There are plenty of reasons why you might consider having your breast implants removed, whether because of complications or you simply want your natural breasts again. While a breast implant removal can be an excellent option, sometimes some extra steps are required to achieve your natural feel and look.

Why Choose En Bloc Capsulectomy?

Also called a Total Capsulectomy, the En Bloc Capsulectomy removes the implant and scar capsule in one whole procedure. There are some benefits to this, including that it can more effectively restore the breasts to their natural position, feel, and makeup. If you’ve experienced capsular contracture to a high degree, this can sometimes be preferable to trying to extract the capsule around the implant.

Whether you have experienced complications or not, some of the greatest benefits of the En Bloc Capsulectomy procedure include:

  • A return to the natural state of the breasts
  • Complete removal of implants
  • More effective capsule removal
  • More effective settling of the breast tissue and muscles
  • Reduced risk of complications after implants are removed

Each woman’s decision to have implant removal surgery is unique, so we can assess the different factors and benefits during your consultation. Then, we can create the ideal surgical procedure for you with the help of our board-certified plastic surgeons.

Am I a Candidate?

There are plenty of valid reasons that women consider En Bloc removal of their implants. This can be due to dissatisfaction, asymmetry or shifting due to complications, hardened scar tissue, or breast implant rupture. As with your initial breast surgery, you should be in good health and discuss any health concerns with your plastic surgeon during a consultation.

Your Customized En Bloc Capsulectomy Procedure

An En Bloc procedure means that the implant and its surrounding scar tissue capsule are removed at a single time. This can be beneficial since it prevents the inside implant from producing contamination and also allows the tissues of the breast to settle back into their natural position more effectively.

After removal, some techniques can be used to restore the breasts to a more natural look and position. This might include techniques like a breast lift or fat transfer to restore and reshape the breasts after the implant has been removed. Your plastic surgeon will ensure you understand your options during your consultation.

En Bloc Capsulectomy Recovery

Recovery from your En Bloc procedure will be similar to your initial breast augmentation or reconstruction. This includes wearing a supportive compression garment and taking time away from your normal activities for a week or more. You will be prescribed medications to take in order to reduce swelling and discomfort. Your plastic surgeon will make sure you have explicit instructions to follow after your procedure so you know what to expect.

Why Choose Mosharrafa Plastic Surgery?

When considering a corrective breast implant procedure, it is extremely important to choose a plastic surgeon with the appropriate experience and skill in producing excellent, natural-looking results. At Mosharrafa Plastic Surgery, our plastic surgeons have over 20 years of experience in providing great patient care and knowledge about the most effective ways to achieve healthy and flattering breasts. To learn more about your options with breast implant removal, contact our Phoenix office by calling or filling out our online form.

Frequently Asked Questions

Can breast implants be reduced in size?

Yes. Downsizing implants is a fairly common procedure. In most cases, it requires a short, outpatient surgical procedure.

Can breast implants be removed and not replaced?

Yes. Breast implants can be removed and not replaced. In some cases, a lift may be required to restore proper breast shape.

Can breast implants change shape over time?

No. The shape of the implant is stable over time provided it remains intact. However, with time, the shape of the natural breast can change leading to a change in appearance.

Can breast implants last 30 years?

Yes. We have seen implants last for over 40 years without leak.

Can you feel a ruptured breast implant?

In most cases, no. Because the silicone gel in breast implants is cohesive, leaks do not typically produce a palpable change.

Does insurance cover breast revision?

In cases of breast reconstruction, revision is typically covered by insurance. If the original breast surgery was done for cosmetic reasons, the revision may also be considered a cosmetic procedure.

Does insurance pay for breast implant revision?

In cases of breast reconstruction, revision is typically covered by insurance. If the original breast surgery was done for cosmetic reasons, the revision may also be considered a cosmetic procedure.

How do you fix capsular contracture?

There are options for treatment of capsular contracture. In some cases, non-surgical treatment with medication that reduces inflammation (leukotriene inhibitors) may be effective. Other cases may require surgery to exchange the implant, remove a portion or all of the capsule and in some cases use an internal graft to reduce the risk of recurrent contracture.

How soon after breast augmentation can I get a revision?

It can take 3 to 6 months before final results from a breast augmentation are seen. It is wise to wait at least that long before considering a revision.

Is it dangerous to have breast implants removed?

No. There is little or no danger in removing breast implants.

Is there an alternative to breast implants?

Some patients are candidates for breast enhancement with fat grafting, although outcomes may not be as good or predictable as augmentation with implants.

What are the early signs of capsular contracture?

The earliest sign of capsular contracture is firmness of the breast.

Can breast implants last a lifetime?

Yes. Implants can last for 40 years or more.

Can capsular contracture get worse?

Yes. Capsular contracture can progress over time if not treated.

Can I have my breast implants removed?

Yes. Breast implants can be removed and not replaced. In some cases, a lift may be required to restore proper breast shape.

Can capsular contracture go away by itself?

Yes. Some cases of capsular contracture will improve without treatment over time.

How long do breast lifts last?

Breast lifts will last many years, depending on the size of the breasts, patient age, and the degree of lift.

How long does it take to recover from breast revision surgery?

Most patients can return to normal activities in 4 to 6 weeks.

How much is a breast implant revision?

This depends on the nature of the revision, whether implants are required and whether it is done in one stage of multiple stages.

How often should breast implants be replaced?

This is one of the more common myths in breast surgery. As long as there are no problems with the implants (leak, contracture, malposition, desired size change, etc.) breast implants do not need to be replaced. In other words, there is no time that implants need to be replaced simply because of there age.

What is breast revision surgery?

Breast revision surgery is any procedure to correct a problem following previous breast surgery. This may involve a change to the breast implant or implant pocket, or may involve a change to the breast tissue itself, or in some cases, both.

What is the most common breast implant size?

This varies from region to region and even from surgeon to surgeon. In our practice, the most common implant size for primary breast augmentation is 350 cc. However, this is not a “one-size-fits-all” procedure. Every woman wears her implants differently and your surgeon will help you chose the device that fits you best.

Will NHS remove my breast implants?

In 2010, PIP breast implants (made from unapproved silicone gel) were removed from the UK because of their higher risk of rupture and associated symptoms. If you are one of the estimated 47,000 British women with PIP implants, and they were placed in a private clinic, many of those clinics will remove them at no charge. If the clinic is unwilling, then you may be able to have them removed free of charge by the NHS. NHS will not pay to have the implants replaced.