En Bloc Capsulectomy in San Antonio
Are you considering breast implant removal and want to better understand the en bloc capsulectomy technique? At San Antonio Breast Implant Removal, we’re here to guide you through your options and help you feel confident in your next step.
Choosing to remove breast implants is often about more than just appearance. It can stem from a desire to feel better physically, emotionally, or both. Whether you’re dealing with discomfort, health concerns, or simply feel ready for a change, the process deserves thoughtful, personalized care.
En bloc capsulectomy is one surgical option our surgeon may recommend in very specific cases.
At San Antonio Breast Implant Removal, we evaluate every patient individually to determine whether this method is the safest and most appropriate fit for their needs and goals.
Please note that the en bloc technique is only used in a handful of circumstances such as the diagnosis of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) or ruptured silicone implants. It is not the standard technique used in most breast implant removal cases.
What Is En Bloc Capsulectomy?
Our breast revision surgeon, Dr. B, performs en bloc capsulectomy by removing both the implant and the surrounding scar tissue capsule together in one piece. The capsule stays intact during surgery, keeping the implant sealed inside as we remove it from the body.
This method is not the default for every explant surgery. Our surgeon will recommend en bloc when there are specific medical or structural reasons that make it the right choice. These can include:
We will always prioritize safety and will talk through your options clearly so you can feel informed and supported every step of the way.
How It Differs from Other Implant Removal Techniques
There is no one-size-fits-all approach when it comes to implant removal. We will recommend the most appropriate technique based on your anatomy, implant type, and health history. Here’s how en bloc compares to other options:
En Bloc Capsulectomy
Removes the implant and capsule together in one intact piece. Can be used when BIA-ALCL, rupture, or severe scarring is a concern.
Standard Explant
Removes only the implant, leaving the capsule behind if it’s not causing issues. This may be a good option when the capsule is soft, thin, and not contributing to any symptoms.
Partial Capsulectomy
Removes a portion of the capsule, often the front-facing side. This may be chosen when full removal isn’t necessary or when parts of the capsule are safely left intact.
Total Capsulectomy
Removes the entire capsule, but not necessarily in one piece with the implant. It is often used when full capsule removal is important for healing or symptom relief.
Benefits of the En Bloc Technique
Our focus is always on choosing the method that supports your body and your goals, both now and in the long term. While not every patient needs or benefits from en bloc removal, there are specific situations where it may be the preferred approach.
What to Expect During Surgery
If our surgeon recommends en bloc capsulectomy for you, we’ll walk you through every detail to ensure you feel fully prepared. We perform the surgery with precision, care, and a strong focus on your comfort and safety. Here is what to expect on explant surgery day:
Anesthesia
We use either local anesthesia with sedation or general anesthesia, depending on your needs. Our surgeon will recommend the safest and most comfortable option for you.
Incisions
Whenever possible, we use your original augmentation incision to minimize additional scarring. If changes are needed, incisions are carefully placed and kept as small and discreet as possible.
Removal
The implant and capsule are gently separated from the surrounding tissue with precision and care. Our goal is to remove them as one sealed unit whenever safely possible.
Inspection
Once removal is complete, we inspect the area for fluid, scar tissue, or debris that could affect healing. The pocket is then cleansed with sterile solution to reduce risk of complications.
Drains
Small surgical drains are placed to help prevent fluid buildup during recovery. These tubes connect to soft bulbs and are typically removed within a few days.
Sutures
Internal sutures are used to secure the tissue layers and support clean healing. External stitches are placed with care for minimal visibility and lasting results.
Recovery After En Bloc Surgery
Recovery after en bloc capsulectomy is slightly more involved than simpler removal procedures, but most patients do very well with proper support and rest. Since we take a more detailed approach and remove additional tissue, healing may take slightly longer.
Most women return to light activity within one to two weeks. Full healing will continue over several months, and we’ll be here to guide you through the process every step of the way.
More Surgical Options
Depending on your goals, you can pair implant removal with another procedure to restore or refine your breast shape. Our surgeon will walk through these choices with you during your consultation.
Implant Revision
Some women choose to replace their old implants with new ones that better suit their current goals. This may include changes in size, type, or placement to better match your desired results.
Removal & Breast Lift
A breast lift removes excess skin and tightens the tissue to improve shape and support after implant removal. It helps address sagging or volume loss that occurs when implants are taken out.
Removal & Fat Transfer
Fat transfer uses liposuction to collect fat from areas like the abdomen or thighs and place it into the breasts. This adds subtle volume using your own tissue and avoids the need for implants.
En Bloc Implant Removal FAQs
If you’re considering en bloc capsulectomy in San Antonio, it’s natural to have questions about the process, recovery, and what to expect at our office. Here are some of the most common questions we receive from patients:
Take the Next Step
At San Antonio Breast Implant Removal, we understand that this is not just a surgical decision, it’s a personal one. Our entire team is here to listen, guide, and provide expert care in a setting where your comfort and trust matter.
Our surgeon brings skill, honesty, and precision to every procedure. He customizes each procedure instead of relying on a one-size-fits-all method. Instead, we’ll work with you to create a plan that feels safe, supportive, and aligned with your long-term wellness.
If you’re considering breast implant removal, our team is here to help you explore your options in a supportive, no-pressure environment. We offer en bloc capsulectomy as one of several advanced techniques and we never push you into a one-size-fits-all solution.
Schedule a consultation with our breast revision specialists in San Antonio to begin your journey toward comfort, clarity, and confidence in your decision.
Why Choose San Antonio Breast Implant Removal?
At San Antonio Breast Implant Removal, we provide expert, personalized care from your first consultation through recovery. Whether you’re local to San Antonio or traveling in, our team is here to guide you every step of the way.
We focus on breast implant removal procedures, including techniques like en bloc capsulectomy, total capsulectomy, and customized combination surgeries. Our goal is to help you achieve a result that feels right for your body and your health.
Do you have questions or are you ready to book your in-person or virtual consultation? Contact San Antonio Breast Implant Removal. We’re here to help!
San Antonio Breast Implant Removal
4083 De Zavala Rd
San Antonio, TX 78249
(210) 361-8825
