Remove your implants and the surrounding capsule in one piece with what is commonly (though not accurately) referred to as an “en bloc capsulectomy” in Nashville. Although traditionally an oncologic term, this technique is often requested by patients for reasons such as implant rupture, capsular contracture, or breast implant illness (BII). Dr. Kristina O’Shaughnessy, our board-certified female plastic surgeon, offers the most appropriate capsulectomy techniques to address your unique concerns.
What Does “En Bloc
Capsulectomy” Mean?
The term “en bloc capsulectomy” originates from cancer surgery, where it describes the removal of a tumor and its surrounding capsule along with a margin of healthy tissue as a single, intact specimen. This oncologic approach is used to prevent the spread of cancer. In plastic surgery, however, en bloc capsulectomy is not typically appropriate unless cancer, such as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), is present. Despite this, the term has gained popularity online and across social media, especially among patients concerned about breast implant illness (BII), implant rupture, or systemic inflammation. The term has now been adopted to describe the removal of a breast implant and its surrounding scar tissue (capsule) as a single unit without breaching the capsule.
This method helps prevent the potential spread of silicone, bacteria, or inflammation into the surrounding tissues, particularly in cases of implant rupture or suspected breast implant illness. While the terminology “en bloc capsulectomy” is technically inaccurate in such contexts, Dr. O’Shaughnessy acknowledges the underlying concerns and works with each patient to discuss the appropriate surgical plan based on individual preferences. During your consultation, Dr. O’Shaughnessy will explain your surgical options in detail, including whether total or partial capsulectomy is necessary based on your needs, and curate a personalized plan.
Reasons Patients Request “En Bloc Capsulectomy”:
- A desire to completely remove both the implant and the capsule
- Concern about implant rupture or silicone leakage
- Symptoms associated with breast implant illness (BII)
- Pain or distortion caused by capsular contracture
- Concerns about biofilm, bacterial contamination, or chronic inflammation
- Personal preference to remove foreign material as completely as possible
- Plans for future reconstruction or return to a natural breast appearance
What Happens During Surgery?
During your en bloc capsulectomy in Nashville, Dr. O’Shaughnessy will make a careful incision, typically along your previous breast crease or mastectomy scar, to access the implant pocket. She gently separates the capsule from the surrounding tissues, such as the pectoralis muscle and chest wall, aiming to remove the capsule and implant together when it is safe and feasible to do so.
In select cases, dense adhesions or risk factors may necessitate modifications in the approach. Meticulous dissection is used to preserve healthy tissue and minimize trauma. Once the capsule and implant are removed, the area is irrigated, and any planned reconstruction, such as a breast lift or fat grafting, may be performed during the same surgery.
Benefits of Capsule Removal (When Indicated):
- Allows for complete removal of implant material and surrounding capsule
- May reduce exposure to silicone or inflammatory debris in cases of rupture
- Can assist with pain relief caused by contracture or thickened scar tissue
- Enables visual and pathological examination of capsule tissue
- Provides peace of mind for patients desiring full explantation
- Helps create a clean foundation for future aesthetic procedures
What is the Recovery Process?
You can expect some swelling, bruising, and tightness in the chest for the first few days. Most patients experience mild to moderate discomfort, which can be managed with prescribed medications. You’ll need to rest and limit upper body movement during the recovery period. Drains may be placed to prevent fluid buildup. Most patients can return to non-strenuous activities within 7 to 10 days, but complete healing takes several weeks.
To support a smooth recovery, follow these essential aftercare steps:
- Wear a supportive surgical bra as instructed
- Avoid lifting, reaching, or strenuous activity for several weeks
- Keep incision sites clean and dry to prevent infection
- Attend all scheduled follow-up appointments
- Monitor for signs of infection or fluid buildup
- Sleep on your back with your head and chest elevated
- Follow all medication and drainage care instructions carefully
What Are the Expected Results?
You’ll begin to notice the results as swelling subsides in the first few weeks. Most patients feel a sense of relief soon after surgery. Your chest may appear flatter or more natural, depending on whether additional procedures were performed. The final results typically take 3 to 6 months to settle. If you’ve chosen not to undergo reconstruction, your results are considered permanent. For those who opt for fat grafting or a lift, the results may evolve over time.
Schedule Your Consultation With Dr. O'Shaughnessy
Dr. Kristina O’Shaughnessy is a board-certified plastic surgeon with 17+ years of experience in complex breast surgeries, including breast explantation. Trained at Northwestern University and fellowship-trained in aesthetic and reconstructive surgery, she combines advanced surgical expertise with a compassionate approach to deliver safe and natural-looking outcomes. Schedule your private consultation to learn about en bloc capsulectomy in Nashville, TN.
