How do you know when your capsule is gone?

I have 6 months with my capsule on right breast. I have silicone. I'm trying to get rid of it with closed capsulectomy.

Answers from doctors (7)


Robert Kearney, MD

Published on Dec 26, 2016

If it is tight you will most likely require surgery to fix that. Closed capsulotomy can work, but if it is still there after one or two times, then you need surgery.

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Answered by Robert Kearney, MD

If it is tight you will most likely require surgery to fix that. Closed capsulotomy can work, but if it is still there after one or two times, then you need surgery.

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Aug 11, 2016

Capsulectomy is to REMOVE the capsule. Capsulotomy is to open or to break it. Capsulectomy can only be done surgically. Capsulotomy is done either medically (accolade) or with pressure. If done with pressure (the doctor presses on the breast forcefully until the capsule pops), the encapsulation ALWAYS recurs.

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Answered by Larry Leverett, MD, FACS

Capsulectomy is to REMOVE the capsule. Capsulotomy is to open or to break it. Capsulectomy can only be done surgically. Capsulotomy is done either medically (accolade) or with pressure. If done with pressure (the doctor presses on the breast forcefully until the capsule pops), the encapsulation ALWAYS recurs.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 28, 2016

Everyone has capsules; it's scar tissue and you cannot get rid of it. If you have capsular contracture, you need a surgical procedure. Closed capsulotomy is forbidden and if the implant ruptures, you will need an MRI to tell. Also, you will void your warranty.

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Answered by Barry J. Kaplan, D.O.

Everyone has capsules; it's scar tissue and you cannot get rid of it. If you have capsular contracture, you need a surgical procedure. Closed capsulotomy is forbidden and if the implant ruptures, you will need an MRI to tell. Also, you will void your warranty.

Published on Jul 11, 2012


Closed capsulotomy is a procedure of historical interest only. It breaks implants, but does not get rid of the scar tissue. Go back to your surgeon and discuss it with him/her.

Answered by Steven Teitelbaum, M.D.. F.A.C.S (View Profile)

Closed capsulotomy is a procedure of historical interest only. It breaks implants, but does not get rid of the scar tissue. Go back to your surgeon and discuss it with him/her.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Jun 27, 2016

You should ask your doctor to explain. It is still early, but he should be able to tell you the best solution.

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Answered by Kenneth L. Stein M.D. FACS

You should ask your doctor to explain. It is still early, but he should be able to tell you the best solution.

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Jun 27, 2016

A capsule forms around EVERYONE'S breast implants; it is a way that your body reacts to a foreign object. In some cases, the capsules or scar tissue overgrows and leads to capsular contracture or firmness of the breasts. This occurs much less frequency now in my practice. Trying to squeeze the breasts as a means to soften them can unfortunately cause the implant(s) to break, so massaging the breast is recommended less often.

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Answered by Edward Domanskis M.D.

A capsule forms around EVERYONE'S breast implants; it is a way that your body reacts to a foreign object. In some cases, the capsules or scar tissue overgrows and leads to capsular contracture or firmness of the breasts. This occurs much less frequency now in my practice. Trying to squeeze the breasts as a means to soften them can unfortunately cause the implant(s) to break, so massaging the breast is recommended less often.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Jun 27, 2016

If the breast is hard, the capsule is NOT gone. A closed capsulotomy will rupture the capsule; a capsulectomy will remove the capsule. Whenever one does a closed capsulotomy, there is always the risk of rupture. Best of luck.

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Answered by ELLIOT B. DUBOYS, MD, FACS

If the breast is hard, the capsule is NOT gone. A closed capsulotomy will rupture the capsule; a capsulectomy will remove the capsule. Whenever one does a closed capsulotomy, there is always the risk of rupture. Best of luck.

Published on Jul 11, 2012


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