Good day! For your guidance, capsulectomy or the removal of the capsule will enable the surgeon to remove as much silicone as reasonable without creating significant deformity. On the other hand, en bloc will remove both the implants and capsule, but this operation may require a larger incision and longer surgery and recovery time. General anesthesia is usually necessary and subsequently all of the costs associated with this operation will be higher. Find a board-certified surgeon and discuss realistic goals and expectations. Best of luck! #RealSelf100
Thank you for the question. These terms are not changeable. Capsulectomy refers to removal of breast implant capsule (scar tissue around the breast implant). En bloc breast implant removal involves removal of the breast implant TOGETHER with the surrounding breast implant capsule in such a fashion that the "contents" of the intra capsular space are not exposed; In other words, the breast implant and surrounding capsule are removed as one "piece".Generally speaking (in my opinion), unless the breast implant capsules have thickened (and/or are otherwise symptomatic), are associated with the ruptured silicone gel breast implants, or if the patient has concerns about "medical conditions" related to the breast implants, capsulectomy is not universally necessary. On the other hand, if any of the above conditions exist, en block removal of breast implants may be indicated.On the contrary, capsulectomy can expose patients to additional risks, such as bleeding and minimal breast size loss. In other words, any maneuver performed during surgery exposes patients to additional risk (morbidity). I hope this, and the attached link, helps. Best wishes.
