Breast Implant Revision

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Breast Implant Revision Overview

Breast implant revision is a surgery that removes and replaces breast implants due to rupture, leakage, capsular contracture, visible wrinkling or age of the implant, or to repair breast augmentations when certain complications like bottoming out, implant asymmetry, synmastia (implants that begin to touch across the breast bone), implant placement problems (too high, too low, too far apart), or difficulties due to the patient’s breast tissue after breast enlargement. Some breast augmentation complications, like rippling, are due to a combination of implant defect, surgical placement and thinning of the breast tissue.

In most cases, there is a revision procedure for each breast enlargement complication. Even when breast implant complications are caused by your breast tissue, revision surgery can be successful. If revision is necessary because of your implants, be sure to consult the manufacturer’s warranty with your surgeon to determine if your revision surgery is covered by the warranty.

If your revision is necessary because of complications due to surgical placement or an aspect of the surgical process which was the responsibility of your surgeon, you should ask your surgeon’s formal policy for revisions. Breast implant revision surgery is often a more complicated procedure than your original breast augmentation procedure; therefore, you may need to go to a different surgeon for your revision if your original surgeon does not have experience with the necessary procedure.

When you use 1800mySurgeon, you are assured of making an informed decision because all of our Plastic Surgeons are prescreened and continually monitored. The qualified patient coordinators at 1800mySurgeon are prepared to help you find Plastic Surgeons in your area, who specialize in breast implant revision surgery, or we can provide a background check on any surgeon you choose.

Having Realistic Expectations for Breast Implant Revision

Having realistic expectations about how your breasts will change and how those changes will affect your life is important. Many women choose to have breast implant revision because they feel their original implants did not adequately enhance their breast size. Choosing larger or smaller breast implants for revision is a common and acceptable request. Disappointment may happen, especially if you believe surgery will fix you life problems, save your marriage or cure depression. Having a breast implant revision will change the shape and size of your breasts. Having a shapelier body may boost your self-confidence, but that won’t change who you are or the way other people feel about you.

Questions to Ask Your Prospective Surgeon

If you are returning to the surgeon that performed your original breast augmentation, make sure your surgeon has considerable experience with the type of revision surgery you need. If you are not completely confident with your surgeon’s ability to perform your revision, set up a few consultations with surgeons that specialize in breast implant revisions before you make a choice. Additional time and energy might be necessary to find the right surgeon for your breast implant revision, but your body, health and safety are worth the extra effort.

If you choose to go to a new surgeon for your breast implant revision, make sure the revision surgeon has experience with the specific revision you need. Prepare a list of questions and concerns you want to address with this prospective surgeon. This consultation is your opportunity to assess the surgeon as much as it is their opportunity to determine your candidacy for revision. Take your time, be thorough and know that you are never required to commit to the surgery or the surgeon because you’ve had a consultation, even if the consultation is free.

Breast implant revisions are necessary for many different reasons and the surgeons that perform them may specialize in different techniques. You want to make sure that you choose a surgeon whose work you trust and admire. Make sure to see before-and-after pictures of your specific breast implant revision surgery and ask to speak to former patients who have had that revision. Have the surgeon explain their procedure and why they value a certain technique more than others.

Make sure to speak to the anesthesiologist before you schedule a surgery, and inform them of any allergies or reactions you have to any medications. You may want to relate your anesthesia experience from your original breast augmentation to the anesthesiologist. Make sure to tell both your surgeon and the anesthesiologist if you have any pre-existing medical conditions.

This list of information may help you compile your questions and may encourage you to do some further research on the many different aspects of breast implant revision procedures:

Questions About Breast Implants

  • If the necessary revision is due to implant defect, is the procedure covered under the manufacturer’s warranty?
  • Should you choose a different manufacturer for your replacement implants?
  • Is your surgeon authorized and are you eligible to participate in any of the FDA studies for high strength silicone gel implants (Gummy Bears)?

Questions About Placement

  • Will you need to replace your implants?
  • What precautions or surgical techniques will be used to reduce the risk of reoccurrence of breast implant placement problems?
  • What incision site is necessary to successfully revise your breast augmentation?

Questions About Breast Tissue Corrections

  • Often a breast lift is necessary to restore breast shape. Make sure to discuss this procedure in detail, including the type of incisions and scars.
  • For correction of capsular contracture: which technique will be used? Will you need to replace your implants?
  • For palpable (more easily felt or visible) implants or implant rippling, will revision surgery prevent another reoccurrence of the problem?

If you’re consulting with a surgeon from 1800mySurgeon, you can rest assured that you will be meeting with a qualified Breast Implant Revision Surgeon. If you already have a surgeon in mind, we can also perform a background check before you schedule your consultation. Most importantly, always trust your instincts during the consultation. The success of your surgical experience will be based on how you feel about the surgeon, the surgery, your recovery and your result.

Breast Implant Revision Recovery

In most cases, recovery from breast implant revision surgery will be similar to your original breast augmentation recovery.

For the first 48 to 72 hours you may be sore, and you will need lots of rest. If you have children, they will need to be cared for by your spouse or another guardian for the first few days. You will need to avoid reaching or lifting of any kind for at least a week and for as long as two weeks.

Full physical recovery may take up to six weeks. During that time you will gradually regain strength of movement as your body heals. Your scars may take up to seven months to completely heal.

Breast Implant Revision Risks

The same risks that existed during your original breast augmentation will exist for your breast implant revision surgery. The possibility of infection increases slightly if your revision surgery is within the same year as your original breast augmentation.

The following continue to be risks for breast implant revision surgery:

  • Capsular contracture – this happens when scar tissue forms around the implant and the implant begins to tighten or harden.
  • Loss of nipple sensitivity – this is most common with an areola incision site but can occur with any implant technique and often subsides after a few weeks.
  • Rippling: some implants may ripple if they are not filled completely or correctly
  • Rupture: when the breast implants tear and/or leak. This may require a second operation to replace the implant. You will want to know the manufacturers warranty in the event of a rupture.
  • Immune system disorders: some women have reported having symptoms such as joint pain swelling, fever, fatigue, or breast pain. No scientific evidence exists to prove immune system disorders are directly related to breast implants, but the FDA is continuing to study the risks.

It is important to remember that no surgeon can guarantee your satisfaction with breast implant revision surgery nor can they deny any risk factors. No matter how rarely risks occur, every surgery carries a certain amount of risk, and you have to decide for yourself if your revision result is worth the risk.

Long Term Results of Breast Implant Revision

With a successful revision surgery, your results will generally last 10 to 15 years or longer depending on your health and how your body ages naturally. If your revision did not include a breast lift, and you are relatively young, you may need to consider a breast lift in the future.

Choosing Your Surgeon

At 1800mySurgeon, we are here to help you make an informed decision. One of the most important aspects for a successful outcome of your procedure is to choose the right surgeon, therefore all of our Plastic Surgeons are prescreened and continually monitored. We can help you find Plastic Surgeons in your area, who specialize in breast implant revision surgery or we can provide a background check on any surgeon you choose.