Florence Mussat, M.D.
680 N Lake Shore Dr. #1030 Chicago, IL 60611 (312) 751-9000


En Bloc Breast Implant Removal

en bloc chicago dr. florence mussatIt takes a lot of surgical skill and training to perform breast implant removal — also called explant or revision — in a way that prioritizes patient safety and restores the original shape of the breasts. This is essential for women, who, for medical or aesthetic reasons, choose to remove their implants entirely. For women who are symptomatic for a breast implant rupture or are experiencing health problems associated with the implant, it’s incredibly essential that they be vigilant about the type of technique used for breast implant removal. The en bloc explant procedure is one of the most complex and sophisticated techniques for breast implant removal— and one of the most reliable ways to protect the patient from further complications.

Dr. Florence Mussat is one of the few well-trained and highly skilled plastic surgeons who regularly perform the en bloc procedure. For your safety and well-being, contact her Chicago office online or by calling (312) 751-9000 to schedule a consultation and learn more about her experience with the procedure and whether it might be appropriate for you.

What’s the Capsule?

A capsule is scar tissue that gradually grows and envelops implants. It happens with all implants because it’s a common response from the body when it encounters a foreign object.

Why Might I Consider En Bloc Implant Removal?

The en bloc technique is most valuable for a patient’s health and safety when something goes wrong with the implant, requiring its removal. Complications can include:

  • Rupture of a silicone implant and leakage of the silicone into the surrounding breast tissue.
  • The formation of a thickened or hardened capsule around the implant. A capsule is scar tissue that gradually grows and envelops implants. This physical response is normal – capsules form around the knee and hip implants, too. It becomes a problem with a breast implant when a capsule thickens or hardens to the point where it causes discomfort or pain, distorts the shape of the breast, or puts pressure on the implant.
  • The development of other health problems related to the implant, such as breast implant illness. 

For more information about breast implant illness, please visit Healing Breast Implant Illness and Breast Implant Illness. (Note: These links are to external websites that are not provided or maintained by or in any way affiliated with Florence Mussat M.D., S.C. Florence Mussat M.D., S.C. does not guarantee the accuracy, relevance, timeliness, or completeness of any information on these external websites.)

What is the En Bloc Procedure?

Developed by French plastic surgeons as a reliable and thorough form of implant removal or explantation, the en bloc procedure entails carefully removing the capsule and the implant together as a single, untouched unit. The surgery aims to remove ruptured silicone implants without further contaminating the body with silicone gel.

Removing the capsule entirely ensures that the body doesn’t reabsorb a contaminated capsule, and the careful removal of the implant ensures that no other material is left behind. As a precautionary measure after the removal, Dr. Mussat might install a drain to further discourage the formation of another capsule and to help the breast regain its original shape.

Why the En Bloc Procedure?

There are more than a few reasons patients and the medical community prefer the en bloc procedure. During your surgery, Dr. Mussat will repair muscle and tissue to restore the original contours of the breast. After she removes the capsule and the implant, your breast tissue and muscles should gradually settle back to their original position on the chest wall, leaving you with breasts that look and feel natural.

For more information, please visit Healing Breast Implant Illness and Breast Implant Illness.

Frequently Asked Questions About En Bloc Breast Implant Removal

How much does en bloc breast implant removal cost, and will my insurance cover it?

Dr. Mussat will explain the cost of the procedure as part of her consultation and will help you understand whether insurance may cover all or part of the cost. For more information, read our FAQs on insurance coverage for en bloc breast implant removal.

Is en bloc explant an option in every breast implant removal?

Not in every case. When the implant placement is behind the chest wall muscle, the capsule may attach to the ribs and the muscles that connect them. When this happens, and in specific other conditions, en bloc removal may not be the safest option. Dr. Mussat will always choose the safest and most effective approach to each patient’s implant removal and will discuss the options fully as part of your consultation with her.

Will I need downtime for recovery?

As with your original implant surgery, you will need downtime for rest and healing after en bloc breast implant removal. You should plan to rest for several days after the procedure and avoid strenuous activity for at least two weeks.


To schedule a personal consultation with Dr. Mussat and learn more about en bloc breast implant removal, contact her Chicago office online or by calling (312) 751-9000 today.