Is the capsular contracture of an implant stuck to or part of the surrounding breast tissue?

If you have CC, the process is progressive and it will worsen with time.  CC is not dangerous, but you will likely develop more distortion and pain.  Capsulectomy is the treatment that is necessary to correct the problem. CC has to be removed carefully to prevent complications when stuck to surrounding tissue.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Dear Toyonpeak,
you have your implants for a long time and they and their surrounding capsule are probably attached to surrounding tissues so they won't just pop-out. Your surgeon will have to carefully remove the thickened capsules and implants together. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for your question! There's no way to assess until surgery how adherent your implants have become. Textured implants to tend to 'grow' into the surrounding capsule which can make them harder to remove. If your capsule is not adhered to your chest wall, an en bloc removal usually makes textured removal easier. However, capsular contracture indicates that the capsule has a problem which lowers the likelihood of a purely simply explant. Some capsules will grow into the surrounding tissue while others remain mostly free - totally person dependent and different.Best of luck! 

I am sorry to hear about the complication you have experienced. Given that your breast implants are in the sub glandular position, capsulectomy will likely involve dissecting the capsule away from the breast tissue (anteriorly) and the pectoralis major fascia posteriorly.  Careful dissection should allow for this procedure to be performed without significant risk of injury to surrounding tissues and/or resulting deformity. Best wishes.

When capsular contracture is evident it is recommended that you have both the implant and the capsules removed.  The capsule may be adhered to surrounding tissue.  Your surgeon will be able to advise your further after an examination.

 Thank you for your question. Your textured implants have been in 27 years and they should be removed. The question is what to do with the capsule that is around them.    The current recommendation is to simply remove the breast implants . However, many women are electing to have the capsule removed as well. This is due to recent data that suggests textured implants have a one in 3000 risk of causing a rare type of cancer called BIA AL CL.  In this setting, the capsule is removed en bloc  around the implant. In other words, the implant and the surrounding capsule is removed in one piece.  The capsule is densely adherent to the surrounding breast tissue and requires a very careful dissection. It would be great if it just “popped out” but unfortunately it doesn’t.  Once this is performed, options include placing a smooth round implant in the pocket, or simply removing the breast implants and placing fat in the subcutaneous tissue to increase volume. I have attached some references. Hope this helps. Best regards