Breast implant removal can be performed with an en bloc procedure or a capsulectomy. Both procedures have the same goal: to remove your implants and the scar tissue, or capsule, that has formed around them. These procedures can lead to greater physical comfort and wellness if you would like to change the size of your augmented breasts or you have been experiencing difficulties with your current implants.

What is an en bloc capsulectomy?

En bloc is a French term that literally translates to “all together” or “as a whole.” An en bloc capsulectomy refers to a method of breast implant removal that removes the scar tissue capsule and the breast implant all at once, without opening the capsule. The en bloc method ensures that nothing within the capsule escapes into the surrounding tissue. 

What is a capsulectomy and how is it different from an en bloc capsulectomy?

A capsulectomy is a general term for the removal of a breast implant as well as the capsule. The difference lies in the method of removal, as an en bloc capsulectomy removes the breast implant and the scar tissue without cutting into or opening the capsule. A capsulectomy in general involves creating an incision in the capsule and first removing the implant separately from the scar tissue. Once the implant is removed, the capsule is removed. This is preferred in instances where a portion of the capsule has fused to the rib cage or chest muscle and must be left in place as a safety precaution. 

When is an en bloc capsulectomy the preferred method of implant removal?

An en bloc capsulectomy is preferred when there is a rupture in the implant or there is the presence of breast implant associated ALCL, which is a form of non-Hodgkin’s lymphoma. Removing the encapsulated implant entirely is then important. Similarly, with BIA-ALCL, it is important to keep any cancer cells developed within the capsule separate from the breast tissue. 

Why do some women prefer an en bloc capsulectomy?

Deciding to have your breast implants removed is a big step towards improving your comfort or further enhancing your breasts as your body and cosmetic vision changes. An en bloc capsulectomy can:

  • Alleviate symptoms of breast implant illness 
  • Ensure the safe removal of a ruptured implant
  • Resolve capsular contracture

Why should I choose Dr. Andres?

Dr. Albert Andres is a board-certified plastic surgeon that specializes in performing en bloc capsulectomy procedures. He will accurately assess the correct approach necessary for your breast implant removal so that your health and wellness are protected.


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A private, fully-tailored consultation is your next step to uncovering which surgical route is the right one for you. Dr. Lewis Albert Andres will intently listen to your particular goals in regards to your physical enhancement desires. From there, he will fully discuss all of the available options and meticulously examine

your body to determine with you which is the best course of action to attain your aesthetic objectives. Dr. Andres, a board-certified plastic & reconstructive surgeon in Phoenix & Scottsdale, is committed to delivering some of the best patient care and plastic surgery with honesty, compassion, and expert skill.

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