Why is it important to remove the breast implant capsules?

After your breast implants were installed, your body built encasements around each one to  protect you from the invasive foreign objects.  These encasements are called capsules.

Why You Must Remove the Capsule

The capsules become necrotic, or made up of dead cells. Microorganisms (including mold, fungi, bacteria) feed off this tissue and then create biofilms or web-like structures to protect themselves. It is very difficult to break biofilms and thus get rid of the infections these microorganisms can cause.

If your breast implant capsules are not removed, the microorganisms continue to feed off the capsules that were left behind.  They continue to produce harmful biotoxins, which clog up the liver and other detoxification organs, and upset the balance of other systems, adversely affecting  health.

In addition, all the chemicals contained in the capsules (there are 40+ in implants) such as silicone and heavy metals remain in the body if the capsules are contaminated with them. Therefore, even after removing the dangerous implant, the capsules left in the body can perpetuate illness.

Out with the Old, In with the New

There are horror stories of women who explanted or changed out old implants for new ones, leaving one or more sets of capsules in the chest cavity. These women have suffered greatly. Illness was prolonged and in many cases exacerbated.

They did not start healing until the capsules were removed.

Remove Carefully

Choose a surgeon who is skilled in removing the capsules to minimize tears and spillage of implant contents into the breast cavity during the procedure. This is difficult to do, as the capsules can be very thin. They are described as “wet toilet paper” by Dr. Jae Chun in this YouTube video.

Since most implants are inserted under the muscle, the capsules stick to the rib cage and peeling them off presents a real challenge and one that cannot always be achieved, but that is the goal.

En Bloc/Total Capsulectomy – Why it is the Best Procedure

En Bloc is a breast implant removal procedure developed in France and as described above, prevents contamination from the contents inside the capsule such as chemical textures, silicone, silicone particulate, silicone chemicals, heavy metals and microorganisms known to grow in capsules.

During an En Bloc procedure, the surgeon “leaves the capsule tissue intact on the breast implant and cuts around this intact unit without disrupting either the capsule or the implant so as to avoid contamination of the body.”

Total Capsulectomy without the En Bloc procedure implies the whole capsule comes out but does not preclude tears or holes in the capsule. This can result in leaks of unwanted chemicals into the chest cavity if the implants have been torn or ruptured.

En Bloc/Total Capsulectomy is when the entire capsule comes out, intact, with no tears, holes, or leaks. The implants contained inside may have tears or leaks but the chemicals that leak out are contained within the intact capsule and therefore, nothing is left in the body, as far as can be seen.

This gives the greatest promise of recovery outcome from symptoms and BII.

Here is a photo of my implants and capsules after an En Bloc/Total Capsulectomy.


If you need guidance in choosing a surgeon for your explant surgery, I would be happy to share my experience. In fact, most of it is written in Part III of my Breast Implant Illness series.

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