True Total Capsulectomy in NJ

I have 25 years of experience performing capsulectomy procedures. I have treated countless patients with a subtotal capsulectomy or total capsulectomy who have ruptured silicone implants, experienced capsular contracture, and had issues with their implant size and shape. I also have years of experience with performing true total capsulectomy procedures, which is a routine surgery that takes the capsulectomy one step further. If you are experiencing discomfort or complications with your implants, I can help treat your concerns.

True Total Capsulectomy Before and After

Please take a look at our total capsulectomy before and after pictures to see our patients’ amazing results after surgery.

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Surgeon

Who is a Good Candidate for Total Capsulectomy Surgery?

A total capsulectomy involves removing the breast implants and scar tissue (capsule) that has formed around an implant. Women whose breasts feel firm, hard, and painful are good candidates for this surgery, as they are potentially suffering from capsular contracture. Ideal candidates for this procedure also have realistic outcomes for their results after surgery and are in overall good general health.
Surgery-prep

What to Expect During a Total Capsulectomy Consultation

During your consultation, I will talk to you about your medical history, current medications, and surgical goals. I will also evaluate and examine your breasts based on your concerns with your implants. My staff and I will go over the procedure with you, possible risks and complications, and the potential outcomes after surgery.
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Good-Candidate

How Do You Prepare for a True Total Capsulectomy?

Before having a total capsulectomy, you may need to stop smoking or take certain medications that may slow your body’s ability to heal. The procedure is performed under general anesthesia, so you should plan for having a family member drive you to and from the hospital.
Surgery-prep

What Happens During True Total Capsulectomy Surgery?

True total capsulectomy removes the breast implants and hardened scar tissue by cutting out the entire formed scar capsule, including the capsule that has formed behind the implant. It is up to you to determine whether or not you prefer to have a breast implant replacement as part of your procedure.

In cases where patients prefer not to have an implant replacement, I repair your pectoralis muscle and reattach it back to the chest wall ribs. This process diminishes the possibility of post-operative seroma, which is a fluid accumulation in the space previously occupied by the implant. I generally propose a breast lift procedure with a true total capsulectomy at the same time if it is feasible.

True total capsulectomy also has become more important in the proper management of suspected Anaplastic Large Cell Lymphoma (a rare type of non-Hodgkin lymphoma) and suspected illnesses associated with breast implants. I have developed a comprehensive protocol in our outpatient hospitals for the evaluation of the true total capsulectomy tissue specimen after surgery.

I evaluate the tissue through pathology and microbiology assessments, including testing for BIA-ALCL, standard tissue pathology, anaerobic and aerobic culture with gram stain, as well as acid-fast bacteria, fungal, and viral cultures to test for ALCL or breast implant illness. We take patients’ concerns seriously about their health, which is why we subject the tissues to comprehensive testing.
Recovery-time

How Long is Total Capsulectomy Recovery Time?

After surgery, I will place drainage tubes in the area to help reduce swelling and give you a compression bra to wear for several days. Your breasts may feel sore, but the full recovery for a true total capsulectomy is only two weeks. You can also return to work within a few days after surgery and resume fitness activities in about a month. The overall outcome of the procedure is extremely satisfying to patients from both a cosmetic and functional standpoint.
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Dr. Spiro today!
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Request a True Total Capsulectomy Consultation in West Orange, NJ