En Bloc Capsulectomy
in Michigan and California

Complete capsule implant removal performed as
one intact system for maximum surgical safety.
Executive Plastic Surgery

What Is En Bloc Capsulectomy?

En bloc capsulectomy removes the breast implant and the surrounding scar tissue capsule together as one intact unit. The capsule is not breached, preventing silicone, bacteria, or inflammatory particles from entering surrounding tissue. This technique supports long term safety for patients with breast implant illness or textured implants.

The Gold Standard in Breast Implant Removal

En bloc capsulectomy is widely considered the gold standard because the implant and capsule are removed as a closed system. This technique aligns with the Khan Procedure, a standardized method developed to ensure complete capsule removal, full laboratory analysis, and high-definition surgical documentation.

Complete Removal

The implant and capsule are extracted together as one intact unit.

100/ 100/ 0 Method

100% of the capsule and implant are removed, 100% of the capsule tissue is sent to pathology and microbiology, and 0% of the capsule is left behind.

Laboratory Verification

Samples undergo CD30 pathology, a marker used to evaluate for breast implant-associated anaplastic large cell lymphoma, and aerobic, anaerobic, and fungal cultures to assess for infection.

No Drain Technique

Designed to support comfort and reduce postoperative concerns.

High Definition Documentation

Photos of the implant, capsule, and chest wall verify complete removal.

Woman in light pink sports bra holding shoulder straps, demonstrating breast support

Symptoms That May Indicate Complete Implant Removal

Woman in light pink sports bra holding shoulder straps, demonstrating breast support

Some symptoms suggest that the implant and capsule may be contributing to localized or systemic concerns.

Symptom Indicators

Benefits of En Bloc Capsulectomy

Implant and capsule removed in one piece
No risk of silicone or bacteria escaping the capsule
Clean removal of scar
tissue
Ideal for BII and textured
implants
Supports long-term breast and chest wall health
Woman holding two silicone breast implants in her hands

Am I a Candidate?

Woman holding two silicone breast implants in her hands

Complete implant removal may be appropriate when clinical findings confirm that the implant and capsule are contributing to structural or inflammatory concerns.

Your En Bloc Capsulectomy Journey

Step 1. Consultation

Evaluation of symptoms, medical history, implant type, and capsule condition to determine the safest removal strategy.

Step 2. Surgery

A precise incision along the inframammary fold allows removal of the implant and capsule as one intact unit.

Step 3. Immediate Recovery

Monitoring at the surgical facility to support early healing and comfort.

Recovery and Post-Surgery Care

Recovery involves controlled rest, incision management, and gradual return to movement while the chest wall stabilizes. Patients receive detailed instructions on activity limits, wound care, and follow-up timing to support predictable healing. Swelling decreases progressively, and the breast profile settles as tissues adapt to the absence of the implant and capsule.

Why Complete Capsule Removal Matters

When implants are placed, the body forms a capsule of scar tissue around them. Some techniques remove only the implant or break the capsule into pieces. En bloc capsulectomy removes the entire capsule and implant as one system, reducing exposure to silicone, bacteria, or inflammatory particles.
Plastic surgeon Dr. Amit V. Kacker in white coat with stethoscope, smiling in modern office setting

What Sets Our En Bloc Method Apart

Plastic surgeon Dr. Amit V. Kacker in white coat with stethoscope, smiling in modern office setting

Learn More About En Bloc Capsulectomy

Start Your Journey to
Health & Confidence

Your journey back to health and confidence starts here. Schedule a private, one-on-one consultation with Dr. Khan to discuss your symptoms, learn about The Khan Procedureâ„¢, and receive a clear, honest plan for your care.