This is a specific explantation technique that involves removing the breast implant and surrounding capsule of scar tissue as one single piece. With this technique, the capsule is separated from the surrounding breast tissue without breaking it. It's then removed with the implant still sealed inside.  There are a few benefits for en bloc capsulectomy. This certainly holds true if we're removing a ruptured silicone implant. Keeping the capsule intact ensures that the silicone is contained. We'll also recommend an en bloc capsulectomy if a complication, such as BIA-ALCL is suspected. However, the en bloc capsulectomy technique does not come without its drawbacks. First, a much larger incision is required. WE cannot collapse or squeeze the implant or capsule during the removal. Second, it's not always a safe or practical option. This especially holds true if the capsule is very thin or is closely adhered to the chest tissue.  The en bloc capsulectomy technique is not the only one that allows for complete removal of the capsule and breast implant. For most patients, it's better to open the capsule, carefully remove the implant, close it, and then go back and release the capsule from the surrounding breast tissue before removing it.