What is the Capsule That Many Doctors Refer to with Regards to Breast Implants?

Question

I am exploring breast implant explantation, and in many Q&As, the Doctors refer to the 'capsule' created by the implant. What is this made of? What are they refering to? And what are the risks associated with keeping it in the body versus removing it? I am also keen to understand the risks associated with local versus general anesthetic for the explantation. I had silicon implants put in 16 years ago when I was 21 years old. I had a 32A cup prior to the operation and a 32C after. Thanks!

Raffy Karamanoukian, MD, FACS · Answer

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jeffrey Zwiren, MD · Answer

The capsule is basically an inflammatory reaction to the implant itself. It is the body trying to wall off the material. If the capsule is removed it increases the risk of bleeding. If a silicone gel implant has ruptured then removal of the capsule would be recommended otherwise I would leave it alone unless it was calcified. If there is distortion of the breast after implant removal may also be a reason to remove the capsule. The capsule probably never fully gets resorbed and refinements will be there for a long time. This would not cause a health risk.

Mennen T. Gallas, MD · Answer

The capsule that is being described is scar tissue that forms around the implant. This is a normal occurrence in the body and happens with all breast implants. If you choose to have your implants removed you do not necessarily have to remove the scar capsules as well. Your body will break down and absorb the scar capsule over time.

James Apesos, MD · Answer

simply put, the capsule is scar tissue.  it is a colection of collagen (scar tissue) which surrounds the implant.  the scars may be soft or thick but it is neverheless scar tissue.

Steven Wallach, MD · Answer

The body forms a natural barrier of collagen around the implant.  Usually this stays soft and thin but in some patients that capsule becomes thick and tight.

What is the Capsule That Many Doctors Refer to with Regards to Breast Implants?

Answers (8)