En bloc implant removal is a highly specialized technique that removes the breast implant and its entire surrounding capsule as one intact unit. This approach is essential for patients with BIA-ALCL and is preferred by many seeking the most comprehensive form of breast implant removal.
En bloc capsulectomy removes the breast implant and the entire capsule (scar tissue around every implant) together, in one whole piece. The capsule is not opened, disturbed, or separated from the implant during removal.
This technique is the gold standard for treating Breast Implant–Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), recommended when there is fluid, mass, or abnormal capsule tissue, and sometimes chosen by patients wishing to ensure complete removal of all implant-related tissue.
Dr. Justin West is among the few plastic surgeons in Southern California who has both diagnosed and surgically treated BIA-ALCL, giving him extensive experience with the precise requirements of en bloc capsulectomy.
As one of California's few plastic surgeons with direct experience diagnosing and treating BIA-ALCL, Dr. West offers unparalleled expertise. His background includes:
• Direct experience diagnosing and treating BIA-ALCL
• Extensive experience with en bloc capsulectomy
• Expertise in complex implant removal surgery
• Precision technique for thin, calcified, or adherent capsules
• Comprehensive approach to complete capsule removal
Dr. West's background in treating BIA-ALCL and complex explant procedures offers patients exceptional care.
During your consultation, we'll evaluate your situation and discuss the best approach.
• Whether en bloc is medically indicated or personal preference
• Implant type, age, and any symptoms
• Expected breast shape after removal
• Whether a lift should be combined
A physical exam and photographs help guide your personalized approach.
En bloc removal is performed under general anesthesia and requires meticulous surgical technique.
Dr. West gently releases the capsule from surrounding tissues—including chest wall, ribs, muscle, and breast tissue—without tearing or opening it.
Once fully freed, the implant and capsule are removed as a single unit, ensuring no capsule contents are disrupted.
The capsule can vary widely in thickness and adherence, making surgeon experience essential.
Understanding what to expect with en bloc removal:
• Procedure may take longer than standard explant surgery
• Recovery is similar to or slightly longer than traditional implant removal
• A breast lift or shaping procedure may be recommended depending on tissue quality
• Some thin or fragile capsules cannot be removed en bloc without compromising safety
Dr. West evaluates each case individually to determine the safest and most effective approach for your specific situation.
Use our Treatment Planner to explore options and estimate your personalized treatment timeline.
Start Planning →En bloc removal provides comprehensive removal of the implant and capsule, offering:
✔ Complete removal of implant and capsule as one intact unit
✔ Gold standard treatment for BIA-ALCL
✔ Minimized risk of capsule fragments or fluid escaping
✔ Peace of mind with comprehensive tissue removal
✔ Expert surgical technique for optimal safety and precision
With Dr. West's extensive experience in en bloc capsulectomy, patients receive the highest level of care for this specialized procedure.
View real results from En Bloc Implant Removal procedures performed by Dr. Justin West.
Gallery cases coming soon.
Schedule your consultation with Dr. Justin West to discuss your en bloc implant removal goals.
230 S Main Street, Suite 210, Orange, CA 92868