Once the capsule has been removed it can be opened so that the extensive formation of calcium crystals can be clearly seen.
Some women are believed to suffer from “Breast Implant Associated Illness”. This refers to symptoms such as muscle aches and pains, joint aches and pains, rashes, allergic conditions, hair loss, fatigue etc. that is believed, but not proven, to be caused by silicone breast implants. It is possible that the silicone released by the implants can act as an adjuvant and trigger Auto Immune Disease. For women who believe that they are suffering from this condition, it is understandable that they would like to have a total capsulectomy procedure. It is important to realise however that if the implant is located behind the muscle the back wall of the capsule may be intensely adherent to the underlying rib cage and this may make removal of the entire capsule a risky procedure.
We have seen many women who have had severe breast deformities following total capsulectomy. For these women scar revision including Fat Grafting is often required.
In some cases, it may be advantageous to retain a thin non diseased capsule as it provides structural support for breast reconstruction, implant insertion or fat grafting.
At Avenue Plastic Surgery we have extensive experience in managing breast implant capsules and their problems.