I do implant removal through the same incision and under local anesthetic if the patient wishes. However, I do not remove the capsule. I often do not recommend to remove the breast capsule unless the patient wishes. It is much more painful for patients and the space does heal with time.

Published on Jul 11, 2012

Removing your implants is best done under general anesthesia, using the same incision approach that was used to insert the implants. Management of the capsule varies from one person to another. For instance, if your implants are ruptured and the silicone has become incorporated into the capsule, then a total capsulectomy is appropriate. If your breasts are deformed by capsular contracture and the capsule is very dense, then a total capsulectomy will avoid any visible deformity. If, however, the capsule is thin, then there is generally no problem in leaving a portion and, in some instances, the entire capsule behind.

Published on Jul 11, 2012

All of these options are reasonable. Different surgeons will have different approaches. The capsule does not have to be removed unless there is a ruptured device in place or the capsule is abnormal. The pocket will typically shrink down independently.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Published on Jul 11, 2012