Implant removal only - why are my consults recommending an en bloc?

The capsule forms around the breast implant as a natural barrier. This capsule/barrier holds the toxins or gel bleed from saline or silicone implants. Even though you do not have BII symptoms, the shell of the implant breaks down causing a gel bleed which the capsule absorbs. Leaving the capsule behind could cause health issues.

Dear rmabe,
it is hard to tell for sure without an examination. In case you have thick capsules around implants, then en block removal might be an option. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Dear Rmabe, thank you for your inquiry.

The decision to proceed with a capsulectomy is typically based on factors such as the severity of capsular contracture or intraoperative observations like capsule thickness or calcification. En bloc capsulectomy isn't always necessary for all patients. I recommend discussing your specific concerns and preferences with your surgeon before the procedure.