This technique involves removing the implants without altering or excising the capsule surrounding them. It is typically used when the capsule is soft and healthy and when the patient is not experiencing complications such as capsular contracture. Simple removal is often the least invasive option and allows many patients to return to normal activities quickly while still achieving a more natural contour.
A partial capsulectomy removes only the sections of the capsule that are thickened, scarred, or causing discomfort. This option is ideal for patients with early capsular contracture or mild breast shape distortion. During your consultation, I evaluate the capsule’s condition carefully to determine whether partial removal is appropriate or if a more comprehensive approach will better support your results.
A total capsulectomy involves removing the entire capsule surrounding the implant. This is often recommended when scar tissue is firm, painful, or causing visible breast changes. It is also useful for patients experiencing implant rupture or recurring complications from prior surgeries. This method can help restore a softer, more comfortable breast feel and support long-term stability.
With an en bloc capsulectomy, the implant and capsule are removed together in a single, intact unit. This approach is typically used when concerns include silicone implant rupture, severe capsular contracture, or implant leakage. While not necessary for every patient, it can be an important option for those who prefer the most complete removal possible. I will discuss whether en bloc removal is suitable for your specific situation, as safety and tissue health remain top priorities.
After implants are removed, some patients experience laxity or a deflated appearance due to stretched skin or tissue changes. Combining breast lift with removal helps restore a youthful contour, improve nipple position, and refine symmetry. During your consultation, I evaluate your skin elasticity and natural breast tissue to determine if a lift will enhance your final results. Many patients choose this combined approach to achieve the most aesthetically balanced outcome.