If you’re considering breast implant removal or have been advised you may need a Capsulectomy, you probably have a lot of questions. Capsulectomy is a procedure often performed alongside breast implant removal, where both the implant and the surrounding capsule of scar tissue are removed for comfort, safety, or peace of mind. Changes in the breast, discomfort, or concerns about your implants can be worrying but you don’t have to face them alone. At The Westbourne Centre in Birmingham, Hiroshi offers expert capsulectomy surgery in a caring, patient-focused environment. With over 25 years of experience, Hiroshi combines a calm, honest approach with advanced surgical techniques under local anaesthetic and sedation, supporting a smooth recovery and peace of mind every step of the way.

Capsulectomy at a Glance

  • Procedure time: 1.5–3 hours

  • Anaesthetic: Local with sedation

  • Hospital stay: Same-day discharge

  • Recovery: Light activity after 1 week, full recovery in 3–4 weeks

  • Scarring: Usually placed along previous incision lines for minimal visibility

What is a Capsulectomy?

A capsulectomy is a surgical procedure where the scar tissue (capsule) that naturally forms around a breast implant is carefully removed. This is usually carried out if the capsule has become thick and hard or uncomfortable and usually done at the same time as breast implant removal, especially if you have, implant rupture, or want both the implant and capsule taken out together. Unlike standard breast implant removal, a capsulectomy ensures the capsule is also removed, which may be important for comfort, appearance, or peace of mind.

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Why Might You Need a Capsulectomy?

Capsulectomy may be recommended if:

  • You have capsular contracture (hardening or distortion of the breast)
  • Your implant has ruptured or leaked
  • There are concerns about breast implant illness (BII) or BIA-ALCL (a rare lymphoma linked to some implants)
  • You’re experiencing discomfort, pain, or visible changes
  • You simply want your implants and the surrounding tissue removed for personal reasons

Hiroshi always takes time to understand your symptoms and concerns, so your treatment is truly tailored to you.

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Types of Capsulectomy

En Bloc Capsulectomy:
This technique removes the implant and the entire capsule as one piece, keeping the contents sealed inside. En bloc is often considered for ruptured implants, BIA-ALCL concerns, or at your request.

Total Capsulectomy:
Here, the whole capsule is removed, but not necessarily as a single unit with the implant. This approach is effective for treating contracture or removing problematic tissue.

Partial Capsulectomy:
Only a portion of the capsule is removed. This may be an option if the rest of the capsule is thin, healthy, and not causing any issues.

Hiroshi will talk you through which approach is best for your situation and why.

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How is Capsulectomy Performed?

Your procedure takes place at The Westbourne Centre, where you’ll be cared for by Hiroshi and his experienced team. Capsulectomies are carried out under local anaesthetic with sedation, so you’ll be deeply relaxed and comfortable, but can go home the same day.

  • Small incisions are usually made where your original scars are, or under the breast.
  • The capsule and/or implant are carefully separated from surrounding tissue and removed.
  • If needed, new implants can be placed, or you may choose to have no replacement.
  • The incisions are closed with fine stitches for minimal scarring.

What to Expect: Consultation, Surgery & Recovery

Consultation:
Hiroshi will take a detailed history, examine you, and if needed, recommend scans or imaging. This is your opportunity to discuss symptoms, wishes, and any concerns you might have.

Surgery Day:
You’ll arrive at The Westbourne Centre, have your procedure in a safe, modern environment, and recover in the comfort of the day-case facility.

Recovery:

  • You can usually go home the same day.
  • Most people feel well enough to move around gently within a day or two.
  • Light activity is fine after a week; strenuous exercise or heavy lifting may take 3–4 weeks.
  • Swelling and bruising are common but tend to settle quickly.

Hiroshi and his team are always on hand for aftercare and advice, making sure you feel supported at every stage.

Risks, Complications & Safety

Although a capsulectomy is very safe in experienced hands, it’s natural to want to know about any possible risks.

Potential risks include:

  • Bleeding, infection, or delayed healing
  • Seroma (fluid build-up)
  • Temporary numbness or changes in sensation
  • Scar tissue or contour irregularity

Hiroshi will talk you through these risks and answer all your questions before you decide to go ahead.

Why Choose Hiroshi for Capsulectomy Surgery?

With over 25 years’ experience in breast surgery, Hiroshi is a GMC Specialist Registered plastic surgeon and a member of BAAPS and BAPRAS. You can expect open, honest advice, expert surgical technique, and truly personalised care in a modern, CQC-registered clinic.

You’ll have ongoing support from Hiroshi and the team, ensuring you always feel informed and looked after.

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Ready to Take the Next Step?

If you’re concerned about your breast implants or just want clear, expert advice, book a consultation with Hiroshi today. Your peace of mind and wellbeing come first.

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FAQ's

Your most common questions answered

Have a question about our procedures? Call us to find out more +44 (0) 121 456 8149 or check out the following frequently asked questions from customers.

Is capsulectomy procedure common for most women who have breast implants?

Probably more than 10% of women who have silicone implants will develop capsules. Capsulectomy can be carried out if the capsule causes unacceptable distortion of the breast or if the capsule is painful.

Are you happy to perform a capsulectomy if you did not perform the original breast implant surgery?

Yes. There are many reasons a person changes surgeons, which I discuss in the Frequently Asked Questions regarding Consultation.

In placing the implants under the muscle, does this damage the muscle in any way? What happens to the muscle if the implants need to removed for any reason?

This is a good question. The reasons for any muscle changing in function if it is not used for any reason, injured, the nerves been damaged or the muscle length and therefore its tension has changed. Initially the muscle is damaged because we have to incise it partially to get the implant under it. This is why sub-muscular implants are more painful postoperatively than implants placed directly under the breast. Also initially because it is stretched the muscle will function slightly differently, but nature is forgiving because the muscle will learn to behave as normal after a period of recovery. I have not detected any long term functional problems with the muscle (called the pectoralis major muscle). However, if you were a professional swimmer, tennis player, athlete (such as a javelin thrower, gymnast) I would not recommend any sub muscular implants to be inserted. For “normal people” in the long term, I do not think that there should be any impediment to sporting activities and every day life. Long term the muscle, I believe, fully recovers. If the implant is removed the muscle will function as before but I suspect that there will be a relatively short period of full functionally recovery as the muscle gets used to the decreased length and tension after the implants have been removed.

MRI scans – should I do this every few years to check for any ruptures?

This is a complex and important question. There is no indication for regular MRIs in my opinion to check the state of the implants. An MRI should be carried out only if there is clinical suspicion that there is something wrong with the implant. For example a volume change, a change in shape or the presence of pain, may indicate rupture (implant failure) or capsule formation. I also believe if the patient is anxious , or feels she is experiencing odd symptoms or the implants has been in a very long time; then a scan should be done. A simple ultrasound is probably as good as an MRI in the right hands for detecting implant rupture. If an implant is damaged then they should be removed with the option to replace them with a different implant, perhaps consider fat filling. What is a long time? This is not really known but after 10 years it maybe prudent to have an ultrasound. This is an arbitrary figure based upon the fact that nothing man-made lasts for ever and the cause of implant failure is multifactorial. Unfortunately, sometimes I am sure that an implant maybe damaged and ruptured but not detected clinically. This is because the natural capsule that forms around the implant keeps the implant in shape and in position. This logically begs the question of whether it is dangerous to have a ruptured implant in your body with internal extrusion of silicone. The opinion of the majority of medical practitioners and available research of statistical data (known as meta analysis), indicates that it is not dangerous. There is no evidence that silicone is harmful to the human body although of course, if the silicone used in implants is of low-industrial grade (such as in the PIP implants), then I believe that they can cause side effects and abnormal internal inflammatory responses. In my practice with Nagor, Allergan and Mentor implants I have not seen ruptured implants causing serious systemic problems. For some PIP cases, I have seen bad abnormal capsule formation and lymph node involvement and also historically in patients who have had implants that ruptured many years ago with old generation implants.The patient has to listened to and examined carefully should there be some change in. The other reason for scans and investigations would be for diseases that may affect your breast in the future. This is a separate issue and must be treated on their own clinical merits. The implants would not affect the efficacy or the way diseases of the breast itself can be investigated. There is no evidence that you are more at risk or there is less chance of diagnosing breast disease because of silicone implants. There is certainly no evidence that they cause cancer.

What would be the likely costs of re-operation or replacement?

Any emergencies will be covered free of charge, however long term surgery is not free. For example, if a hard capsule forms around the implant after several years, the cost of the implant will be covered (as this is under warranty) but not the cost of the surgery. The rate of capsule formation is about 10%. If the patient wants bigger implants or the implants removed then there will be a cost in the region of £2900 to £4900 dependant upon the surgery required/requested.

What is the difference between en bloc and standard capsulectomy?

En bloc means the implant and capsule are removed together as one unit, usually for ruptured implants or special concerns. Standard or total capsulectomy removes all the capsule, but not necessarily in one piece.

Can I have new implants after capsulectomy?

Yes, many patients choose to have replacement implants in the same procedure, but it’s not required.

How do I know if I need a capsulectomy?

If you have pain, firmness, visible changes, or concerns about your implants, a consultation will help you decide if capsulectomy is right for you.

Is capsulectomy always needed for implant removal?

Not always. It depends on your symptoms, the condition of your capsule, and your wishes. Hiroshi will advise what’s best for you.

Is capsulectomy safe?

When performed by an experienced surgeon in a CQC-registered facility, capsulectomy is very safe. Risks are rare and carefully managed.

Will I have a scar after capsulectomy?

Incisions are usually placed where your previous scars are, or under the breast, and are designed to be discreet.

What happens if my implant is ruptured?

If rupture is confirmed, Hiroshi will safely remove both the implant and any leaked material, usually with a total or en bloc capsulectomy.