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Should the Capsule Be Removed During Breast Implant Removal?
Capsule formation is a normal part of healing after any implantation of foreign material (like a breast implant). Capsules can be thick or even painful when the scarring is excessive. In our San Francisco Bay Area practice, we use techniques to minimize capsule formation. When we see patients who have thick capsules, we encourage removal of the capsule at the time of implant removal or exchange. The technique typically involves removal of the implant and then removal of the capsule (in one piece if possible).
Clinical Context
A capsule is the scar tissue your body naturally forms around any breast implant. Early on it tends to be thin and pliable, but with time — or after complications like infection, bleeding, or contracture — it can thicken, harden, or calcify. This is why some capsules are removed and others left alone: the decision depends on the capsule's thickness, symptoms, and appearance, not simply how long the implant has been in place. After capsule removal, some firmness or asymmetry is normal and typically improves as swelling resolves.
