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Breast Implant Removal
With En Bloc Capsulectomy

Many women undergo breast augmentation to achieve fuller or larger breasts or to otherwise modify them. However, lifestyle changes and other circumstances may result in dissatisfaction with their procedure and new aesthetic goals. Those who want their implants removed to restore their breasts to a more natural, comfortable form may request breast implant removal with en bloc capsulectomy.


All individuals who have had breast augmentation in the past may consider breast implant removal with en bloc capsulectomy. A few of the more common reasons this is requested include the following:

  • Changes in personal preference
  • Postoperative complications
  • Breast implant illness
  • Poor results from the initial procedure

Breast Implant Illness

Breast implant illness is a condition that is difficult to identify. Some believe it is an immune reaction to implants that manifests itself as physical ailments. If you have undergone breast augmentation with saline or silicone implants and have experienced chronic fatigue, dry eyes, fever, difficulty concentrating, joint pain, hair loss, and other concerning symptoms, you should contact your doctor immediately. Dr. Nicole welcomes all patients and will discuss your individual goals and concerns and provide treatment options and recommendations. Removing your breast implants may be the ideal solution for you.

Breast Implant Removal Procedure

Breast implant removal is performed with general anesthesia to ensure the safest and most comfortable experience. Each breast implant removal is customized to the patient’s specific goals, anatomy, and medical needs. The details of your procedure will be determined after a thorough consultation with Dr. Castellese.


Whenever possible, Dr. Castellese creates incisions along the original breast augmentation scars to minimize additional scarring. Breast implant removal with en bloc capsulectomy involves restoring the breasts to their natural condition by removing the scar tissue capsules that form around the implants as well as the implants themselves. Drains are placed to prevent fluid accumulation in the treated area during the recovery process.

Implant Removal With Breast Lift

If you would like to correct sagging breast tissue by opting for breast lift surgery in conjunction with your implant removal, one of three incisions may be utilized to help you achieve your aesthetic objectives: crescent, vertical (lollipop), or inverted T (anchor). This procedure removes excess skin and repositions the remaining breast tissue to produce a firmer, perkier bustline.


Patients are advised to wear the recommended compression garment to aid in the recovery process and support the breasts as they heal. Bruising, swelling, and discomfort can occur, but these side effects will dissipate over time. Prescription pain medication can help make your recovery more comfortable. Strenuous activity must be limited for several weeks, and you will receive a detailed aftercare guide that includes a timeline for all physical limitations.


Depending on the size of your breast implants, your breasts will be noticeably smaller after breast implant removal with en bloc capsulectomy, and they will be restored to a natural look and feel. Those who choose to undergo breast lift surgery will have breasts that are firmer and more youthful. However, breast lift surgery is never “needed” or required and often is not recommended if the breast shape and skin elasticity will likely retract to an acceptable cosmetic result. Your healing process continues for many months; Dr. Nicole will guide you through the process and let you know what to expect. Results are long-lasting, but the breasts are still susceptible to changes due to the aging process, weight fluctuations, and pregnancy.