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).
model
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.
model
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
Capsulectomy vs 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.
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.
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.
If you need the removal of the scar tissue surrounding a breast implant, but doing so in one complete piece. Look for a trusted en bloc capsulectomy surgeons near you by searching for “en bloc surgeons near me“.
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.
testimonials
Kimberly Dennis ⭐⭐⭐⭐⭐
“Dr. Sadeghi is a godsend! He did an En Bloc Capsulectomy and returned my implants to me as I requested, without hesitation. I cannot express in words the gratitude I have for him as a person and surgeon. His staff are great and amazing as well!”
Emily Bailey ⭐⭐⭐⭐⭐
“I knew at that moment I first met him, he was the surgeon I wanted to perform my En bloc Capsulectomy. It felt so comfortable and calm, never once did it feel like a bother or pressure for me when having questions answered during surgery. They were very attentive towards all of my needs and fears which made this process much easier on both ends! Dr Sadeghi did an incredible job and I’m happy with the results!”
Audra Weeks ⭐⭐⭐⭐⭐
“Dr. Sadeghi and his entire staff are very kind and helpful. I always knew that I was in good hands! I felt comfortable and at ease throughout my experience, as it was my first surgery of any kind. The En Bloc Capsulectomy procedure by Dr. Sadeghi is absolutely recommended.”
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.