Removal vs. non removal of the capsule during a breast implant removal procedure? (Photo)

Good morning!
Unless you have a capsular contracture or concerns about BII, then there is no absolute reason you must remove the capsules. Not removing the capsules winds up being less traumatic, the surgery is shorter, and you wind up healing faster.

Thank you so much for your questions and photos. I would say that if you have no issues with the implants (capsular contracture, pain, scar tissue, etc) and you want them removed simply to remove weight from the breast, then there is no clinical indication to remove the capsule as well. Especially if the implant is beneath the muscle, removal of the capsule can increase pain, surgical risk, and may not be worth the extra surgery and time. Make sure you are seeing a plastic surgeon who is board certified by the American Board of Plastic Surgery and please make sure you are getting your medical information from reliable sources online.

Good luck!

Dallas R. Buchanan, MD, FACS
VIVIFY plastic surgery

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.

Typically if you are having issues with your implants or the capsules, such as rupture of the implant or thickening of the capsules it is recommended that the capsules are removed along with the implants. If you are not having any issues then it is an option to remove the implants alone, or to include the capsule removal as well. Your surgeon will help you in your decision after an examination.

The technique I recommend is explantation and lift 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 (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. The surgeon will determine at the time of surgery whether to leave the capsules or remove them based on infection or calcification.

Best Wishes,

Gary Horndeski, M.D.