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The La Jolla Cosmetic Surgery Podcast - With San Diegos Most Loved Plastic SurgeonsLearn from the talented plastic surgeons and medical spa providers inside La Jolla Cosmetic, the 20x winner of the Best of San Diego and global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice. Hosted by the LJC Chief Community... Author: La Jolla Cosmetic Surgery Centre Language: en Genres: Arts, Fashion & Beauty, Health & Fitness, Medicine Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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What “En Bloc” Really Means: Dr. Swistun on the Four Types of Capsulectomy
Episode 240
Tuesday, 5 May, 2026
When breast implant illness support groups started telling each other to ask their plastic surgeon for an “en bloc capsulectomy,” they were borrowing a term from cancer surgery — and asking for something most surgeons knew was impossible. The plastic surgery community didn’t correct them. They listened, and then they renamed it.Dr. Luke Swistun walks hostess Monique Ramsey through the Breast Surgery Collaborative Community Consensus and the four types of capsulectomy that came out of it: total intact capsulectomy (the surgery the en bloc community was actually asking for), total precise capsulectomy, partial capsulectomy, and the original cancer-surgery en bloc — a procedure he’s performed exactly once in his career, on a woman with breast implant–associated lymphoma. He covers when leaving a sliver of capsule is the safer choice, why every capsule he removes goes to pathology, what imaging he wants done before surgery, and why he films almost every explant for the woman who just had it.Find out why Dr. Swistun openly credits the breast implant illness community for forcing the conversation, what recovery actually looks like across all four procedures, and the one thing he admits is overdue on his own website.LinksMeet San Diego plastic surgeon Dr. Luke SwistunLearn more about breast implant removalQuestions answered by this episode1. What is a capsulectomy?2. What does “en bloc” mean in breast implant removal?3. What is a total intact capsulectomy?4. What’s the difference between en bloc and total intact capsulectomy?5. Do plastic surgeons always remove the entire capsule with the implant?6. When is it safer to leave part of the breast implant capsule behind?7. Who actually needs an en bloc capsulectomy?8. Should I get imaging before breast implant removal surgery?9. Why do plastic surgeons send breast implant capsules to pathology?10. How long is recovery after breast implant removal and capsulectomy?About this podcastLearn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the San Diego’s Best Union-Tribune Readers Poll, global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine’s Best of San Diego Awards.Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego’s most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to LJCSC.com or follow the team on Instagram @LJCSCWatch the LJCSC Dream Team on YouTube @LaJollaCosmeticSurgeryCentreThe La Jolla Cosmetic Surgery Podcast is a production of The Axis: theaxis.ioTheme music: Busy People, SOOP
