Dr. med. Dr. med.

Christina Irene

Board Certified Plastic Surgeon

International Center for
Plastic and Aesthetic Surgery

personal - trusting - passionate

International Center for
Plastic and Aesthetic Surgery

Plastische Chirurgie München - Dr. med. Dr. med. Christina Günter
Blende schräg - Dr. med. Dr. med. Christina Günter Plastische Chirurgie München
En Bloc Resektion / Brustimplantate entfernen



Undesirable side effects of silicone breast implant

Even though silicone breast implants have been used for more than 50 years, and millions of women worldwide have breast implants, scientific research and regulatory studies show that there are specific risks and considerations you should be aware of. Breast implants are foreign bodies that, like any other foreign body, may cause health problems.

In any event, you should discuss these risks with me, or your attending plastic surgeon, before any breast augmentation.
The website of the U.S. Food and Drug Administration (FDA) is an excellent, reputable, and recommendable source of information on this subject:
FDA  … (https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants).

Some of the risks may not be harmful to health, but aesthetically disturbing:

  •  e.g.: Rippling = the implant creates folds or wrinkles
    Others may cause health impairments that may lead to a follow-up surgery to remove or replace the implants:      
  •  e.g.: Ruptures = Tearing of the outer shell of the implant within the body
    (Cohesive silicone gels may not leak but may lead to chronic inflammatory reactions; removing the implants is, therefore, advisable; I also recommend removing the capsule, as far as possible).
  • z. B. Kapselfibrose = verhärtete innere Narbe um das Implantat herum
    e.g.: Capsular fibrosis = Tightening of the inner scar tissue around the implant
  • z. B. Breast Implantat Illness (BII) = Brustimplantatkrankheit
    (In itself, capsular fibrosis is not harmful. However, depending on the stage [Baker I to IV], it may lead to pain and visible deformations of the breast; removing the implants is, therefore, advisable; I also recommend removing the capsule, as far as possible).
  • z. B. Breast Implant Illness (BII)
    (At the moment, we do not yet know, how or why BII develops. BII is a diagnosis by exclusion. It includes various non-specific complaints, such as memory impairment, chronic fatigue, rheumatic diseases, arthritis, soft tissue rheumatism, chronic pain, sleep disturbances, headaches, skin rash, hair loss, etc. Removing the implants is, therefore, advisable, I also recommend removing the capsule, as far as possible.

Extremely rare, but very severe complications may necessitate mandatory removal of the implants:

Breast implants, as well as other implants (e.g., dental implants, pacemakers, etc.), may cause a malignant lymphoma, the so-called “Anaplastic Large Cell Lymphoma” (BIA-ALCL), a malignant non-Hodgkin tumor.

If a BIA-ALCL is suspected, the implants must be removed together with the tumor.

You will find further information under the following link:

And on the FDA website

In most cases, a complete recovery is possible after the removal of the implants.
You are welcome to confidently contact me if you feel anxious or if you suspect that you are experiencing any of the adverse implant side effects mentioned above.

En Bloc Resektion – Brustimplantate ENTFERNEN

The removal of breast implants requires very delicate surgery and should be performed by an experienced breast surgeon who is familiar with the various techniques.

The term “en bloc resection“ has its origins in cancer surgery and describes a surgical technique where diseased tissue is removed in one block together with surrounding healthy tissue.

Transferred to the removal of breast implants, it describes the surgical technique, where the implant is removed together with the surrounding capsule in one piece, without damaging the capsule (i.e.: without a hole).

This technique is mastered only by experienced breast surgeons and is very demanding, surgically speaking. It cannot be denied, however, that even the best and most experienced breast surgeons may not be able to perform “en bloc resections” in all cases.

Here, too, the implant and the capsule are removed.

Here, too, the implant and the capsule are removed.
However, the capsule may be damaged (holes), or the implant and capsule are removed separately in one operation.

At the current state of science, an “en bloc resection“ is medically indicated only in the case of a malignant disease, e.g., BIA-ALCL.
It may be desirable in case of an implant rupture and a BII, but the chances of recovery seem to be just as good with capsulectomy.
Some experts believe that leaving the capsule or parts of the capsule in the body to avoid surgical complications and additional volume loss.

However, I do not share this opinion.

If necessary, it is possible to remove a capsule that has been left in place after the implant has already been removed in a second operation.
A capsulectomy or “en bloc resection“ is generally associated with a larger resulting scar than implantation. “En bloc resection“ or capsulectomy may be combined with a breast lift or augmentation with autologous fat, either at the same time or in consecutive operations.

Which surgical technique is suitable for your personal requirements can only be clarified in an individual consultation.

Die wichtigsten Fakten zu Brustoperationen / Brustimplantate entfernen

  • DURATION OF SURGERY:: 1 to 6 h
  • ANESTHESIA: General anesthesia
  • HOSPITAL STAY2 nights
  • COSTS:will be determined individually after the preliminary consultation, depending on the work involved
  • REMOVAL OF SUTURES: not applicable or 2 weeks
  • SOCIAL ACTIVITIESafter 1 to 2 weeks
  • PHYSICAL EXERCISE:: after 6 to 12 weeks
Plastische Chirurgin in München, Dr. Med. Christina Günter


As with any surgical procedure, an “en bloc resection“ / capsulectomy may lead to bruising (hematoma), secondary bleeding, swelling, wound healing disorders, infections, and wound dehiscence. Temporary numbness of the treated area may also occur.

If you decide on an ”en bloc resection“ / capsulectomy, it is essential that you are cared for professionally and individually during the entire process.

I attach great importance to perceiving, advising, and treating you as an individual, with all the facets of your personality. My many years of experience, expertise, empathy, and communication are central pillars of my therapeutic success.
Intensive and personal post-treatment care is as much a focus of my work as the preparation and the treatment itself. After all, a perfect result can only be achieved by working together as a team.
It goes without saying that your health is always given priority. Surgery that negatively affects your health or physical integrity is not recommended and should not be performed in the first place.