En Bloc Capsulectomy New Jersey

Breast Implant Removal

Breast enlargement is the most common cosmetic surgery today. While up to 96 percent of women who undergo this aesthetic treatment are happy with the outcome of their surgery, a small proportion may choose to have breast implants removed due to complications, illness, or personal preferences. En bloc capsulectomy is a specialized implant removal procedure that entails extraction of the implant along with part or all of the breast implant capsule. Many women who have this corrective surgery feel more comfortable in their own skin and realize a renewed image of their bodies.

At New Jersey Breast Reconstruction Center, we specialize in breast reconstruction, en bloc capsulectomy, and other breast procedures. Our teams have helped countless women alleviate physical discomfort, secure their peace of mind, and enjoy the natural softness of their breasts again with implant removal surgery. During this treatment, our surgeons will remove the implant along with the capsule around it – allowing the patient’s breast tissue and muscles to revert to their original position for a natural appearance.

En Bloc Capsulectomy Procedure


En bloc capsulectomy is an outpatient surgical procedure that is typically performed under local anesthesia. The plastic surgeon will create an incision along the inframammary fold and then use it to carefully isolate the capsule (implant and surrounding scar tissue) from the surrounding tissue. In some cases, the surgeon may be able to use the original incision to minimize the risk of additional scarring. Once the capsule is removed with the implant sealed inside, the surgeon may perform a breast lift before closing the incisions and covering the treatment areas. The surgery takes about 2 – 3 hours to perform. Once the procedure is complete, you will be observed for a while before you are discharged from the hospital and allowed to go home for recovery.

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Recovery After En Bloc Capsulectomy

Recovery after this breast surgery varies from one patient to the other. Patients who are healthy, non-smokers, and who are at a stable weight may recover in as little as 10 days. You will be able to resume normal daily activities such as showering and light activity within 24 hours. Postoperative discomfort is common but resolves within about 2 weeks. Furthermore, your surgeon will administer pain medication to increase your comfort, and antibiotics to prevent infection. Swelling is typical and usually resolves within 4 weeks. Most patients are able to resume strenuous activities within 6 – 8 weeks. Our office at New Jersey Breast Reconstruction Center will be available throughout the recovery stretch to answer your questions and provide any support you may need.


Breast Implant Illness

Some women have suffered from symptoms thought to be linked to breast implants. These include chest pain, photosensitivity, hair loss, brain fog, depression, sleep disturbance, headaches, chronic pain, and more. These have been collectively referred to as breast implant illness. The majority of women who have complained of these symptoms have reported resolution with breast implant removal.
In July 2019, breast implant manufacturer Allergan announced a global recall of their Biocell implants. This followed findings by the U.S. FDA linking the company’s textured implants to cases of a rare lymphoma called BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma). While this type of implant accounts for a very small percentage of implants available in the U.S. market, it garnered a lot of media attention. Plastic surgeons are no longer using these textured implants and many women have chosen to have them permanently removed through en bloc capsulectomy.

Other Reasons for Breast Implant Removal

Outside of breast implant illness and fears over BIA-ALCL, there are a variety of reasons why women may choose to have breast implant removal surgery.

  • Capsular Contracture

This is a complication where the body reacts to the breast implant in a way that can distort its shape and cause physical symptoms such as pain. This typically happens when a capsule of fibrous scar tissue forms around the implant. Symptoms of capsular contracture may include increasing firmness that changes how the implant feels and may sometimes even migrate to the armpits. Some women may also experience chronic pain and limited range of motion.

  • Ruptured Breast Implant

Both saline and silicone implants may rupture due to physical trauma such as a bad fall or car accident. When a saline implant ruptures, the saltwater solution contained therein is absorbed by the surrounding tissue, resulting in deflation of the breast(s). Silicone implants experience what is referred to as a ‘silent rupture’. This means that should the implant rupture, the breast does not deflate. However, you may experience symptoms such as changes in breast shape, sensation, tenderness, and pain. Women who had silicone implants as part of their breast augmentation need to undergo routine MRI scans to check for ruptures.

  • Shifted Position

It is not uncommon for breast implants to change their position due to factors such as significant weight gain or weight loss, gravity, and time. This often leads to a distorted breast appearance with sagging. Once the malpositioned implant is removed, plastic surgeons may perform a breast lift to enhance the appearance of the breast(s).

Types of Capsulectomy

Our plastic surgeons at New Jersey Breast Reconstruction Center specialize in a few different types of implant removal procedures:

  • Total Capsulectomy

This is a surgical technique that is designed to fix capsular contracture. The goal of the procedure is to remove all of the scar tissue surrounding the implant.

  • Partial Capsulectomy

This is an implant removal procedure that aims to fix capsular contracture but only removes some of the scar tissue around the implant.

  • En Bloc Capsulectomy

‘En bloc’ refers to ‘as a whole’ in French. This type of implant removal surgery will get rid of the implant along with the surrounding scar tissue capsule. The plastic surgeon cuts around the capsule and removes the entire implant and scar tissue unit without contaminating the surrounding tissue.

Implant Removal FAQ


Will I need a breast lift after implant removal?

Many women who go for implant removal are okay with having smaller breasts. However, it is okay to be concerned about sagging, deflation, or other aesthetic concerns. Our plastic surgeons may perform a breast lift to tighten the breast skin and achieve a perkier and youthful appearance. A breast is usually not necessary for patients who have good skin laxity and moderate implant size. Once you visit our New Jersey plastic surgery office, our surgeons will examine your breasts, listen to your preferences, and discuss an elaborate treatment approach.

What are the downsides of en bloc capsulectomy?

En bloc capsulectomy is a very complicated and lengthy breast procedure. Plastic surgeons need to remove the breast implant along with the surrounding scar tissue capsule in one piece. In some cases, the surrounding scar tissue may be so fused to the chest muscle that trying to remove it creates more problems. For this and other reasons, this procedure is only recommended in specific situations – such as when patients have a ruptured implant or are worried about BIA-ALCL. During your consultation visit to New Jersey Breast Reconstruction Center, our surgeons will listen to your concerns and determine whether this treatment is the most ideal cause of action.