While breast augmentation surgery brings many positive results, there are cases when revision surgery is imperative to the health of the patient. We can correct or amend implant issues such as rupture, capsular contracture, asymmetry, or even a change of size. Some revisions may require soft tissue substitutes, such as a Belladerm™ slings, Strattice™ mesh, or SERI® surgical scaffold, to reinforce weakened breast tissue. Scottsdale, AZ board-certified plastic surgeon, Dr. Carlos Mata, a.k.a. Dr. Scottsdale knows that when a patient feels dissatisfied with how her implants look and feel over time, a breast revision is an important treatment to be considered. Dr. Mata will also consult with women wishing to have their implants removed altogether in our Greater Phoenix, AZ office.
Breast revision corrects circumstances in regard to breast implants. The surgery focuses on removal, replacement, or making a switch from saline to silicone-based implants. Listed below are the most common cases where a patient may be a candidate for this treatment.
Individuals who wish to undergo breast augmentation do so to increase breast size primarily for aesthetics. However, after breast augmentation, some women may be dissatisfied with their results and opt to revert back to their normal breast size. Others may want to remove their implants because of health concerns or other personal reasons. Breast revision surgery is a process where the implant is removed and the skin over the breast is tightened to make sure the breast sits in a natural position and looks normal.
Despite the guarantee that implants are safe and leakages are rare, there are cases when a shell breaks down. If it is filled with saline, the solution will be absorbed by the body, and there will be a noticeable deflation of the breast. In the case of silicone implants, the gel will settle where it is originally placed and the only way to verify it ruptured is with an MRI because the gel doesn’t deflate. This is also the reason why a patient with silicone implants must undergo routine MRI scans.
The tissues surrounding the implant may develop scars over time, which creates a capsular contracture. The scar tissue tightens around the implant, which causes the implant to be displaced. The patient will feel the severe hardening of the breast, which may be a discomfort. This is corrected by a capsulectomy in which the scar tissue is surgically removed. Based on statistics, there are more occurrences of contracture with saline implants compared to silicone-based ones.
A noticeable rippling may sometimes be seen underneath or on the side of the breast. This is generally more common among patients who have very low tissue volume and who are thin. Although not really a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. Rippling is most common with saline implants.
When an implant moves out of the intended pocket, it may cause the appearance of a double breast where a significant crease is noticeable. Implants not properly placed may drop and extend past the breast’s crease or rise, forming an odd volume on top of the breast. Sometimes implants are displaced by severe capsular contracture or tightening scar tissue. Patients who experience this will go ahead with revision surgery as this condition is usually noticeable when wearing tight-fitting clothes.
Breast implants vary in size, texture, shape, and base. Some patients may be unhappy with how the breast looks and may consider a revision surgery to improve their appearance according to preference. It may be another size increase or a switch from a rounded implant to a more natural-looking teardrop shape. Some patients also later realize that they’d rather have silicone instead of saline. All preferences will be considered to modify the augmented breast.
Revision surgery is tailored according to the cosmetic issue the patient is addressing. With this treatment, a major correction is done to the augmented breast in conjunction with scar tissue removal, if applicable, or a breast lift if there is sagging. There are instances when a strattice (a tissue matrix device) will be needed to act as an internal underwire if additional support is required. Ultimately, the correction aims to fix the issue that’s the source of the patient’s dissatisfaction.
Breast revision surgery is performed with general anesthesia in an accredited surgical facility. The patient may be sent home after the treatment depending on the severity of the case. It is recommended to have someone who can drive the patient home and who may provide support within 48 hours. Patients may resume their normal routine during the second week. It will take a few more months for the effects of the revision to become noticeable and the breast to develop a natural feel and look.
|Recover Time||3 days|
|Average Procedure Time||3-4 hrs|
|Procedure Recovery Location||Outpatient|