En bloc capsulectomy is a surgical technique for removing breast implants along with the surrounding scar tissue capsule as a single intact unit. This method is commonly chosen when there are concerns about ruptured implants, capsular contracture, or suspected breast implant illness (BII). By removing the capsule in one piece, the goal is to minimize any potential exposure to implant contents and ensure complete removal of scar tissue. The procedure is typically performed under general anesthesia in the operating room. It may also include reconstruction or fat grafting depending on your desired outcome.
En bloc capsulectomy is performed in the operating room under general anesthesia. The procedure begins with carefully placed incisions, often using existing breast surgery scars when appropriate. The implant and its surrounding capsule are removed together in one piece to help minimize the risk of contamination and preserve surrounding tissue. If the capsule cannot be safely removed en bloc, a total capsulectomy may be performed instead. After removal, the breast may be reshaped through additional techniques such as a lift or fat grafting, depending on the patient’s goals. The area is then closed with sutures to support a smooth, natural-looking outcome.
En bloc removal takes out the implant and capsule in one piece, while total capsulectomy removes them separately. The technique used depends on your anatomy and safety factors.
Candidates often include those with ruptured implants, capsular contracture, or concerns about breast implant illness. Dr. Malotky will evaluate your case during consultation.
Not always. If the capsule is tightly adhered to vital structures like the chest wall, Dr. Malotky may opt for a safe and complete total capsulectomy instead.
Some patients benefit from a lift to improve shape after removal, especially if there is excess skin or sagging. This will be discussed during your consultation.
Expect moderate swelling, tightness, and tenderness for the first two weeks. Most patients return to normal routines within two to four weeks.
