What do thin capsules contain after implant removal?

Question

Do capsules contain traces of breast implant material after implant removed? Do traces of textured implant remain in capsules which can lead to ALCL in future? Are thin capsules absorbed by the body? How long take for capsules to go hard to have total capsule removal? Jan 2023 had BA surgery mentor textured. Numerous BII symptoms getting worse daily. GP already done tests for other causes. Three surgeons told capsules to thin to remove. Want implants gone but need to make best decision.

Alan Gonzalez, MD, FACS · Answer

Hello @BAquestions23, thank you for your question. The "capsule" refers to the scar tissue that forms around the breast implant as a natural part of the healing process. The thickness of the capsule varies from person to person and can also change over time. Unless the breast implant has ruptured, the capsule should not contain the material of the breast implant itself, except that it may contain scar tissue and some inflammatory cells. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP) .

Shaher W. Khan, MD · Answer

Hello, thank you for your question! It sounds like you’re facing a complex situation with your breast implants and symptoms of BII. Let’s break down your questions regarding capsules, their contents, and what to consider for your health in the video I have attached. Your health and well-being are paramount. While there may be concerns about the capsule and its contents, the best course of action is to consult with specialists who understand BII and the nuances of explantation. Ensuring you have a thorough discussion with your healthcare provider about the potential risks and benefits of surgery, along with your symptoms, will help you make an informed decision moving forward.

Connie Hiers, MD, FACS · Answer

Even with complete removal of the capsule, the ALCL risk is not completely eliminated. With thin capsules, the posterior aspect may be difficult to remove without damaging the chest wall. If the chest wall is damage, it could lead to a pneumothorax and emergency trip to the hospital for a chest tube and possible ICU stay.  The capsule is scar tissue that responds to a foreign material inside the body.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you are having since your breast augmentation.  The capsule that surrounds the implant is scar tissue that is formed by the body to provide a barrier between the implant and the rest of the body.  This is a natural process.  Unless the capsules are thickened or otherwise causing problems it is an option to remove them or leave them behind.  Unless your implants have ruptured there should be no implant material embedded in the capsules.

What do thin capsules contain after implant removal?

Answers (4)

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