"MRI shows no rupture of 20 yr old silicon implants. Both boobs are soft to touch but L boob has slight CC (almost undetectable to the naked eye) and if pressed hard boob is slightly harder in the middle. I would like explant with no immediate replacement. Do I need a full capsule removal. External examination show CC capsule is 1.5 – 2 mm and other 1mm thick. Can the surgeon tell if there is calcification just from feeling me. What is calcification and would the MRI show up calcification too. Thank you. "
DR. POUSTI: Do I need a full capsule removal? What’s calcification? Does a physical exam or MRI show calcification if it’s present?
Generally speaking, unless the breast implant capsules have thickened and/or are otherwise symptomatic, there is no indication to have them removed. On the contrary, capsulectomy can expose you to additional risks, such as bleeding and minimal size loss.
Having said that, I often remove a small segment of capsule tissue when removing breast implants with the hope that this maneuver will help with fluid resorption (and help prevent seroma formation). I usually use drains also.