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The Journal

Hello world!

Medically reviewed by Tim Sayed MD, MBA, FACS

Double board-certified plastic surgeon · Updated September 23, 2026

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Dr. Tim Sayed, double board-certified plastic surgeon in La Jolla

About the author

Tim Sayed MD, MBA, FACS

Tim Sayed MD is a double board-certified plastic surgeon with more than 20 years in practice and a signature focus on breast implant removal and breast implant illness. He is certified by both the American Board of Surgery and the American Board of Plastic Surgery, trained at UC Berkeley, the UCSF School of Medicine, general surgery at Massachusetts General Hospital and Harvard, and a plastic surgery fellowship at UCSF, and was elected to Alpha Omega Alpha. Learn more about Tim Sayed MD’s background and credentials.

American Board of Plastic Surgery

American Board of Surgery

UCSF School of Medicine

20+ Years in Practice

Explant & BII Focus

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Breast implant removal and en bloc explant in La Jolla
Uncategorized

En bloc vs. total capsulectomy: what is the difference?

Both remove the scar-tissue capsule around a breast implant. The difference is whether the capsule comes out together with the implant, or separately. Here is how the two explant techniques compare, and how to think about which one fits you.

September 26, 2026

The information in this article is for general education and is not medical advice. It is not intended to diagnose, treat, prevent, or cure any condition. Results vary from patient to patient, and your candidacy for surgery is determined during a consultation with Tim Sayed MD.

Patient Reviews

What our patients say on Google

4.6Based on 37 Google reviewsRatings and reviews from Google MapsI am so grateful to have found Dr. Sayed! I did a lot of research beforehand and took my time to find the right plastic surgeon for me. I had a breast lift and augmentation. I was looking for a more natural look and nothing too drastic. Dr. Sayed’s bedside manner is very reassuring. He always takes the time to thoroughly answer all my questions, while providing a great deal of knowledge about the procedure. I am beyond happy with my results and I feel more confident than ever! Thank you, Dr. Sayed and his wonderful team! They have been absolutely fantastic every step of the way!Sheri SummersGoogle review · a year agoThe staff at Dr. Sayed’s office was very helpful from start to finish. Their professionalism was outstanding and I felt very comfortable from the first day that I walked into his office for consultation. Dr. Sayed made me feel very confident in his procedures and reassured me that I would be well taken care of. Dr. Sayed is a true artist and really cares about his work. He has a compassionate demeanor not only during consultation but every step of the way assuring me that I was in good hands. The emotional support that I received from staff members far exceeded my expectations. My breast explant surgery went according to schedule with no problems and 100% satisfaction.Jessica HollowayGoogle review · 3 years agoI had my first set of implants 15 years ago and received my second set of implants 3 years ago after having a single mastectomy due to breast cancer. When I discovered the breast implant illness group and associated website so many of my mysterious symptoms/illnesses seemed to make sense. I also discovered (not having been told by my previous surgeons) that implants are not lifetime devices and need to be replaced every 10 -15 years. I decided that I did not want to keep going under anesthesia every 10 years or so and if removing them could add quality to my life (I'm only 46) having them removed was worth it. Finding a surgeon that had the experience, confidence and care needed for my situation was not easy. Dr. Sayed was the fourth surgeon I met with in the San Diego area and the only one who met all of my needs. He and his staff are kind, caring and skilled. Even knowing that I had already had several consults, he explained the full process to me as though it were my first, which really put me at ease with his level of knowledge and skill. I am 3 months post-op and I am very happy with my decision to have my surgery with Dr. Sayed. The procedure itself went smoothly and recovery has been fairly easy. Dr. Sayed is truly a skilled surgeon and I highly recommend him.Sarah GGoogle review · 4 years agoRead all 37 Tim Sayed MD reviews on Google Review your visit on Google