What is an En-Bloc Capsulectomy?

Updated: Sep 22

Written by Board Certified Plastic Surgeon Nima Naghshineh, MD, FACS on July 8th, 2020.




En-Bloc Capsulectomy means total removal of the capsule or scar tissue around the implant in one piece and is often the preferred treatment in breast implant illness, BIA-ALCL (breast implant lymphoma), and severe capsular contracture (tightness and deformation of the breast due to the scar around the implant).


Now in actuality many surgeons who claim they perform En-Bloc Capsulectomies often fail to remove the capsule in one piece. This can sometimes be related to their technique but it can also mean that the capsule is stuck to the chest wall and cannot be removed in one piece. Attempting to do so may put your risk for pneumothorax or lung collapse. That’s why an experienced breast cancer plastic surgeon with a reconstruction background is recommended in order to appropriately remove the capsule in one piece, and if not possible, appropriately address and destroy any capsule that may remain on the chest wall.


Below is an example of an En Bloc Total Capsulectomy I preformed on a patient that had very painful breast capsular contracture. Inside she had ruptured implants.





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