Robert Whitfield MD walks through capsulectomy technique, explaining why calcified capsules must be removed and how he makes an inframammary crease incision to access them. He notes that ruptured implant contents weren't visible until the capsule was on the back table.
You know, opening those capsules to take the gel out was a mess, and the calcified capsule could not be left behind. Whether you did nothing or whether you put another implant in, because you could feel it. It was. It was pathologic. So I disappointed those patients by telling them they needed an incision in the crease of the breast that they might not have had originally. And then I would lift the breast and skin up, like opening, know the hood on your car and expose that capsule and do a total capsulectomy. And I never saw the ruptured contents that was in it until it was on the back table.
