How important is it to have the capsule removed and why.?
Am I asking for trouble later by leaving the capsule?
I had saline in 1996 and replaced with saline 2016. Does that matter in capsule thickness?
Although it is not an absolute requirement to remove the capsule, it is generally a good idea to do so if you have no plans for putting an implant back into the breast. The capsule is scar tissue and fluid may form in the pocket and take a very long time to go away. It may show up on future mammograms as well and interfere with the screening of the breast in some cases. If the capsule had been in contact with a textured type of implant, there may possibly be some risk associated with this for breast implant associated anaplastic large cell lymphoma (BIA-ALCL). I generally remove as much of the capsule as is safely possible when I take out implants and the woman has no plans for replacement in the near future.
I hope this information helps.
Orlando Cicilioni MD
Hello and thank you for your question. The capsulectomy is not an absolute requirement but most board-certified plastic surgeons will choose to do so if you are not replacing the implant. How extensive the removal of the capsule (total or partial) is dependent on your individual circumstances. If the capsule is thickened or calcified I would recommend having it removed at the next breast surgery you elect to have. Also if your implants are textured, you will want to discuss the risk of BIA-ALCL with your surgeon and what that means for you in terms of capsule removal. Best of luck!