This is usually a simple and straightforward procedure, although several factors need to be considered. If the implant has ruptured then any silicone gel that has leaked out does need to be removed.
There will usually be a layer of scar tissue, called the capsule, that will have gradually formed around the implant over the years. If this capsule is thin and soft, it may not need to be removed. However, if the capsule is thick and hardened, then either partial or complete removal (capsulectomy) may be required. Other reasons for removing the capsule totally would be an abnormal-looking capsule or any suspicions of cancer.
