An en bloc (meaning “all together”) capsulectomy is a procedure to remove both the implants and the chest capsules that house them as a single unit rather than piecemeal. A capsule is a layer of scar tissue that surrounds the implant. This procedure is ideal for those who have experienced BII (Breast Implant Illness) or BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma).

Why Choose Music City Plastic Surgery?

Dr. Burgdorf is an award-winning, board-certified plastic surgeon who possesses the specialized skill and expertise to overcome any aesthetic problem with which he is presented. He will take all the time needed to fully understand your goals and will empower you through detailed education to become a full participant on your surgical journey to enhanced comfort and peace of mind. Music City Plastic Surgery is housed in an immaculate 12,000-square-foot facility equipped with the latest in world-class, advanced technology.

Our 9 comfort-oriented exam rooms ensure that patients never have to wait to be seen. Safety is optimized at our surgical center, as we are not vulnerable to the high rate of traffic and cross-contamination rampant at busy, crowded hospitals. Despite the spaciousness of Music City Plastic Surgery, patients enjoy a boutique atmosphere with a personalized approach and one-on-one attention. Small personal touches such as soft slippers and spa-like robes allow patients to experience the practice as a relaxing home away from home.

What Is En Bloc Explant Surgery?

Breast implants can be removed in a variety of ways. En bloc capsulectomy is a method of removing both the implants and their scar tissue capsules simultaneously rather than in parts, as is the case with a conventional capsulectomy and partial capsulectomy. The benefit of this approach is that it prevents bacteria, chemicals, silicone, fluids, and other pathogens from venturing outside the capsule into the body.

It also ensures that all scar tissue is effectively removed. The purpose of an en bloc capsulectomy is to alleviate discomfort and illness, restoring the chest to its natural state. It can be beneficial for patients who have experienced ruptured, old, or leaking implants and for those struggling with the effects of BII (Breast Implant Illness) or BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma) due to textured implants.

While en bloc capsulectomy has many advantages, in some cases, it may not be viable. Scar tissue capsules with thinner tissue may be more difficult to remove in this fashion. Only a detailed consultation with Dr. Burgdorf can determine if you are a candidate.

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What Happens During an En Bloc Capsulectomy?

One's en bloc capsulectomy in Nashville is performed under general anesthesia. An incision is made along the inframammary fold (breast crease), and this opening must be wide enough to allow Dr. Burgdorf to remove the entire capsule and its contents from the chest.

The doctor will carefully separate the scar tissue capsule from the breast tissue and then remove both the pocket and implant simultaneously in one piece.

If any scar tissue remains, which might occur with a thinner capsule, Dr. Burgdorf will make sure to remove it thoroughly. He will then sterilize the treatment areas and close the incisions. The procedure is typically performed on both sides of the body. To ensure that the final chest appearance is balanced and beautiful, Dr. Burgdorf may choose to perform a breast lift or fat transfer procedure in combination with en bloc capsulectomy. There is also the option of replacing the old implants with new ones.

Merril's Capsulectomy

Erin's Capsulectomy

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Who is a Good Candidate?

Women suffering from ruptured implants, capsular contracture, or unexplained illness related to their breast augmentation procedure will be good candidates for en bloc capsulectomy with Dr. Burgdorf in Nashville, TN. Any woman who has textured implants should undergo the procedure due to the link between these devices and a rare form of lymphoma. Removing the implants, in this case, almost completely eliminates the patient’s risk of developing ALCL. Dr. Burgdorf will conduct a detailed consultation process to answer all your questions in depth, evaluate your scar tissue and implants, and create the best possible treatment plan for restoring your appearance, comfort, and quality of life.


After en bloc capsulectomy in Nashville, patients can expect to rest for around one week before returning to non-vigorous movement and activity. Recovery tends to be less intense than it was for the original augmentation procedure because no new capsule is being created from scratch. Downtime may be extended if Dr. Burgdorf combines your en bloc capsulectomy with implant replacement, a breast lift, or a fat transfer procedure. 

Rest assured, each patient at Music City Plastic Surgery will receive a detailed and personalized aftercare plan, along with prescription pain medications and compression garments. Dr. Burgdorf insists on extensive follow-up and will see you regularly to ensure your healing process remains on track.

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