Breast Capsulectomy Surgery

When a breast implant is placed the body attempts to wall it off forming a capsule around the implant. This capsule can be present within a week after surgery and is eventually present in all breasts containing implants. The capsule can be of variable thickness and have different properties from patient to patient and even right breast vs. left breast. Thicker capsules or those that contain muscle cells can contract mishaping the breast and in some cases also cause pain with capsule contracture. This can also occur if a breast implant breaks or ruptures.

What does Breast Capsulectomy Surgery Involve?

Currently surgical removal of all or most of the capsule – total or subtotal capsulectomy – and replacement of the implant(s) is the usual course of action. The aim is to allow the body to form a more favourable capsule and place a new breast implant that should last longer than the older one.

The method of inserting and positioning your new implant will depend on your preferences, anatomy and your surgeon’s recommendation. However the implant is normally inserted through an incision made in the natural crease beneath the breast. It is also possible to make the incision in the armpit or around the edge of the areola. The incisions are then close by using fine, dissolving sutures which will also be taped for better support.

How long does Breast Capsulectomy take?

Breast augmentation is an operation that usually takes 1.5 hours to complete using a general anaesthetic and normally includes an overnight stay at the hospital. In certain circumstances it can be performed as a day case.

What can I expect from a Breast Capsulectomy?

Your expectations need to be realistic. Most patients are pleased with the outcome and find they gain a feeling of increased self-confidence especially when wearing can those more revealing clothes. The overall achievement will be having a completely natural look that compliments your figure.

Recovery after a Breast Capsulectomy Procedure

What will happen in the recovery period?

You will feel tired and sore for a few days and will have slight swelling and bruising which is only natural. Most of your discomfort will be subsided with prescription medication. Following the operation you will have a light dressing in place which will need to be kept dry for 2 weeks. After 2 weeks your dressing will be removed and the wound inspected and lightly cleaned. The scars will be firm and pink for at least six weeks and may remain the same size for several months and it is important to keep in mind that they may take up to 2 years to fade. You will have follow-up visits in the months after surgery to check on your progress.

What is the recovery time from the surgery?

This will depend on the individual patient however most patients are able to go back to work after a couple of days. Although you can walk about and do very light activities from the next day it is advisable not to do anything strenuous for 7-10 days. The average recovery time is between 1-2 weeks.