Breast Implant Removal

Conveniently located to serve Newport Beach & all areas of Orange County

There are many women who have breast implants that present with a broad array systemic complaints reported such as: joint pain, hair loss, fatigue, cognitive dysfunction (brain fog, memory loss), aching muscles, dryness throughout the body, skin rashes, recurring infections, gastrointestinal and digestive issues, problems with the thyroid and adrenals. This constellation of symptoms and the presence of breast implants has been described as breast implant illness (BII). To date there is no specific test that can be performed to diagnose breast implant illness. An excellent review on this topic can be found on the American Society for Aesthetic Plastic Surgery website ( For many patients with the combination of these symptoms and breast implants removal of the implants and the complete capsule around the implants.

Frequently Asked Questions (FAQs)


What is an en-bloc capsulectomy?

An en-bloc capsulectomy essentially involves the removal of the capsule and breast implant intact in an effort to remove all of the silicone material without any further exposure to the body.

Can an en-bloc capsulectomy always be performed?

The simple answer is not always. Patients need to understand some there are some technical limitations in the abilty to perform an en-bloc capsulectomy. In order to completely remove the implant without opening the capsule a wide exposure is required. This means that likely a larger incision will be required to remove the implant and capsule than was necessary to place the implant. If the initial implant was through an incision around the areola or in the axilla (armpit) an en-bloc capsulectomy will likely not be able to be performed using the initial incision. There are other technical considerations where the capsule is adherent to nerves or where the capsule is adherent to the chest wall with possible collapse of the lung and in such cases a segment of the capsule may have to be left behind.

Breast Implant Removal

Do you perform an en-bloc capsulectomy procedure?

We absolutely perform an en-bloc capsulectomy as shown above. The implant on the right shows the capsule opened with the implant within the capsule. Dr. Sundine has been performing breast implant removal with total capsulectomy since 1992.

Will the procedure be covered by my insurance?

We have had cases where there was a documented breast implant rupture (by MR scan, ultrasound, or mammogram) associated with a capsular contracture where the procedure was covered by the patient’s insurance. This coverage varies widely and you can check with your insurance company whether the procedure will be covered.

Where whould the procedure be performed?

My procedures are performed at either an outpatient surgery center or a hospital.

Will I receive antibiotics?

Patients get one dose of intravenous antibiotics preoperatively. Postoperative antibiotics are typically not given.

Do you use drains?

In the vast majority of cases a drain is not used. In rare instances a drain may be used.

Will I need to have sutures removed?

Dr. Sundine uses absorbable sutures and they will not need to be removed.

What type of anesthesia will be used?

We typically perform the procedures under general anesthesia although it could be performed using local anesthesia with sedation. We only use board certified anesthesiogists.

Will I need other procedures besides the en-bloc capsulectomy?

Following removal of the implant and capsulectomy your breasts will be deflated and the skin may be loose. May patients will require a mastopexy (breast lift) to lift the nipple-areola complex and also to tighten the skin. Some patients may want to improve the projection and we perform this using a circum-mammary ligament repair along with the addition of fat grafting to the breast.

Our Reviews

  • - Written on October 20, 2018


    • My experience with Dr. Sundine was AWESOME! He did such an amazing job on my nose. My nose had basically collapsed and Dr. Sundine made it look normal again. He helped me restore my self confidence. I am so happy with the results. Dr. Sundine explained everything in detail prior to surgery along with my follow up visits. I highly recommend him. He is very professional, knowledgeable and kind.

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  • - Written on January 27, 2018

    “Thank you so much for your time and generosity!”

    Dr. Sundine,

    Thank you so much for your time and generosity! I just love my results and feel fortunate to have had you as my surgeon

    P.S. Have a healthy, happy, & prosperous New Year

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  • - Written on February 1, 2018


    Excellent. I found Dr. Sundine to be a very competent surgeon and a really good person. His personal manner made a sometimes difficult, time-consuming process (tissue expansion) much easier. I’m glad we pursued the expansion option and I was fortunate to have had him as my surgeon. I recommend Dr. Sundine to anyone who is in need of Plastic / Reconstructive Surgery.

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  • - Written on February 1, 2018


    Dr. Sundine is an outstanding doctor. His technique, his expertise and the care with which he approached my surgery were exceptional. I wasn’t surprised. I chose him because I knew that his training and skills are terrific. Dr. Sundine and his staff still exceeded my expectations, however, and the complete experience – consultation, surgery and follow-up– have been wonderful. As I did, I encourage everyone to do your due diligence and research alternatives, but at the end of the day there is no better choice than Dr. Sundine. Amazing results…

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  • - Written on February 1, 2018

    “I RECOMMEND HIM 100%”

    Dr. Sundine is a gifted, highly trained plastic surgeon who achieves amazing, natural looking, aesthetic results in facial and body plastic surgery. My facelift is 4 years old. Even people who don’t know me comment I look wonderful. Others often ask me about Dr. Sundine… …and of course I recommend him 100%. In addition to being highly skilled and knowledgeable Dr. Sundine is caring, compassionate, communicative and professional. Finally, his office staff is friendly and efficient. I have never waited more than 5 minutes..

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  • - Written on February 1, 2018

    “Dr. Sundin did a terrific job”

    Dear Dr. Sundine & staff, Just wanted to drop you a line to say how much I loved your caring & professional work. Dr. Sundin did a terrific job on a very hard surgery below my right eye due to a skin cancer removal. I will recommend him to all I come in contact with. Thanks again and I owe you all a big hug & sincere thanks to all you did for me. L.A.

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  • - Written on February 12, 2018

    “He truly deserved the highest reviews on every level”

    I gave Dr. Sundine the highest possible review in each category because he truly deserved the highest reviews on every level. I am a very well recognized lawyer on the West Coast. My firm has spent millions of dollars on television advertising in which I appear. I could not afford to have a bad face lift or even for people to notice I had a face lift at all. I interviewed many physicians including some of the “celebrity” physicians. Ultimately, I chose Dr. Sundine because he performs highly complex complete facial reconstruction procedures on children.

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  • - Written on February 4, 2018

    “Special thank you to Dr. Sundine! So happy!!”

    My keloid surgery was an absolute success. I am so pleased with the results and grateful to the staff pre & post surgery. I was so nervous and scared to precede w/ the procedure. For I never had a surgery or general anesthesia before.:(

    Dr. Sundine with his exceeding professionalism gave me gentle kind assurance that all will be fine. In addition, educated me to his full knowledge and experience in detail what to expect. I felt safe and secure in his hands. Very kind soul. Post surgery I had radiation at another location, and it was a success. I am still in the healing process and my ear aesthetically looks next to perfect. I’m free of the disfigurement and I have a renewed confidence keloid Free!! :-)

    It was like 1 2 3!!

    Thank you Dr. Sundine, the friendly staff/ nurses You ALL Rock!! & I couldn’t ask for any better.:)

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  • - Written on September 19, 2017


    Dr. Sundine and his staff were absolutley wonderful ! Very personable, caring and professional. His nurse Toni was so kind and answered all my questions and addressed all my concerns. The procedure went very well, with very little bruising or down time. Dr. Sundine is truly an exceptional plastic surgeon and I will definitely be using his services in the future. Thank you very much Dr Sundine and your magnificent team !

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  • - Written on September 19, 2017


    I chose Dr. Sundine because he is an expert in a highly regarded surgical technique that delivers a completely natural result. It takes longer on the operating table and it requires specialized training which many doctors just don’t want to invest in. The results, however, are nothing short of spectacular.

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