En Bloc Capsulectomy La Jolla

Name: En Bloc Capsulectomy
Brand: Dr. Glynn Bolitho
Rating: 4.8 (935 reviews)

En Bloc Capsulectomy, French for “as a whole” is a surgical method where both the breast implant and the tissue surrounding it are removed as a single unit, often used to address implant-related issues.

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En Bloc Capsulectomy Overview

Experience Counts in Procedures Such as an En Bloc Capsulectomy

Together with his dedication to comprehensive client satisfaction, Dr. Bolitho's mastery of complex techniques has helped clients achieve their aesthetic vision.

Well over 25 years experience in plastic and reconstructive surgery
Board-certified in plastic surgery four times over
State-of-the-art operating suite adhering to national standards
Unwavering focus on patient well-being and safety

What is an En Bloc Capsulectomy?

When breast implants are placed, the body naturally forms a layer of fibrous scar tissue around them, known as a capsule. An en bloc capsulectomy is an advanced breast revision procedure where Dr. Bolitho removes both the breast implant and its surrounding tissue capsule together as a single, intact, unopened unit.

Derived from the French phrase meaning "as a whole," the primary objective of an en bloc capsulectomy is complete containment. By excising the capsule completely around the implant without rupturing or opening the scar pocket during surgery, any silicone gel, spilled saline, textured implant debris, or inflammatory fluid remains safely sealed inside. This prevents potential contaminants from shedding into the surrounding breast tissue or chest wall, offering patients a clean slate and peace of mind during implant removal or explant surgery.

Why Might En Bloc Capsulectomy be Necessary?

When you have surgery that involves an implant, breast or otherwise, the body’s natural reaction is to form scar tissue around the implant; in most cases, this scar tissue is very thin and will not change the feel or shape of the breast but in some cases, the scar tissue is thick and will contract which makes the breast hard.

En Bloc Capsulectomy in La Jolla is a specialized surgical technique employed during breast implant removal, particularly when dealing with textured or problematic implants. This procedure involves removing the entire capsule (scar tissue that naturally forms around the implant) and the implant together in one cohesive unit. En Bloc Capsulectomy may be necessary to address various breast implant concerns.

En Bloc Capsulectomy Offers Specific Benefits

For Individuals facing certain implant-related concerns, this procedure helps remedy the situation. Concerns that call for en bloc capsulectomy include:

Implant Rupture: Addresses cases where an implant has ruptured or leaked.
Capsular Contracture: Suitable for severe cases of scar tissue formation around the implant.
Implant-Related Health Concerns: Aids in removing all implant and capsule material, potentially linked to health issues.
Textured Implants: Often used when removing textured implants due to associated risks.

Is En Bloc Capsulectomy Always the Right Procedure?

Removing the entire capsule-en bloc is a meticulous procedure requiring more time in surgery. In some cases, en bloc cannot be done as your capsules may be tightly attached to the rib cage and removing the scar tissue is too much of a risk. In such cases, a partial capsulectomy will be performed, removing as much of the capsule as possible but not removing the portion attached to the chest wall. Other instances when this procedure may not be necessary or appropriate include:

Minor Capsular Contracture: When scar tissue formation is mild.
Implant Replacement: When the implant is being replaced but the capsule is intact.
Smooth Implants: For smooth implants without associated risks.

En Bloc vs. Subtotal Capsulectomy

The decision to remove some or all of the capsule has traditionally been made on an individualized basis, based primarily on the findings at the time of surgery. Dr. Bolitho is adept at determining whether to remove the entire capsule when removing the implant or just a portion of the scar tissue, leaving part of the capsule behind.

Why Choose Dr. Glynn Bolitho’s La Jolla Practice?

With a wealth of experience spanning decades, Dr. Bolitho delivers remarkable, natural-looking results to his clients. Boasting multiple board certifications in plastic surgery, his expertise extends internationally, positively impacting individuals seeking heightened self-assurance through cosmetic enhancements. Dr. Bolitho's dedication to personalized attention underscores his commitment to every client's journey, earning their trust and fostering highly valued, long-term client relationships. His unwavering focus on safety and continuous learning in the dynamic field of plastic surgery sets him apart.

Consult With Dr. Bolitho About Your En Bloc Capsulectomy

Contact us to schedule a consultation with Dr. Bolitho if you consider an en bloc capsulectomy may be necessary for your breast revision.

En Bloc Capsulectomy FAQ

What is the difference between an en bloc capsulectomy and a total capsulectomy?

While both procedures aim to remove the entire scar tissue capsule, a total capsulectomy removes 100% of the capsule tissue, sometimes by opening the pocket or removing it in pieces. An en bloc capsulectomy specifically requires removing both the implant and the capsule together as one intact, unopened pocket—ensuring any silicone leak, gel, or fluid remains completely sealed inside during removal.

Is every patient a candidate for an en bloc capsulectomy?

Not always. While en bloc capsulectomy is ideal for ruptured silicone implants or textured implant removal, safety comes first. If the capsule wall is extremely thin or adheres tightly to the ribs, intercostal muscles, or pleura (lung lining), attempting an en bloc extraction carries a risk of puncturing the chest cavity. In those delicate scenarios, Dr. Bolitho will perform a subtotal or partial capsulectomy to safely remove as much capsule tissue as possible without compromising your safety.

What is the recovery like after an en bloc capsulectomy?

Because en bloc capsulectomy involves meticulous dissection around the chest wall, recovery is slightly longer than standard implant exchange. Most patients experience mild-to-moderate soreness, tightness, and swelling for 1 to 2 weeks. Surgical drains may be placed temporarily beneath the skin to prevent fluid buildup. Patients can typically return to light desk work within 7 to 10 days, while avoiding heavy lifting and strenuous exercise for 4 to 6 weeks.