Updated: Sep 22, 2020
Written by Board Certified Plastic Surgeon Nima Naghshineh, MD, FACS on July 8th, 2020.
Whether it’s for breast implant illness, breast implant associated lymphoma, or severe capsular contracture with pain, just removing the implant is NOT enough. When possible, the capsule surrounding the implant should be removed in its entirety. We know that for many of these problems the issue is the capsule.
Capsular contracture is a problem with the capsule shrinking, thickening and getting tighter. Breast implant associated lymphoma is often found in the capsule. And many of the leading theories on the cause of breast implant illness have to do with the capsule. Therefore, when possible, a En bloc total capsulectomy recommended. That capsule should then be sent to a pathologist for close inspection under a microscope to rule out any abnormal cells or cancers. Any fluid around the implant as well as a piece of that capsule should also be sent for microbiology testing which will look at whether there are any organisms like bacteria colonized in the capsule.