Capsular contracture, a tightening, and hardening of the tissue around the breast implants require a capsulectomy. This procedure, also known as en bloc capsulectomy, is a precision procedure that removes the entire breast implant and the surrounding infected tissue as one intact piece.
What is a Capsulectomy?
When breast implants are inserted into the chest cavity, the body forms scar tissue around them. This is the same scar tissue that the body forms around any foreign object. Although this is not a common occurrence, the tissue of the capsule can become infected, hardening painfully around the breasts. This condition is called capsular contracture.
To properly treat capsular contracture, a capsulectomy is required. A capsulectomy removes the entire capsule and the breast implant within it at once. Instead of cutting the implants and capsule apart during breast implant removal, which is the typical procedure, the breasts and capsule are removed intact.
Is A Capsulectomy Only For Capsular Contracture?
A capsulectomy can be performed for a number of reasons. This procedure is not only indicated for women who are experiencing capsular contracture but it may also be indicated for other breast implant concerns or conditions:
Breast Implant Illness (BII)
Women who are suffering from breast implant illness, a condition that is not fully understood in the medical field, but is likely caused by a reaction to something in the implants, often require a capsulectomy. Because the capsulectomy ensures none of the contents of the breast implants or the capsule itself come into any further contact with the tissues inside the chest cavity.
Women who have experienced implant rupture may require a capsulectomy to remove the ruptured implant and surrounding capsule. This helps to reduce the risk of allowing any further exposure within the body to the contents of the capsule or implant.
BIA-ALCL, a non-Hodgkins lymphoma, has been associated with breast implants in women. For women with BIA-ALCL, the capsule should be removed by en bloc capsulectomy. This helps to ensure cancerous cells no longer remain in the body.
Am I A Candidate For A Capsulectomy?
Women who have concerns about their breast implants, including capsular contracture, are candidates for a capsulectomy procedure. Ideal candidates for a capsulectomy meet the following requirements:
- Are generally in good health
- Have no serious medical conditions or healing concerns
- Do not smoke
- Have realistic expectations of what a capsulectomy can achieve
- Are not taking or can stop taking blood-thinning medications before the surgery
What Happens During A Capsulectomy Surgical Procedure?
A capsulectomy is performed under general anesthesia. Once the anesthesia has taken effect, Dr. Shafa will make a vertical incision at the lower crease of the breast, then upward to the areola.
Through this incision, he will meticulously separate the surrounding tissues from the capsule tissue with the breast implant intact inside of it. Dr. Shafa will then carefully remove the complete capsule.
It’s important to note that this is a complex, advanced technique that requires a high level of expertise and training. Dr. Shafa provides his patients with certainty that your body comes into no further contact with fluids or substances within the capsule or implant.
Why Choose Dr. Shafa?
Dr. Brian Shafa is a top breast surgeon in Beverly Hills, who is known for his skillful, advanced techniques and precise attention to detail. With his extensive, diverse training and background, he achieves stunning results for his women who know they can relax in the hands of a trusted, compassionate doctor who truly cares.