I have smooth implants, no rupture but I have BII symptoms, is a partial capsulectomy ok or should I get a total capsulectomy?

Dear 92404,
generally speaking, if there are thick capsules around implants, then removal of implants and capsules is the best choice. 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

If you're experiencing symptoms of Breast Implant Illness (BII) and considering surgical intervention, such as a capsulectomy, it's crucial to discuss your options thoroughly with a skilled healthcare provider, preferably a board-certified plastic surgeon experienced in managing BII cases. Here are some considerations to keep in mind:
1. Partial Capsulectomy: A partial capsulectomy involves removing only a portion of the scar tissue capsule surrounding the breast implant while leaving some of the capsule intact. This procedure aims to alleviate symptoms associated with BII while preserving some of the natural tissue support around the breast. It may be appropriate in cases where the capsule is thin, the symptoms are mild, or there are concerns about preserving breast shape and symmetry.
2. Total Capsulectomy: A total capsulectomy involves removing the entire scar tissue capsule along with the breast implant. This procedure provides complete removal of any potentially problematic scar tissue and foreign material, which may be beneficial for individuals experiencing more severe symptoms or those who prefer a more comprehensive approach.
Factors to consider when deciding between partial and total capsulectomy include:
• Severity of Symptoms: The severity and persistence of your BII symptoms can influence the decision on the extent of capsulectomy. If your symptoms are severe and significantly impacting your quality of life, a total capsulectomy may be recommended to ensure complete removal of any potential triggers.
• Implant Type and Condition: Smooth implants, like the ones you mentioned, may have a lower risk of capsular contracture compared to textured implants. However, if you're experiencing symptoms despite having smooth implants, it's essential to evaluate the condition of the capsule and the potential role it may play in your symptoms.
• Cosmetic Considerations: Your aesthetic goals and concerns about breast shape and symmetry may also influence the choice between partial and total capsulectomy. Your plastic surgeon can discuss the potential impact of each option on your breast appearance and help you make an informed decision.
Ultimately, the choice between partial and total capsulectomy should be based on a comprehensive evaluation of your individual circumstances, including your symptoms, implant type, capsule condition, and personal preferences. It's essential to have a thorough discussion with your healthcare provider to understand the risks, benefits, and expected outcomes of each approach before making a decision.