Subfascial implant removal- can the capsules be left in?

Hi, this is a great question. This depends on the reason for removing the implants. If you have breast implant illness or capsular contracture, the capsule should be removed. Otherwise, I would suggest leaving the capsule in place as this is a much less painful operation with lower risk of bleeding. You are absolutely correct that there is a risk of forming a fluid collection (known as a seroma) in the pocket if it does not re-adhere to the chest wall. For this reason, I typically will score the capsule to irritate the tissue and encourage it to heal. Best of luck!Alex Neusner, MDBeverly Hills, CA