For patients considering breast implant removal, understanding the different surgical techniques is essential. Two commonly discussed approaches are en bloc capsulectomy and total capsulectomy.
While both involve removal of the implant and surrounding capsule, they differ in technique and indications. Board-certified plastic surgeon Dr. Bryson Richards provides breast revision to patients in Las Vegas, NV, and surrounding locations.
What Is a Capsulectomy?
A capsulectomy is the surgical removal of the scar tissue capsule that forms around a breast implant.
What Is an En Bloc Capsulectomy?
En bloc capsulectomy involves removing the implant and capsule together as one intact unit, without opening the capsule.
When It May Be Recommended
- Suspected implant rupture with silicone leakage
- Concerns about breast implant illness
- Certain medical conditions
Advantages
- Minimizes exposure to implant contents
- Removes capsule and implant simultaneously
Considerations
- Technically more complex
- May not be necessary for all patients
What Is a Total Capsulectomy?
Total capsulectomy involves removing the entire capsule, but not necessarily in one intact piece.
When It Is Used
- Capsular contracture
- Implant removal or exchange
- Routine revision surgery
Advantages
- Effectively removes scar tissue
- Often less invasive than en bloc
Key Differences
- En bloc: Implant and capsule removed together intact
- Total capsulectomy: Capsule fully removed, but not necessarily in one piece
Which Option Is Right for You?
The choice depends on:
- Your medical history
- Condition of the implant and capsule
- Surgical goals
A personalized consultation is essential to determine the best approach.
Both en bloc and total capsulectomy are effective techniques. The right choice depends on your individual needs, and a qualified surgeon will guide you toward the safest and most appropriate option.
Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation
If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070
Taking new patients from Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV and surrounding areas.