Breast Implant Removal and Natural Reconstruction in Montreal | En Bloc Capsulectomy – Dr Danino
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Testimonial from Mrs. Yumiko C.
Pain, Capsular Contracture, En Bloc Explantation and Breast Reconstruction with Lipofilling
When Breast Implants Become a Source of Suffering
For many years, Mrs. Yumiko C. lived with breast implants that had initially brought her satisfaction and confidence. Over time, however, increasing physical symptoms and discomfort began to appear:
● chronic chest pain,
● constant tightness,
● breast hardening,
● capsular contracture,
● fatigue,
● chronic headaches,
● loss of confidence in her implants.
Like many women in this situation, she felt that “something was no longer right.”
Before Surgery
Clinical examination revealed severe capsular contracture with implants that had become firm, painful, and unnatural in appearance.
The breasts had lost their natural softness and mobility, creating a tense and uncomfortable feeling.
Preoperative Illustration
A Rigorous Surgical Approach
After extensive discussion, Dr. Michel Alain Danino proposed:
● complete implant removal,
● en bloc capsulectomy,
● systematic pathological analysis of the capsules,
● followed by progressive reconstruction without new implants.
The goal was twofold:
remove the implants and surrounding inflammatory tissues;
restore soft, natural breasts using the patient’s own fat.
What Is an En Bloc Capsulectomy?
The capsule is a fibrous membrane naturally formed by the body around a breast implant.
In some patients, this capsule may:
● thicken,
● become inflamed,
● contract,
● and cause pain and deformity.
An en bloc capsulectomy consists of removing:
● the implant,
● together with the surrounding fibrous capsule,
● in one single surgical specimen whenever anatomically possible.
This technique allows:
● complete removal of peri-implant tissues,
● accurate pathological examination,
● and significant psychological reassurance for some patients.
The Surgical Specimens
For Mrs. Yumiko C., the intraoperative photographs of the removed capsules played an important role in her healing process.
She described feeling deeply reassured after seeing the tissues that had been removed.
Intraoperative Illustrations
Testimonial from Mrs. Yumiko C.
“I lived for a long time with breast implants that had become hard, painful, and uncomfortable.
Over time, I started experiencing constant tightness in my chest, pain, headaches, and fatigue that affected my everyday life.
The capsular contracture worried me a lot. I needed to understand what was happening inside my body and I wanted reassurance.
Dr. Danino proposed complete implant removal with en bloc capsulectomy and pathological analysis of the capsule.
Seeing the photographs of the removed tissue reassured me tremendously. For the first time, I truly felt that the source of my pain had been removed and carefully analyzed.
After the explantation, two sessions of fat grafting progressively restored a natural breast volume of approximately 300 cc.
Today, my breasts are soft and natural, and most importantly, my pain and headaches are gone.
I finally feel at peace with my body again.”
Natural Breast Reconstruction with Lipofilling
After healing, two sessions of breast fat grafting were performed.
Lipofilling consists of:
● harvesting fat from selected areas of the body,
● purifying the fat cells,
● and reinjecting them into the breast using microstructural techniques.
This approach offers:
● reconstruction without implants,
● a very natural texture,
● soft and mobile breasts,
● and improved skin quality.
In Mrs. Yumiko C.’s case, approximately 300 cc of volume was progressively achieved.
Postoperative Result
Postoperative photographs demonstrate:
● natural breast contours,
● restored softness,
● absence of capsular contracture,
● and a harmonious, discreet result.
Postoperative Illustrations
An Individualized Approach
Not all women with breast implants develop complications or systemic symptoms.
However, some patients may experience:
● capsular contracture,
● chronic pain,
● significant discomfort,
● or symptoms they associate with their implants.
In these situations, careful, individualized medical management is essential.
Dr. Danino emphasizes:
● rigorous clinical evaluation,
● honest scientific information,
● natural reconstructive approaches whenever possible,
● and long-term follow-up.
Frequently Asked Questions
Can symptoms improve after implant removal?
Some patients report significant improvement after explantation, including reduction of:
● pain,
● chest tightness,
● fatigue,
● headaches,
● and chronic discomfort.
Each case remains individual.
Is it possible to restore volume without new implants?
Yes.
Breast lipofilling allows progressive reconstruction using the patient’s own fat.
The result is generally:
● softer,
● more natural,
● and better integrated into the tissues.
Is pathological analysis important?
Yes.
Pathological examination of the removed capsules allows:
● documentation of inflammatory changes,
● exclusion of rare abnormalities,
● and provides a rigorous medical framework for treatment.
Breast Surgery in Montreal and Paris
Dr. Michel Alain Danino is Professor of Plastic Surgery at the University of Montreal and Head of Plastic Surgery at CHUM.
His expertise combines:
● reconstructive surgery,
● microsurgery,
● treatment of breast implant complications,
● and advanced natural breast fat grafting techniques.
Recognized Scientific Expertise in Breast Implants
Mrs. Yumiko C.’s treatment reflects the academic and scientific expertise of Dr. Michel Alain Danino, internationally recognized for his research on:
● breast implants,
● peri-prosthetic capsules,
● textured implants,
● silicone-related reactions,
● and implant-associated complications.
His PubMed-indexed publications include studies on:
● silicone particles identified within breast implant capsules,
● double capsule formation associated with macrotextured implants,
● complications related to textured implants,
● capsular contracture,
● and scientific analysis of breast implant safety.
In a recent publication in the Aesthetic Surgery Journal, Dr. Danino and his team demonstrated that silicone particles may be present within capsules surrounding certain silicone breast implants. This research contributes to a better understanding of the interactions between implants, capsules, and surrounding tissues.
This dual expertise — both surgical and scientific — allows Dr. Danino to provide patients with a rigorous, evidence-based, and compassionate approach centered on individualized care.
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