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En Bloc Capsulectomy
“En Bloc” vs. “Total Capsulectomy”
A capsulectomy is a general term for the removal of the scar tissue, also known as the capsule, that surrounds a breast implant. “En bloc" refers to removing the breast implant and capsule together in one piece along with a margin of normal surrounding tissues. The term originated in soft tissue cancer surgery, where it is important to remove a tumor with a margin of cancer-free normal tissue. This technique is useful in rare cases where patients have developed Anaplastic Large Cell Lymphoma (ALCL) or Squamous Cell Carcinoma (SCCA) of the breast capsule and the entirety of the cancerous process needs to be removed in one piece with a margin of normal surrounding tissues. However, this term has since been applied to all explant cases by some practitioners in the explant world. Technically, what is usually required is called a “total capsulectomy” where the capsule is removed in one piece, in continuity with the implant while preserving the patient’s own breast tissue.
Total capsulectomy is possible even when the implants were originally placed under the pectoralis muscle. In such cases, the capsule is often attached to the ribs and intercostal muscles. Since a true “en bloc” is rarely indicated, Dr. Brenner will perform a total capsulectomy, removing the breast implant and capsule together in one piece.
This complex procedure requires a great deal of surgical precision to perform correctly, and it is important to seek out a surgeon who has extensive experience in explant surgery.
What are the best options to maintain volume
without using a breast implant?
Breast lift surgery restores the breasts to a youthful, round, attractive shape and appearance, sitting higher on the chest wall. The nipple structure and size may also be altered to create the most symmetrical form.
Natural Fat Transfer, also known as breast augmentation with fat transfer, or fat grafting breast augmentation, involves harvesting fat from other regions of the body where there is excess of it and transferring it to breasts to enhance the shape.
WHY CHOOSE DR. KEVIN BRENNER FOR CAPSULECTOMY?
As a board-certified plastic and reconstructive surgeon, Dr. Kevin Brenner has performed thousands of breast explant surgeries, helping women achieve a natural, beautiful outcome. With over 25 years of comprehensive experience and superior results, Dr. Brenner has earned the respect of his peers and a stellar reputation for providing the best total capsulectomy in Beverly Hills.
Dr. Kevin Brenner received his Bachelor of Science degree at the University of Wisconsin, followed by his Medical Degree at Loyola University in Chicago. He went on to complete his five-year general surgery residency at RUSH University and Cook County hospitals in Chicago, at which point he completed a three-year residency in plastic and reconstructive surgery at the University of California.
