Sometimes even the most successful breast implant or reconstruction surgeries can be unfortunately offset by how our body reacts to the healing process.
A capsulectomy is a surgical procedure aimed at addressing issues with the fibrous tissue, or capsule, that naturally forms around foreign objects in the body, such as breast implants. This capsule provides support and keeps the implant in place, but it can sometimes cause problems.
In cases of capsular contracture, the capsule becomes abnormally thick and tight, leading to pain and breast distortion. A capsulectomy involves the removal of this hardened tissue to alleviate discomfort and restore a more natural appearance. This procedure is also commonly performed during implant removal, particularly when complications like infection, rupture, or cancer arise. During the surgery, the scar tissue is excised, and the implant is often replaced with a new one.
Capsulectomy vs. Capsulotomy
While they sound similar, a capsulectomy and a capsulotomy are distinct procedures for treating capsular contracture. In a capsulotomy, the surgeon cuts and loosens the capsule rather than removing it, reducing the pressure on the implant.
Both procedures are effective, but a capsulectomy is widely regarded as the gold-standard treatment, as it completely removes the problematic tissue.
The best way to find out more is to book a free phone appointment with a Patient Care Coordinator.
There are three main types of capsulectomy procedures:
Alternative Options
When ongoing capsular contracture is a concern or if a person chooses not to replace their implants after implant removal, autologous tissue reconstruction may be recommended. This technique uses the patient’s own tissue, taken from areas such as the abdomen, back, buttocks, or thighs, to reconstruct the breast.
Since natural tissue does not trigger capsule formation, autologous breast reconstruction eliminates the risk of capsular contracture reoccurring, making it a durable and effective option for some patients.
A capsulectomy may not be suitable for individuals who:
Additionally, those with the following conditions should approach capsulectomy with caution:
If any of these factors apply to you, it’s essential to discuss them with your healthcare provider. Together, you can weigh the benefits and risks of the procedure to determine if it’s the right choice for you.
Potential Risks
Capsulectomy is generally a safe procedure, but like all surgeries, it carries some risks. These include:
Serious complications, such as damage to surrounding tissues or organs, are rare but should still be discussed with your surgeon. By working closely with an experienced plastic surgeon, the likelihood of complications can be minimized, and you can achieve a safer, more satisfying outcome.
The main goal of a capsulectomy is to address capsular contracture, a condition believed to be an exaggerated immune response to a breast implant. This reaction causes inflammation, leading to collagen production that makes the surrounding tissue thick and fibrous. Over time, this can make the breasts uncomfortably firm and even painful.
Capsular contracture can develop shortly after surgery or years later, affecting one or both breasts. It is categorized into four stages, known as Baker Grades:
For advanced cases (Grades 3 and 4), a capsulotomy or capsulectomy, often combined with implant replacement, is typically recommended.
Other Uses
Beyond treating capsular contracture, capsulectomy is performed for various other reasons, including:
Preparing for Surgery
Before undergoing a capsulectomy, several pre-operative tests are required to ensure the procedure is safe:
These evaluations help ensure you’re medically cleared for both the surgery and anesthesia, minimizing risks and complications.
After your procedure, you will gradually wake up from anesthesia in the recovery room. It’s normal to feel drowsy, nauseous, and sore at first.
The nursing staff will keep a close eye on your vital signs and provide medications to help manage your discomfort.
If you are being discharged the same day, it will likely be a few hours after the surgery. If you’re staying overnight, you will be transferred to a hospital room once the medical team determines you’re stable and ready.
Recovery
The recovery time after a capsulectomy can vary based on the type of procedure performed, how extensive the surgery was, and whether implants are replaced. In general, recovery can take anywhere from four to six weeks.
During this period, you can expect some breast pain, swelling, and bruising. Numbness or sensations like tingling and burning in the breast area are also common and should resolve over time.
To help with discomfort, follow your surgeon’s instructions for pain relief. Gentle breast massage may also be recommended to reduce nerve sensitivity.
You may need to sleep on your back for a period of time to minimize swelling and help the healing process. It’s also important to wear your support bra as advised by your surgeon.
Showering
Most patients can shower 24 to 72 hours after surgery, but it’s important to follow your surgeon’s specific guidance. Check with your doctor to see if you can temporarily remove your bra while showering. If so, gently clean the incision sites and pat them dry with a clean towel. If adhesive strips are applied to your incisions, keep them in place as instructed. Avoid soaking in a tub until your stitches or drains have been removed, and your surgeon gives you clearance to do so.
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* Every patient is a unique individual and every surgery has unique aspects. Therefore, results may vary. To read our full disclaimer please click here.
Linia CS Ltd Company Number 15955932 trading as Linia is an Introducer Appointed Representative (Financial Services Register No. 1011503) of Phoenix Financial Consultants Limited (Phoenix). Phoenix is a credit broker, not a lender. Phoenix is authorised and regulated by the Financial Conduct Authority (FRN: 539195) and offers finance from its panel of lenders. All finance subject to status and credit checks.
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