Ruptured implants Removed with Total Intact Capsulectomy, North Carolina*

This 68-year-old woman had implants placed over 30 years ago. She had developed capsular contracture over the years but never sought help. She was concerned that her implants were ruptured. She had very obvious contractures of both implants. She was concerned that her implants were causing "breast implant illness". Dr. Lyle performed a total intact capsulectomy. The ruptured gel implants were contained within the capsule. No abnormal pathology was noted, and no organisms were cultured. The patient did not want implant replacement or lift. Post operatively, she felt much more comfortable and was happy with her "normal" appearing breasts. The American Society of Plastic Surgeons recommend the following terminology for Capsulectomy A. En Bloc capsulectomy-removal of implant and capsule with a margin of uninvolved tissue usually for cancer-related conditions B. Total intact capsulectomy-removal of breast implant and capsule as a single unit C. Total capsulectomy- removal of the entire implant and capsule but not necessarily as a single unit. Usually, to avoid an overly long incision or when leakage of implant material is likely to happen. D. Partial capsulectomy -removal of breast implant capsule with some capsule left behind- usually over ribs or areas where removal may cause complications. It is important to discuss these distinctions with your board-certified plastic surgeon prior to your procedure.