The human body is remarkably adept at self-defense. When a foreign object, such as a breast implant, is introduced into the body, it responds by creating a protective lining around it — this is known as a capsule. However, in some instances, this capsule may contribute to a variety of symptoms referred to collectively as Breast Implant Illness (BII). In such cases, En bloc capsulectomy, a specialized procedure for the removal of breast implants along with their surrounding capsules becomes essential.
What is En Bloc Capsulectomy?
En bloc capsulectomy, from the French term meaning ‘as a whole,’ is a surgical procedure in which the breast implant and the surrounding fibrous capsule are removed together as a single unit. This technique is designed to prevent any potential contaminants within the capsule from being released into the body during surgery.
En Bloc Capsulectomy for Breast Implant Illness (BII)
Many patients who experience BII symptoms choose to undergo en bloc capsulectomy. BII is a term used to describe a range of systemic symptoms that some individuals develop after getting breast implants. These symptoms can include fatigue, cognitive difficulties, joint and muscle pain, and others. While the medical community continues researching the correlation, many patients have reported significant relief after removing their implants.
Other Reasons to Consider En Bloc Capsulectomy:
Breast Implant Rupture:
If the implant has ruptured, removing the implant and the surrounding capsule can prevent further spreading of the silicone or saline contents.
Capsular Contracture:
This condition occurs when the scar tissue or capsule around a breast implant tightens, causing discomfort or aesthetic concerns. En bloc capsulectomy can effectively address this issue.
Calcification and Seroma:
Over time, calcium deposits can form within the capsule, or fluid can accumulate around the implant (seroma), which can cause discomfort or deformity, warranting an en bloc capsulectomy.
BIA-ALCL Risk:
Although rare, there is a link between textured implants and Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). If you have these implants, you may consider an en bloc capsulectomy for preventive reasons.
Implant Age:
All implants have a lifespan. If your implants are older or have exceeded the manufacturer’s suggested lifespan, removal may be recommended.
Personal Preference:
You may choose to have your implants removed simply because you no longer desire them, whether due to lifestyle changes, aesthetic preferences, or peace of mind regarding potential health risks.
The En Bloc Capsulectomy Procedure
Conducted under general anesthesia, en bloc capsulectomy involves a meticulous and skillful removal of the implant along with its intact surrounding capsule. The incision is typically made along the original breast augmentation scar to minimize additional scarring. The surgeon then carefully dissects around the capsule, ensuring its complete and undamaged removal.
The procedure’s complexity and duration can vary based on several factors, including the size and location of the implant, the thickness and adherence of the capsule, and the patient’s overall health status. Following the procedure, the remaining breast tissue is repositioned, and the incisions are carefully closed.
Recovery and Aftercare
Post-operative care is vital to ensure a successful recovery after en bloc capsulectomy. Patients can generally expect some discomfort, swelling, and bruising immediately following the surgery, which is managed with prescribed pain medications. Most patients can resume light activities within a few days but are advised to avoid strenuous exercise for several weeks.
Follow-up appointments will be scheduled to monitor healing progress and to address any concerns or complications promptly. It is crucial for patients to follow all post-operative instructions provided by their surgeon to ensure optimal healing and the best possible outcome.
Aesthetic Considerations
Understanding the aesthetic outcomes following an en bloc capsulectomy is vital to set realistic expectations. The appearance of your breasts post-surgery depends on various factors, including implant size, breast tissue displacement, skin elasticity, and whether the implant is being replaced or simply removed.
While the procedure may introduce new scars and carry surgical risks, an experienced surgeon like Dr. Khan can restore the natural appearance of your breasts. It’s essential to view before-and-after photographs of similar procedures, which can be provided during consultation, to better visualize your potential results. Thorough research and open discussions with your surgeon are crucial in making an informed decision about this procedure.
Schedule Your Consultation
At Executive Plastic Surgery, we prioritize patient well-being and informed decision-making. Led by Dr. Khan, a recognized specialist in BII, we focus on helping those who suffer from BII symptoms or other complications of breast implants by providing expert breast implant removal.
Dr. Khan’s exceptional surgical skills, coupled with his comprehensive understanding of BII, make him a trusted choice for this delicate procedure. He ensures each patient receives personalized care and support throughout their journey — from the initial consultation to the post-operative care. If you’re considering implant removal, please consult Dr. Khan to explore your candidacy for en bloc capsulectomy and other options.
