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If saline implants rupture, the salt water filling in the implants is resorbed, resulting in a \u201cflat tire\u201d appearance. Leaving deflated saline implants in place can result in further capsular or scar tissue contracture and visible deformity of the breasts.
During a total capsulectomy, a surgeon removes your breast implant and your entire capsule of scar tissue. Your surgeon may remove the implant first before removing the capsule. They then replace your implant once the capsule is removed.
In the first week, the patient can experience mild pain and soreness in the incision areas, which can be managed with pain medications as prescribed by the plastic surgeon. The patient will have to wear a special bra for about two weeks. The dressings will usually remain in place during this phase.
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.
While capsulectomy or capsule removal appears to be the most appropriate choice when the cosmetic surgeon decides to perform implant removal, it is not always necessary. The surgeon may place a surgical drain to provide vacuum pressure in order to remove any residual fluid.

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Implant removal and capsulectomy might be necessary if you have breast implant illness and want to remove the implants. Some people feel generally unwell after getting implants and experience symptoms such as chest discomfort, headaches, sensitivities to light, or chronic fatigue.
Conclusions: Capsulectomy introduces additional morbidity and is not mandatory for asymptomatic patients. Implant removal or exchange for smooth implants without a capsulectomy may be an acceptable choice for many women who do not demonstrate capsular pathology.
En bloc capsulectomy is a procedure in which the scar tissue around the implant, known as the breast capsule, is removed in one piece with the implant enclosed within it.
As such, en bloc capsulectomy is usually only called for in very specific circumstances, such as patients with BIA-ALCL or those with a ruptured implant. For other patients, it is unnecessary because we can still remove the implant and its entire capsule with a \u201ccomplete capsulectomy\u201d implant removal procedure.
During a total capsulectomy, a surgeon removes your breast implant and your entire capsule of scar tissue. Your surgeon may remove the implant first before removing the capsule. They then replace your implant once the capsule is removed.

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