I have had my implants in for 90 days and believe I have symptoms of BII. I am now explanting. Do I need to remove the capsules?

Dear ByeBoobs49117,
as long as your capsules are thin, there is no need for their removal. 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

Calcific capsules or capsules that are distorting anatomy should probably be removed during the implant removal procedure. Leaving a capsule behind is preferred if it is thin and pliable. Removing a capsule unnecessarily could result in bleeding and slight tissue loss. If your implants are silicone, your PS may suggest that both the capsule and implant be removed en bloc.

If you truly believe the implants are causing your symptoms, then you would want to remove the capsule as well. If you are postulating the microscopic amounts of silicone getting into your system are causing your symptoms, then those same microscopic bits of silicone would be in the capsule as well and the capsule should be removed.

Do not expect your symptoms to change

Good luck,
Greg Sexton, M. D.

I'm sorry to hear about the symptoms you are experiencing. After 90 days the capsules will be very thin and may not be completely formed. You can elect to have what capsule is present removed along with the implants since you are experiencing BII symptoms.

The capsules are not fully formed at just 90 days, but what is present could maybe be removed. If you have concerns about BII, then removing the capsules would be best. However, if you symptoms are not relieved after removal, you do need an evaluation to determine what is the cause.