What is a Breast Implant Capsulectomy and Do I Need One?
A breast implant capsulectomy is a surgical procedure that involves removing the fibrous capsule that forms around all breast implants. Normally, you are not aware of the capsule – it is a thin, pliable membrane made from your own collagen and tissues and cannot be seen or felt.
Reasons for a Capsulectomy or Partial Capsulectomy
- Capsular Contracture: The most common complication of breast implant surgery. Sometimes, capsules behave like shrink wrap, compressing the implant, making it feel firm or even hard. This can distort the implant’s shape and cause discomfort. If severe enough, surgery is needed to correct it.The risk of capsular contracture happening again is minimised if after the surgery the implant is not in contact with the old, contracted capsule. This is achieved either by creating a new pocket for the implant and leaving the old capsule in place, or by removing the capsule with a capsulectomy. Once an implant is removed from a contracted capsule, there is no tension and the capsule becomes soft and unnoticeable again. Both methods can be effective, and your doctor will advise which is best based on your specific circumstances.
- Implant Revision: During surgeries to replace or adjust implants, capsulectomy or partial capsulectomy may be performed to adjust the shape and reinforce the implant pocket.
- Breast Implant Removal (Explant): In cases where a person wants their breast implants removed it is not usually desirable or necessary to perform a capsulectomy. Removal of the implants and leaving the capsules (which are your own tissue) is simpler, safer and cheaper and typically gives a better result. Once the implants are removed, the remaining capsules are not noticeable. A capsulectomy may be needed with implant removal, but if this is recommended for you, make sure you are not being upsold and exposed to extra risk and expense unless there is a specific reason. If you are not clear that there is an important extra benefit to be gained from a capsulectomy as opposed to simple removal, get a second opinion.
- Calcification of a Capsule: In rare cases, a ruptured implant left for many years can cause the capsule to become calcified (think egg shells), requiring removal.
- BIA-ALCL: This very rare type of cancer associated with breast implants is typically cured by implant removal and capsulectomy.
Risks of Capsulectomy
Capsulectomy can be a challenging procedure, especially if the implant is under the pectoral muscle. It carries risks such as bleeding and thinning of surrounding tissues.
If a good result can be achieved without removing the capsule, it is generally preferable to avoid a capsulectomy to minimise risks. Sometimes, again especially when the implant under the muscle, a partial removal of the capsule is performed to minimise risks while still getting the benefits of capsulectomy.
Do I Need a Capsulectomy?
Capsulectomy should be avoided unless clearly necessary. If appropriate, opt for a partial capsulectomy. However, if your situation requires a full capsulectomy, be aware that avoiding it usually does not result in a good outcome.
Consult with a qualified and experienced doctor who can evaluate your condition. Discuss your symptoms, goals, and treatment options. Make sure you have a clear understanding of the treatment recommended so you can be confident you are receiving the most appropriate treatment plan tailored to your specific needs.
Questions about breast revision or breast implant removal with capsulectomy?
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