation.  It is impossible to predict what your breasts will look like after the explantation.  If your plastic surgeon feels comfortable doing the capsulectomy and capsulorrhaphy at the time of the explantation, that is fine, but prepare yourself for further corrective surgery if that does not work. 

Ruben B. Abrams, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 19 reviews


The biggest issue that you will have will be how the skin and soft tissue responds to the removal of the implants. It is hard to predict.

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

Capsule Removal Has Little Affect

Thank you for your pictures. I do not believe that removing the capsule will affect your aesthetic outcome. The result of your outcomes was affected by placement of implants. The implants stretch out the skin. The healing and retraction of the skin after removal implants is unpredictable. Typically, it does in my experience work out well.

Dr. ES

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.