En Bloc Breast Implant Removal | La Jolla, San Diego | Tim Sayed, MD, FACS

En Bloc Breast Implant Removal

Breast Implant Removal – San Diego

It happens rarely, but when a patient wants her breast implants removed, it’s essential to find the right surgeon who offers the safest techniques possible. One such technique is the En Bloc breast implant removal method, a special technique that’s known for its high margin of safety and effectiveness.

In most breast augmentations, some tissue forms around the implant creating what is known as a “capsule.” While this is a typical body response whenever a foreign object is inserted into the body (it happens with hip replacements and pacemakers too!), sometimes the capsule can cause complications with the breast implant. A technique like the en bloc breast implant removal may be required to remove the implant and the capsule entirely, allowing the surgeon to create a new, healthier pocket for a new implant.

Not every surgeon is skilled in performing en bloc breast implant removal, but Dr. Sayed specializes in breast surgery, and has performed breast surgeries in plastic surgery-oriented areas like Miami, FL and Newport Beach, CA. Dr. Sayed performs en bloc breast implant removal because more than anything, he strives to give patients the safest techniques possible.


View real patient before & after results in our photo gallery.

En Bloc Breast Implant Removal 101

In the case of an implant rupture, the breasts changing in size, the implants changing position, or a patient simply wanting to exchange implants, an en bloc breast implant removal might be warranted. Essentially meaning “as a whole,” the en bloc breast implant removal technique removes the implant and the capsule as an entire unit, making sure no residue is left behind and that the breasts can essentially heal and recover without contamination.

Bacteria and materials from the capsule or a leaking implant may cause certain symptoms like pain or distortion of the result. One of the risk factors for capsular contracture is something known as “biofilm,” a complex mixture of skin cells, proteins, and bacteria that can lead to an excessive inflammatory response. When the en bloc removal procedure is done, the surgeon removes the whole implant and capsule together to avoid leaving behind any biofilm material, so a new implant is less likely to develop a capsular contracture if the patient chooses to have another breast augmentation in the future.

An en bloc breast implant removal usually will require the creation of an inframammary incision, but these incisions are easy to hide. Of course, if the patient already has an inframammary scar, Dr. Sayed will try to use the original incision to minimize placing new scars whenever possible. Once the implant has been removed, the breasts’ tissue, muscle, or both will be able to revert back to its original position in the chest. Oftentimes, Dr. Sayed will place a drain in the breast to prevent fluid accumulation.

To combat sagging, Dr. Sayed can stage procedures and pair the removal with a breast lift and/or a new breast implant.

What is Capsular Contracture?

Capsular contracture is when the capsule around the implant starts to get thicker and thicker, eventually squeezing the implant and causing the breasts to harden, become misshapen, or making the implants change position.  No one’s quite sure why capsular contracture occurs, but the capsules may contain substances like silicone gel, silicone gel fragments, bacteria, calcified tissue, and inflammatory cells—all substances that cause further complications. It’s why en bloc breast implant removal is so necessary—by removing the capsule and implant as a unit, the contaminants will be self-contained and less likely to be left behind.

Contact us today!

If you’re in the San Diego or Newport Beach areas and have any questions about Implant Removal or wish to schedule a consultation on implant removal with Dr. Sayed, please contact our office.

FAQs About En Bloc Breast Implant Removal

  • A patient experiencing pain from previous breast implants
  • A patient who is symptomatic from a silicone breast implant rupture
  • A patient who wants to remove implants because of hardening, malposition, or asymmetry

As the swelling dissipates, it’s normal to see some shrinkage in volume. Obviously, your implants are gone, but changes of the breast due to aging and stretching from the implants will lead to further change in shape and sagging. When removing an implant and the capsule, you might experience a longer recovery time than a regular breast augmentation: about a week longer than the typical 2 weeks of abstaining from any strenuous activity. After that, you can return to light fitness activity, and it’s advised that you take about a week from social activities and refrain from driving from at least 10 days or as long as you’re taking any prescription medication. You will be asked to wear a surgical bra for a few weeks.

This will be dependent on a few factors, so if you would like an accurate quote we encourage you to contact us for a consultation. You can also contact us for a pre-consultation if you want to learn more, or you can visit our Zwivel page for a virtual consultation.

With a total capsulectomy, the capsule is removed from the breast. The breast implant is then reinserted into the breast pocket or completely replaced. An en bloc breast implant removal includes removal of both the total capsule and the implant contained inside the capsule. This is most commonly done for ruptured older generation silicone implants, where it is important to try to leave no residue of the original implant and capsule behind. Sometimes en bloc removal includes a small cuff of breast tissue that may have become hardened or inflamed over time.