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Capsulectomy
Capsulectomy
Capsulectomy

Capsulectomy

Is a Capsulectomy Right for Me?

Capsulectomy in Bucks County, PA & Hunterdon County, NJ

Capsulectomy

Introduction

Dr. Buinewicz, a triple board-certified plastic, and reconstructive surgeon has over 30 years of experience in performing capsulectomy and other breast surgeries. Dr. Buinewicz is a leader in breast corrective and cosmetic surgery. Buinewicz Plastic Surgery is located in Doylestown, PA and Flemington, NJ, and serves the men and women who live in Hunterdon County, NJ and Bucks County, PA.

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TABLE OF CONTENTS

Introduction

Introduction

Are You A Candidate?

Are You A Candidate?

Why Choose Dr. Buinewicz?

Why Choose Dr. Buinewicz?

Prepare For Consultation

Prepare For Consultation

Surgery Information

Surgery Information

Pricing plans for your
wellness journey

Capsulectomy Pricing

Capsulectomy Pricing

Buinewicz Cosmetic Surgery & MedSpa

Initial Consultation

  • 45 mins $150

Pricing Range

  • *Min:
  • *Max:

Pricing Range

  • *Min: $10,000
  • *Max: $16,000

Price

  • *Min: $10,000
  • *Max: $16,000

Price

  • *Full Cost:

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common CONDITIONS

Conditions we treat with excellent care

What Can Capsulectomy Accomplish?

Reduces or eliminates symptoms of capsular contracture
Improved implant position and symmetry
Enhanced breast shape and contour
Essentially reverses the procedure of placing an implant
Eliminates all the chronic scar tissue associated with an implant

Are You A Candidate For Capsulectomy?

If you are suffering from capsular contracture, implant malposition or other localized or systemic symptoms possibly related to your implants (Breast Implant Illness Syndrome) you might be a candidate for a total capsulectomy. Common symptoms of capsular contracture include:

  • Breast firmness or hardness
  • Tightness or constricted sensation
  • Changes in breast shape or appearance
  • Implant displacement
  • Breast pain
  • Rippling or wrinkling in the breast
  • Systemic symptoms related to breast implants

What is a Capsulectomy?

Capsulectomy is a surgical procedure performed to remove the scar tissue or capsule that forms around a breast implant. The scar tissue that forms, also known as the capsule, is the body’s natural response to the presence of a foreign object, such as a breast implant. Capsules are the body’s natural response to a foreign object to protect and wall off the foreign object from the rest of the body. Capsules are comprised of living tissue, mostly collagen, and blood vessels and lymphatics. In some cases, the scar tissue capsule can react abnormally and either thicken or tighten around an implant causing capsular contracture for example, or uncommonly cause neoplasm such as BIA-ALCL in patients that have textured implants. There are many reasons patients request to haver their capsules removed when removing their implants. A thorough discussion with your surgeon will help you choose the correct procedure based on your health issues, symptoms and physical findings on exam plus your expectations.

HUNTERDON COUNTY, NJ AND BUCKS COUNTY, PA

Why Choose Dr.Brian Buinewicz?

Dr. Brian Buinewicz is a triple board-certified plastic surgeon with over 23 years of experience specializing in breast, abdominal, and BII. He is an award-winning, internationally recognized surgeon and the Emeritus Chief of Plastic Surgery at Abington Hospital, where he served for 30 years. Dr. Buinewicz is a Clinical Instructor at Temple University in the Division of Plastic Surgery. His approach prioritizes personalized patient care, ensuring tailored solutions for each individual. His philosophy embodies his mission: "One surgeon, one team, dedicated to you, the patient."

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Got a question?

Questions For Your Consult

Can the Breast Implant Be Replaced During Capsulectomy?

Yes, if the breast implants are discovered to be ruptured, leaking or otherwise damaged, it may be necessary to remove the breast implant. This may also be appropriate in the event of severe or recurring capsular contractures. When it is necessary to remove the implant, it is possible to replace the old implant with a new one during the capsulectomy procedure if indicated or desired.

Is Capsulectomy Surgery Covered by Insurance?

Capsulectomy surgery may be covered by insurance under certain circumstances. However, coverage policies can vary between insurance companies and plans, so it’s important to consult with your insurance provider directly to understand your specific coverage details. In most cases, the broad requirement is that the capsulectomy procedure must be considered a medical necessity. This typically applies when capsular contracture causes significant discomfort, pain, or functional impairment.

How Long After a Capsulectomy Consultation Is the Surgery?

Generally, the time between your consultation and your capsulectomy surgery will be somewhere between 1 and 6 weeks. The exact time between the two will depend on a few factors. One major factor is our practice availability, as Dr. Buinewicz performs your entire procedure. Additionally, some patients may need a few weeks to fully prepare for surgery, which may include discontinuing the use of certain vitamins, drugs and medications that can negatively interfere with treatment.

How Much Does Capsulectomy Cost?

The average cost of capsulectomy surgery varies from one community to the other with some small variations. Factors, such as the facility where the capsulectomy will be performed, type of anesthesia and other issues, come to bear on the final cost of the breast surgery. Hunterdon County and Bucks County capsulectomy varies in price range according to these factors. Buinewicz Cosmetic Surgery & MedSpa makes breast surgery procedures available and affordable for everyone. Our office provides a wide array of payment options, including easy financing. We also accept cash, major credit cards and personal checks for capsulectomy and other procedures.

What is Capsulectomy Surgery Like?

What Happens During Capsulectomy Surgery?

Most capsulectomy surgeries are carried out under general anesthesia, which means you will be completely asleep throughout your procedure. Pain blocks are performed by an anesthesiologist to minimize postoperative discomfort. Then, Dr. Buinewicz will make an incision to access the breast implant and scar tissue capsule. The location and size of the incision will vary, and may include locations such as under the breast crease (inframammary) or periareolar (around the areola). After removing the scar tissue capsule, Dr. Buinewicz will assess the breast implant to determine whether there are any issues with it. This may lead to removal or replacement. Lastly, the incisions will be closed and a dressing will be applied.

What are the risks of capsulectomy surgery?

The most common risks associated with capsulectomy surgery include changes in sensation, asymmetry, wound healing issues, bleeding and infection. Together, however, these complications occur in less than 1% of capsulectomy procedures. Furthermore, Dr. Buinewicz’s focus and expertise on breast surgery techniques help to minimize the risks associated with capsulectomy surgery. As with any major surgery, there will always be risks involved – but under the care of a qualified and experienced surgeon, any significant complications become extremely unlikely.

Four key highlights that define Dr. Buinewicz's career

Dr. Brian Buinewicz’s Pillars of Excellence

  • American Board of Plastic Surgery Dr. Buinewicz is triple board-certified, including certification by the American Board of Plastic Surgery, with additional advanced surgical training for complex cases.
  • Academic Leadership He serves as a Clinical Assistant Professor and Adjunct Faculty at multiple medical institutions and has held leadership roles, including Emeritus Chief of Plastic Surgery at Abington Jefferson Health after 28 years of service.
  • Patient-Centered Care Dr. Buinewicz founded his practice on a philosophy of individualized, evidence-based medicine, focusing on one patient at a time with clear communication, compassion, and personalized attention.
  • Award-Winning Expertise Recognized for clinical excellence, academic contributions, and published research, Dr. Buinewicz is respected nationally for advancing standards in plastic and reconstructive surgery.
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20,000+
Surgical Procedures Completed

What Are the Types of Capsulectomy?

Either capsules are removed completely (a total capsulectomy) or not (a partial capsulectomy). There are different ways of performing a total capsulectomy however.

En Bloc Capsulectomy

An en bloc capsulectomy involves the complete removal of a breast implant and its surrounding scar tissue capsule as a single unit, and usually requires sacrificing normal tissue to remove the capsule without touching or manipulating the capsule. This is the preferred method of removing neoplasms that form in the capsule, such as BIA-ALCL or removing unhealthy, contaminated or infected tissue around an implant. In this procedure, the entire implant and the capsule are removed together in one piece with a zone of surrounding healthy tissue. This is a more complex operation with higher risks of complications such as pneumothorax and increases the risks of postoperative deformities and healing issues.

Total Capsulectomy

In this procedure, the entire scar tissue or capsule surrounding the implant is removed. Since the capsule is formed by the tissues coming into contact with the implant, there is usually no simple, easy dissection plane to “peel off” the capsule. The surgeon carefully dissects and excises the capsule from surrounding tissues to ensure complete removal. Total capsulectomy is typically performed when there are known or suspected issues with an implant, such as capsular contracture, infection, contamination or as part of the correction of malposition for example. Total capsulectomies are also performed when a patient requests removal of their capsule, such as with systemic symptoms of breast implants also known as Breast Implant Illness Syndrome. As with any procedure, Dr. Buinewicz will have a full and complete discussion of the potential risks and benefits of performing a total capsulectomy based on your medical history, physical exam and desired outcomes. This process is unique to each patient and is part of the informed consent process.

Partial Capsulectomy

A partial capsulectomy involves removing a portion of the scar tissue capsule while preserving some of the capsule behind. This approach may be considered when treating localized issues with an implant, such as implant malposition. Partial capsulectomy allows for the removal of the problematic areas of the capsule while maintaining some tissue support around the implant.

What is Capsulectomy Recovery Like?

How Long is Breast Capsulectomy Recovery?

The capsulectomy recovery requires an initial period of downtime, followed by some restrictions after which point patients can finally resume their normal lifestyles. For most patients, the capsulectomy recovery timeline looks like this:

Week 1

In the first few days of recovery, patients will need to rest as much as possible with very limited activity. Patients can expect bruising, swelling and discomfort during this time that can be managed with medications and other recovery techniques. Three days after your breast reduction surgery, your dressings will be removed, and you can begin showering again. If surgical drains were placed within the incisions, then those tubes will be removed after four to five days.

Week 2

At the beginning of your second week of recovery, you may resume non-vigorous activities like work and light walking. You may still experience some swelling, bruising, and mild to moderate pain. You should continue to avoid any heavy lifting or activities that strain your chest muscles. It’s important to avoid sleeping on your stomach to prevent any added stress to the breasts.

Weeks 3-6

During this time, patients will notice that sensation begins to return to their nipples and areolas. Swelling, bruising, and discomfort should noticeably diminish during this time. This is a sign that the recovery process is almost complete. During this stage, you can discontinue the use of your support bra and return to wearing a normal bra. You may also resume mild exercise and normal activities.

Months 3 and Beyond

Once a few months have passed, your breasts should be mostly healed and you can expect to complete the entire healing process within 6 to 12 months of surgery. Your breasts should feel softer and more natural as the tissues continue to settle and adjust.

5000+
Breast Surgery Procedures Completed

common CONDITIONS

Post Surgery Frequently Asked Questions

How Should I Sleep After Capsulectomy?

Immediately after surgery, it is recommended to sleep on your back or in a slightly elevated position. This helps reduce swelling and pressure on the surgical site. After the initial healing period, Dr. Buinewicz may allow you to start gradually transitioning to side sleeping. This transition is typically done slowly and with caution. You may be advised to use pillows or cushions to support your chest and provide additional comfort during side sleeping.

What Results Can I Expect From a Capsulectomy?

While a capsulectomy can address the underlying issues associated with capsular contracture or implant-related problems, it may not completely eliminate all concerns. Dr. Buinewicz will illustrate your potential results during your capsulectomy consultation. After discussing your treatment goals and identifying the appropriate surgical techniques, you and Dr. Buinewicz can explore potential outcomes through before and after photos of previous patients.

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Trusted expertise + Results that look effortless

5/5

I cannot say enough good things about Dr. Buinewicz and his staff. Chrissy and Laurie are so kind and helpful, and the doctor answered all of my questions. You can tell that they really care about their patients. My entire experience was so positive, and I am so happy with my breast surgery results. I highly recommend Dr. Buinewicz’s office!

5/5

Dr. B is absolutely the best! I have had nothing but positive experiences in the office as well as during procedures. Everyone, from all the office staff to surgical facility staff is friendly, caring and overall amazing. There is no rushing through the process nor each after visit. You get as many as needed until he is completely satisfied and you have the perfect results. Dr. B is professional, caring and you can tell he loves what he is doing.

5/5

From day 1 of consultation to every check ups after surgery, I have been so grateful for finding Dr. B and his crew. It has been an amazing journey and a long awaited one at that. Any questions you may have, Dr. B has the answers. Any doubt you may have, Dr. B will assure you're in good hands. It's been 4 months and my results keeps getting and looking better. Dr. B's work has exceeded my expectations and I can't be any happier. I'm glad I've chosen Dr. B and his team!!

5/5

I have been a patient there for almost 14 years. Dr Brian is one in a million...Caring, concerned and always takes as much time as needed to explain each detail, answers all my questions and addresses my concerns. Dr Annie is also one of the best skin care specialists I have ever had care for my skin. She also has a wonderful personality and is a gem.. I think they are both Super stars .....She always gives me the best skin care advice that is perfectly tailored for my skin....I would never trust any other practice with my kin care needs.....They are both top notch!!!!!

5/5

Dr. B. is the GOAT. His staff is excellent, and I feel like I’m a very important client even though I am not there often. I feel confident that I will have excellent results as Dr. B. is very experienced and you can tell he really cares about his work and expertise. I live in a different state and I gladly drive to him for what I need, and always will.

5/5

Buinewicz plastic surgery and Day spa is top notch.. from the availability to get an appointment to the staff is unbelievable !! Professional , friendly and fully trained . I love both of the doctors and i am always happy with my results. A must go see for yourself kind of place.

5/5

I have been seeing Dr. Annie for the last 8 years. She has been amazing with different treatments I've needed. From Botox to Laser treatments for various scars, to Emsculpt NEO, I trust her implicitly. Also important to note, that her and Dr. B really care and will not provide services that they think will be detrimental or unhelpful. They have both told me "no" when appropriate. Its an invaluable asset. I highly recommend them both.

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3655 Route 202 Suite 225 Doylestown, PA 18902
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Flemington Office

Address:
200 Route 31, Suite 206 Flemington, NJ 08822
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