Dr. Chris Schneider is a plastic and reconstructive surgeon, who also specializes in microsurgery. He is a native Texan who is proud to return home to the Lone Star State after nearly a decade of intense surgical training.
What to expect
Capsular contracture is treated by removing the problematic implant and capsule with a procedure called a capsulectomy. It is performed under general anesthesia, and there are a few different techniques your surgeon may employ, depending on your anatomy and the severity of your symptoms.
To begin, we will re-open the original incision. From there, we will perform one of the following procedures:
- Total capsulectomy. During this surgery, your surgeon will remove your breast implant and the entire capsule that surrounds it. First, we will make an incision in the capsule to remove the implant. Then, we will extract the capsule.
- En bloc capsulectomy. This approach is similar to a total capsulectomy because the implant and the entire capsule are removed. However, with this approach, they will be removed at the same time, without an incision in the capsule. This is a higher-risk, more complex technique, and is often the ideal approach if you have a ruptured breast implant or breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
- Subtotal capsulectomy. This is known as a partial capsulectomy, during which only a portion of the capsule is removed. It requires a smaller incision when compared to a total or en bloc capsulectomy.