American Society of Plastic Surgeons
For Medical Professionals
one year ago

So much anxiety after breast implant removal, capsules left inside

Hey, im having anxiety and I will really appriciate your professional help.

Ive had mentor siltex placed under the muscle, I had them removed after 6 months due to capsular contracture that also had a bit of fluid. My surgeon said I had 1&2 degree capsules and he DIDNT REMOVE THEM AT ALL. So Im left with the capsules inside my body now. Can you please tell me what are the risks & bia alcl wise too

Procedure: Breast Implant Removal
Location: Haifa, HD - Israel

Replies 3

Debra Johnson
ASPS Surgeon
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Capsules form around foreign bodies. When the foreign bodies are removed, the capsules will slowly dissipate. Your risk of BIA-ALCL from your short exposure to Siltex implants is very low. You are more likely to be struck by lightning! Residual capsules can sometimes create pockets of fluid, so you should be on the look out for that and seek attention, but these fluid collections are most often benign. While your risk isn't zero, it's pretty darn close, so I would dial down the anxiety and just take appropriate care of yourself.

John Newton
ASPS Int. Surgeon

Siltex implants are related to a low incidence of BIAALCL. It is estimated at around 1 in 80 thousand, according to the labelling of implant. If they are the only implants you have had and they were only in for a short time, this would suggest your chance of ALCL is low.

The incidence is not ZERO however so talk to your surgeon about the symptoms to look for and about monitoring.

Der. John Newton

Nelson Castillo

Thank you for sharing your question and I can understand your apprehension. Because you had your implants in for such little time there was likely little tissue to remove and although the risk is not zero, it is small enough that you should not worry excessively.


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