En Bloc Capsulectomy
Boca Raton, FL San Diego, CA
The journey toward health often involves making the brave choice to listen to your body. You may be experiencing systemic symptoms like joint pain, chronic fatigue, or brain fog that have made life uncomfortable. These concerns are often linked to how the body reacts to the scar tissue capsule that has formed around your breast implants over time.
At the practice of Landon S. Pryor, MD, FACS, we specialize in the en bloc technique as the only method for treating patients with Breast Implant Illness. This approach focuses on the complete and safe removal of any material that may be causing an inflammatory response. We invite you to schedule a private consultation in Boca Raton, FL, or San Diego, CA, to explore how this procedure could be the remedy you have been searching for.
Primary Goal
Complete removal of the implant and the intact scar tissue capsule in one piece.
Procedure Type
A specialized form of total capsulectomy performed under general anesthesia.
Additional Steps
Can be combined with a breast lift to remove excess skin and restore shape.
Recovery
Most patients notice a significant improvement in symptoms within a few weeks.
En bloc is a French term meaning "as a whole" or "all together." In the context of plastic surgery, an en bloc capsulectomy is a technique where your surgeon removes the breast implant and the surrounding scar tissue capsule as a single, undisturbed unit. While a general term like "total capsulectomy" simply means all scar tissue is removed, the en bloc method ensures the capsule is never opened while it is inside your body. This is essential for patients with silicone implants that may leak or rupture, as it helps contain all the material.
On the day of your surgery, Dr. Pryor uses meticulous skill to navigate the delicate area between the capsule and your chest wall. Once you are comfortably under general anesthesia, he makes a precise incision to access the augmented breasts. Using specialized tools, he carefully dissects the entire capsule away from the surrounding tissue, ensuring that the implant remains sealed inside. This expertise is what makes the difference in preventing unnecessary contamination and promoting a healthy recovery.
The en bloc procedure is highly effective for women experiencing complications from textured implants or those with a confirmed implant rupture. It is also the treatment of choice for patients with Breast Implant Illness, as it removes the group of inflammatory materials that lead to systemic disease. Research published in the Aesthetic Surgery Journal and other medical literature supports this method as a way to resolve pain and chronic immune system stimulation.
The most significant benefit of the en bloc technique is the safe removal of all foreign material from your body. Unlike a partial capsulectomy, which leaves some scar tissue behind, this method provides a clean slate for your immune system.
Patients report rapid improvement in energy levels and reduced pain associated with capsular contracture. Choosing Dr. Pryor for this procedure ensures your health and safety are prioritized through every step.
You are a candidate for this surgery if you have silicone or saline implants and are experiencing complications or BII symptoms. During your consultation, we will review your medical history and any imaging to determine the extent of the scar tissue. While similarly skilled surgeons may offer various techniques, the en bloc method is specifically designed for those who want the most thorough removal possible. We will discuss whether you are also a candidate for a breast lift to address any excess skin after the removal.
Recovery after an en bloc capsulectomy is a time for your body to refocus its energy on healing. You may experience temporary tightness, which is usually manageable with rest and professional care. We provide clear instructions for supporting your breast tissue as it heals, and most women return to their daily routines within a few weeks. Our team is always available to address any concerns you may have during this restorative period.
The results of an en bloc procedure are often life-changing. Beyond the physical change in your breast appearance, the most rewarding outcome is the improvement in your overall health. By reducing inflammation, you can enjoy a more active, vibrant life. When combined with fat transfer or a lift, the result is a beautifully restored profile that looks and feels like you.
Landon S. Pryor, MD, FACS, is a board-certified plastic surgeon with specialized expertise in complex breast surgery. He understands the difficulty many women face when seeking help for BII and is committed to providing a compassionate, high-end experience. By choosing our practice, you are entrusting your health to a leader in the field who uses the most advanced techniques to ensure your safety and help you achieve your aesthetic goals.
East Coast? West Coast? No matter where you are, getting high-end care from one of the nation’s leading plastic surgeons will be worth the trip. Dr. Landon Pryor is a triple board-certified, triple fellowship-trained plastic surgeon known for surgical excellence in both aesthetic plastic surgery and as a national leader in Breast Implant Illness (BII) care and explant surgery. His aesthetic highlights include a deep structural approach to procedures like facelift, rhinoplasty, and breast contouring, aiming for natural-looking, refined, and stable results. For BII patients, he is recognized as a "Surgeon Advocate" who utilizes innovative explant techniques, such as the En Bloc Capsulectomy, and integrates holistic recovery protocols.
Patients travel from across the country to see Dr. Pryor because he is a "National Destination for Explant Surgery & Aesthetic Excellence," offering a steady presence, an evidence-first approach, and compassionate care from a highly trained surgeon who validates their symptoms and provides a safe path to restoration.
You can schedule a consultation with Dr. Pryor at the following locations:
Yes, the en bloc technique is significantly more demanding and requires a high level of surgical expertise. The surgeon must carefully separate the capsule from the ribs and lung lining without tearing it. This is why it is essential to choose a board-certified plastic surgeon, such as Dr. Pryor, with extensive experience in this specific method to minimize risk and ensure complete removal.
The incision for an en bloc procedure is usually made in the inframammary fold, similar to a traditional breast surgery. While the incision may need to be slightly longer to remove the capsule and implant in one piece, Dr. Pryor uses advanced techniques to ensure the resulting scar is as discreet as possible. If you are also having a breast lift, the incisions will be planned to maximize your aesthetic outcome.
Yes, in fact, the en bloc method is the safest approach for managing a silicone implant rupture. By removing the capsule intact, we prevent any free-floating silicone from leaking into your body during the surgery. This contained removal is the best way to ensure that all foreign material is successfully cleared from your system.
Many women are concerned about looking "deflated" after their implants are removed. During your consultation, Dr. Pryor will assess your natural breast tissue and skin elasticity. We often recommend a combination of en bloc removal and fat grafting or a breast lift to restore a feminine, youthful shape using your body’s own natural resources.
A total capsulectomy means that 100% of the scar tissue is removed, but it may be taken out in several pieces. En bloc means the scar tissue and the implant are removed as one single, sealed unit. For patients with BII or a silicone leak, the en bloc method is preferred because it ensures nothing from inside the capsule touches your healthy tissue.
