There are only a few real medical reasons for the complete removal of an implant capsule. One reason is the presence of the very rare BIA-ALCL. Another is the presence of a high-grade capsule fibrosis with calcification of the capsule or leaked silicone filling in the case of implants from old manufacturing dates. However, complete removal of the capsule can also relieve the patient, fulfilling a psychological need rather than an actual medical benefit. In this case, if an en-bloc implant removal helps to improve the psychological well-being of a patient then we will do all we can to provide this comfort.
A complete removal of the implant capsule is possible with implants that lie over the large pectoral muscle. The capsule is surrounded by sufficient soft tissue so that it can be removed without danger.
If the implant lies under the large pectoral muscle, the capsule may not be removed completely and safely. For example, if the capsule is directly connected to the periosteum of the ribs or the intercostal space. In this situation, capsule removal can lead to increased bleeding and/or lung collapse and should be avoided if at all possible.