Scar tissue naturally develops around each breast implant about two months after breast augmentation surgery is performed. When the scar tissue becomes infected or inflamed, a capsulectomy, which is the complete removal of the “capsule” of scar tissue, may be needed before new implants are placed. Also referred to as explant surgery, partial or total capsulectomy is often used during breast implant removal surgery. The final result is relief from pain or discomfort as well as improvement in the breast appearance.

Reasons for Capsulectomy

  • Capsular contracture
  • Infection
  • New implants placed in a new position
  • Smaller implants replaced with larger implants
  • Calcified capsules
  • Ruptured implants
  • Tumor development next to the capsule

Capsulectomy Surgery

The decision for a complete capsulectomy will depend on your particular case and your physical anatomy. Sometimes the capsule can be left in the body. When the capsule itself is infected, or can otherwise cause potential harm to the body, it must be removed. If the patient has health issues as a result of breast implants, healing is more difficult or will take longer if the capsule is not completely removed. The initial recovery period is about two weeks, and patients can usually schedule implant replacement surgery once they heal.

Capsulectomy Risks

There is a slight risk of infection, fluid collection, and problems with cancer detection as a result of breast implant capsule removal. In patients who are very thin, removing the capsule after removing the implant may leave minimal tissue behind, which can create sagging skin. In rare cases, removing the capsule may also inhibit the blood supply to the remaining skin.

If you are interested in breast revision surgery with Dr. Allen M. Doezie, please schedule a consultation by calling 949.481.9850 or by filling out our online contact form.