Swelling, soreness, and tightness are common after surgery. Your early recovery depends on whether Dr. Spiro included implant removal alone, capsule removal, implant replacement, or reshaping.
A Fresh Start On Your Terms
Whether you’re experiencing complications, lifestyle changes, concerns regarding breast implant illness, or simply wish to remove your implants, capsulectomy, implant removal, en bloc removal can help restore comfort and confidence. Dr. Spiro develops individualized treatment plans focused on your health, aesthetics, and long-term goals.
What It Treats:
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Rupture or leakage of silicone implant
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Thickened or hardened scar tissue
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Breast implant illness
Capsulectomy Overview
The proper approach depends on your implant history, anatomy, and the results of Dr. Spiro’s examination.
The Ideal
Candidate
Capsulectomy or explant surgery may be right for patients who want to remove implants, address implant-related concerns, or revise results that no longer feel comfortable or aligned with their aesthetic preferences.
Things to
Consider
The best surgical approach depends on your symptoms, implant history, breast tissue, and whether you want implant replacement, a lift, or just removal.
What to Expect
Consultation
Dr. Spiro reviews your implant history, symptoms, concerns, and goals to determine the safest surgical approach.
Planning
Dr. Spiro plans your procedure around your anatomy, capsule condition, and whether you want removal, replacement, or reshaping.
Pre-Operation
You may need breast imaging, blood work, drug testing, an EKG, hematology clearance, and temporary medication changes before surgery.
Surgery
Dr. Spiro removes the implant and capsule using the method that fits your surgical plan the best. In the case of breast implant illness, Dr. Spiro conducts a thorough post-surgery investigation using cultures to guide with additional treatment plan protocol.
Results Gallery
Work That Speaks for Itself
Explore real patient outcomes where surgical precision and artistic perspective come together to create results that feel natural, balanced, and uniquely personal.
Where Your Vision Takes Shape
Discover a personalized plan built around your features, goals, and long-term outcomes. Your consultation is a focused, one-on-one conversation designed to bring clarity, guide decisions, and outline the most appropriate approach for you.
Most patients need time to heal and recover, and strenuous activity or heavy lifting should be avoided during the 4-to-6-week recovery period. However, many patients are able to return to light activity within about one week, with Dr. Spiro guiding your return to normal activity based on your procedure and individual healing progress.
You’ll notice an immediate change after implant removal, but your final shape continues to evolve as swelling improves and the tissues settle.
If you choose not to replace your implants, your breast shape will reflect your natural tissue, and whether Dr. Spiro performs a lift or reshaping as part of your plan.
Follow-up visits are a vital part of your ongoing care and allow Dr. Spiro to monitor healing, answer questions, and guide you through recovery. Follow-ups are typically scheduled weekly during the first four weeks, with an additional long-term visit at approximately three to four months post-procedure.
The Foundation of Your Journey
Good outcomes don’t happen by chance—they’re built with purpose.
Frequently Asked Questions
Dr. Spiro works with many patients who suspect their implants may contribute to systemic symptoms. Thousands of women have reported similar experiences, even though breast implant illness is not yet an officially recognized medical diagnosis. At our practice, Dr. Spiro takes these concerns seriously and offers en bloc implant removal when appropriate to restore comfort and peace of mind.
That is just it; the world “en bloc” is being pushed in social media circles, not in the medical community. Actually, “en bloc” is a term generally reserved for a cancer procedure designed to intentionally remove anticipated normal tissue surrounding cancer tissue in order to obtain a recommended margin for cure or local control.
En bloc is not a treatment applicable to breast implant illness, as the illness is not a cancer. The treatment is actually a form of total capsulectomy known as a total intact capsulectomy. In this operation, Dr. Spiro removes the entire scar layer surrounding an implant, together with the implant. In some cases, Dr. Spiro may need to remove the capsule in segments as opposed to performing the procedure with the capsule intact.
Some reasons for this approach may be safety, as determined at surgery, where scar capsules may be fused to ribs and rib muscles. Lesser complete capsulectomies are known as segmental, partial, or incomplete capsulectomies.
Many symptoms include:
- Joint or muscle pain
- Chronic fatigue
- Memory and concentration problems (brain fog)
- Breathing issues
- Sleep disturbances
- Rashes and other skin conditions
- Dry eye and dry mouth
- Anxiety
- Depression
- Headaches
- Hair loss
- Gastrointestinal disorders
In suspected breast implant illness, Dr. Spiro does not replace them. This is generally the request made by patients who have been suffering.
A total capsulectomy might be deformational, yielding obvious voids and absence of tissue in some circumstances. This has led Dr. Spiro to develop a special type of combination lift with capsulectomy. In New Jersey, he is one of very few surgeons able to camouflage the tissue loss and deformity or absence.
Dr. Spiro calls this non-implant auto-augmentation. In this procedure, Dr. Spiro creatively uses tissue flaps called dermoglandular flaps from the remaining breast to fill in voids left behind from the absence of the implant and capsule layer.
Yes, for simple implant removal. Given that Dr. Spiro will not be removing a capsule with a basic implant removal, the fat can be placed in a more advantageous and dependable site. However, simple implant removal is not an ideal or thorough treatment for breast implant illness.
But if a patient experienced a total capsulectomy, and some type of tissue flap reconstruction has also been done, it’s difficult to get the fat to “take” at the same time. With other definitive treatment procedures, it’s best to hold off until the patient heals from the definitive initial surgery.
Your breasts will probably appear less full and may also sag when skin stretched by implants does not regain elasticity. Dr. Spiro often performs auto-augmentation breast lifts to reshape and elevate the tissue, creating natural-looking, attractive contours without adding implants. Many women find this option liberating and more aligned with their current lifestyles.
You should only trust an experienced, board-certified plastic surgeon, like Dr. Spiro, to perform implant removal and capsulectomy in New Jersey. He has completed thousands of breast surgeries over his 30+ year career, including total capsulectomies for patients concerned about puzzling underlying symptoms.
Patient Experiences
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Reflections Series #2 | Oil Painting on Hardboard | Dr. Scott Spiro
