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?

Question

I know the recommendation is to remove the capsules but am questioning if this is necessary and if the capsules will be formed enough after just 90 days. For my BII symptoms, I have had extreme fatigue, have brain fog and memory loss, have had anxiety and never experienced this prior to the surgery. I have decided the mental anxiety just isn’t worth whatever I have gained physically by having them.

Camille Cash, MD · Answer

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.

Kenneth Hughes, MD · Answer

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.

Gregory Sexton, MD · Answer

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.

Daniel Barrett, MD · Answer

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

Connie Hiers, MD, FACS · Answer

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.

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?

Answers (5)

Answer: Implant removal

Answer: Implant removal

Answer: Removal

Answer: Removal

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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?

Answers (5)

Answer: Implant removal

Answer: Implant removal

Answer: Removal

Answer: Removal

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.