Figure 3.

Complete capsulectomy. Treatment of BI-ALCL includes total capsulectomy with excision of any associated masses as residual disease left on the chest wall may continue to progress and require further treatment such as chemotherapy. With subpectoral implants, elevation of the posterior capsular wall off of the rib cage may be difficult but is still essential. Pictured is standard tumescence being infiltrated by angiocath into the posterior capsule of a BI-ALCL patient to facilitate complete removal of the capsules. BI-ALCL, breast implant-associated anaplastic large-cell lymphoma.