Mammographic breast mass, cyst, calcified mass, papable mass, or hematoma are the possible consequences of leaving some fibrous capsule in place when a breast implant is removed or changed. Indications for total capsulectomy include: calcified fibrous capsule, polyurethane implant, symptoms of autoimmune disease, plans for replacement with a textured implant in the same pocket, ruptured implant, and patient fear of developing autoimmune disease. The decision to perform capsulotomy, partial capsulectomy, or total capsulectomy is up to the operating surgeon according to the facts of the case and the surgeon's experience after consultation with the patient.
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