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En Bloc Capsulectomy Procedure in New Orleans, LA

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There are several personal and medical reasons why a woman may choose to remove her breast implants.

Whatever her motivation may be, Dr. Ali Sadeghi is here to help. Dr. Sadeghi is a double board-certified plastic and reconstructive surgeon in New Orleans with decades of experience performing secondary breast surgery (breast revision).

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What Is an En Bloc Capsulectomy?

While some women can remove their implants alone, others need additional work.

An en bloc capsulectomy is a procedure that removes the breast implants and the scar tissue (capsule) that forms around the implant over time. During an en bloc capsulectomy, the implant remains within the capsule and is removed as one piece.

This is to minimize any rupturing of the implant or deal with medical complications that have to do with capsular contracture, which is the hardening of the scar tissue around the implant.

This procedure is not considered cosmetic surgery.

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Reasons to Get an En Bloc Capsulectomy

If you are suffering complications from your implants, would like to change the way you look, or are tired of your implants, you may want to consider en bloc capsulectomy as your explant procedure (breast revision).

Other reasons may include:

  • Not satisfied with the appearance of your breast following breast augmentation
  • An implant that has shifted, ruptured, or deflated
  • Medical complications that may arise from the implant or the capsule (capsular contracture)

If you are considering removing your breast implants, removing the tissue along with the implant can be quite beneficial.

This procedure is often performed at our New Orleans location and helps women restore the natural shape of their breasts.

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What Can En Bloc Capsulectomy Improve?

There are numerous benefits of an en bloc capsulectomy. These include:

  • Ensuring your health and safety after an implant rupture, a leaking implant, or breast implant illness (BII)
  • Restoring your natural breasts again
  • Increasing your comfort in bras
  • More ease when participating in strenuous activities

What Are the Types of Capsulectomies?

En bloc capsulectomy is only one type of explant procedure that removes the implant and capsule. However, this is the only technique that removes the implant and tissue as one entity without causing any contamination to other parts of the body.

This procedure forces the silicone to stay within the tissue, therefore not allowing it to leak or cause any health complications during removal.

Breast Implant Capsulectomy

A capsulectomy removes part of the scar tissue (but not necessarily all) when a patient is suffering from capsular contracture. In some patients, the tissue that forms around the implant can become dense and hard, causing the capsule to squeeze the implant. This condition can create chronic pain and aesthetic distortion.

Total Capsulectomy

A total capsulectomy removes the implant and scar tissue capsule (in entirety); however, it does not necessarily remove them together. Often during a total capsulectomy, Dr. Sadeghi will first remove the implant and then remove the tissue in pieces.

Capsulotomy

A capsulotomy can be invasive or non-invasive and address complications caused by the contracture. During an open capsulotomy, the capsule is partially or completely removed after a surgical incision is made.

A closed capsulotomy is performed by applying manual compression on the breast (with no incision made) to break up the tissue while leaving the implant in place. This procedure does risk rupturing the implants.

Explant Without Capsulectomy

For patients interested in non-surgical or non-invasive options, ultrasound can soften the capsule tissue with sound waves and increase the blood flow to the area around the implant.

After the breast explant procedure, a patient may have issues with sagging skin. A patient can replace the implants, undergo fat transfer to the breasts, get a breast lift, or select a combination.

Outstanding care. Beautiful results.

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What Should You Know About the En Bloc Procedure?

Almost every explant surgery is an outpatient procedure that takes around two to three hours.

En bloc capsulectomy is performed under general anesthesia. In most cases, Dr. Sadeghi will use the previous breast augmentation incision; however, this incision may need to be extended to remove the capsule in one piece.

Once the implant and capsule have been removed successfully, the incision will be closed, and the patient will be placed in a compression garment and bandages.

Drains will be placed to prevent any fluid accumulation (seromas) and stop another capsule from forming.

How Much Does En Bloc Capsulectomy Cost in New Orleans, LA?

Costs are dependent on many factors, as each surgery and each patient’s requirements are different. Dr. Sadeghi will develop an individual treatment plan for you that will determine your en bloc capsulectomy cost. Often, en bloc capsulectomy ranges from $3,000 to $5,000.

What Should You Expect After Your Capsulectomy?

What Is Recovery Like After En Bloc Capsulectomy?

Some discomfort is normal and can be alleviated with prescribed or over-the-counter medication.

Post-surgical swelling can take up to four weeks to heal; however, daily activity, such as eating, walking, showering, etc., can resume a day after surgery.

While everyone’s recovery time is different, most patients recover within a week to ten days. High-impact exercises and strenuous activity should be avoided for several weeks.

If you have a strenuous job (opposed to a desk-type job), you may want to take more time off.

Will I Have Scars After My En Bloc Capsulectomy?

You will have a scar after your en bloc capsulectomy, but it should match your breast augmentation scar and fade with time.

Dr. Ali Sadeghi Board Certified Plastic Surgeon

Why Should I Choose Dr. Nola?

Dr. Ali Sadeghi, also known as Dr. Nola, is a double board-certified plastic and reconstructive surgeon in New Orleans with over 20 years of experience.

Dr. Sadeghi has undertaken thousands of surgeries and is considered an expert in reconstructive breast surgery. He is patient and welcoming and has introduced cutting-edge surgical technology and techniques into his practice to help his patients achieve the beautiful results they deserve.

Frequently Asked Questions About En Bloc Capsulectomy

What are the risks of an en bloc capsulectomy?

There are minimal risks with the surgery compared to leaving a problematic capsule or implant in place. Removing the tissue along with the implant can help quicken the healing process.

How should I prepare for my explant surgery?

Before the surgery, a patient should stop smoking cigarettes and drinking alcohol, which can contribute to an increased risk of swelling and bruising. Medications and supplements should also be stopped two weeks before surgery.

On the day of your procedure, you will be unable to drive yourself home, so securing a ride for the day of your procedure is important.

Interested in Capsulectomy in New Orleans, LA?

Contact the Sadeghi Center for Plastic Surgery to schedule a consultation with Dr. Sadeghi to discuss your breast enhancement options.

Call us at (504) 322-7435 to schedule a consultation.