What is En Bloc Breast Implant Removal?

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Breast augmentation using implants is a very popular procedure done today. However, as with any procedure, breast augmentation comes with some possible risks and complications. When placing breast implants into the body, there is a risk for complications such as capsular contracture (hardening of the tissue capsule around the implant) or implant rupture. In these cases, a breast implant removal procedure may be required.

Breast Implant Removal Techniques

When removing a ruptured or impaired breast implant, there are two techniques that can be used: a capsulectomy and an En Bloc removal.

A capsulectomy is when the capsule around the implant is removed. This done when capsular contracture has occurred, or the patient wishes to permanently remove the implant.

En Bloc removal is when the capsule of the implant is removed with the implant in one piece. In this case, the implant is still within the balloon of the capsule. This technique is becoming more and more popular due to the fact that it can be slipped through the incision without contaminating the breast tissue. It also helps to prevent the silicone or saline implant from rupturing when you are removing the implant from the body.

Can En Bloc Always Be Used?

No, not all implants can be removed En Bloc. Certain circumstances may prevent our surgeons from using this technique, including:

  • The large, round implant and scar tissue cannot fit through the incision made.
  • The capsule is thin and is sticking to nearby tissue, which may put the implant at risk for rupture in the body.

In these cases, our surgeons will take another course of action to safely remove the capsule and breast implant from the body.

Dr. Mahabir and Dr. Gawley both perform the En Block resection of breast implants. If you are interested in an En Bloc resection, please schedule a consult at Gawley Plastic Surgery to see one of our board-certified plastic surgeons.