Juli is our patient advocate and community connection. She balances work, life and family with grace.
Juli is our patient advocate and community connection. She balances work, life and family with grace.
Breast Implant Revision Surgery: What You Need to Know
Breast implant revision surgery is a procedure aimed at altering or improving the results of a previous breast augmentation. Patients may seek this surgery for various reasons, ranging from cosmetic dissatisfaction to medical concerns. Understanding when and why breast implant revision might be necessary can help patients make informed decisions about their health and appearance.
Reasons for Breast Implant Revision Surgery
There are several common reasons why someone may opt for breast implant revision surgery:
- Implant Size Change: Some patients wish to go larger or smaller after experiencing their initial breast augmentation results.
- Capsular Contracture: This occurs when scar tissue around the implant tightens, leading to firmness or distortion of the breast shape. Capsular contracture can cause discomfort and change the look of the breast, often requiring revision.
- Implant Rupture or Deflation: Saline implants will visibly deflate if they rupture, while silicone implant ruptures are often referred to as "silent ruptures" since they aren't immediately noticeable. In both cases, revision surgery is necessary.
- Implant Malposition: When implants shift from their original position, causing asymmetry or an unnatural appearance, revision surgery can reposition the implants.
- Desire to Change Implant Type: Some patients who initially had saline implants may want to switch to silicone for a more natural feel or vice versa. Additionally, those with older, textured implants might seek revision due to health concerns.
- Aesthetic Concerns: Over time, the natural aging process, weight fluctuations, or changes in personal aesthetic preferences may lead to dissatisfaction with the current breast appearance.
What to Expect During a Breast Implant Revision
The revision surgery process can be more complex than the initial augmentation. Several factors need to be taken into account, such as scar tissue, previous surgical methods, and any complications like capsular contracture. The surgery itself typically involves:
- Implant Removal and Replacement: If there’s a rupture, the old implant is removed, and new implants are placed in the same or a different pocket.
- Capsulectomy: For patients experiencing capsular contracture, the surgeon may remove the scar tissue (capsule) surrounding the implant before replacing it.
- Repositioning of Implants: In cases of implant malposition, the surgeon will carefully adjust the placement to correct the symmetry and restore a natural appearance.
- The recovery process is similar to the initial augmentation but might take slightly longer, depending on the complexity of the procedure. Most patients can expect to resume regular activities within a few weeks, but strenuous exercises should be avoided for about six weeks.
How to Prepare for Your Breast Implant Revision Surgery
- Consultation: An in-depth consultation with your surgeon is key. Be prepared to discuss your reasons for revision and any specific concerns about the current implants.
- Medical Evaluation: You’ll need a medical evaluation, which may include imaging studies to determine the status of the implants and surrounding tissue.
- Plan for Recovery: Arrange for someone to help you after surgery, and make sure you have plenty of time off work or regular activities to heal.
FAQ: Breast Implant Revision Surgery
How do I know if I need breast implant revision surgery?
Some clear signs include implant rupture, pain, discomfort from capsular contracture, or dissatisfaction with the look of the implants. Refer to Dr. Albright’s youtube video for more information: When is the Right Time for Breast Implant Revision?
Is breast implant revision surgery more complicated than the initial augmentation?
In many cases, revision surgery can be more complex due to factors like scar tissue, previous incisions, and complications from the original surgery. However, an experienced surgeon can handle these challenges effectively.
Can I switch from saline to silicone implants during a revision?
Yes, many patients choose to change the type of implant during their revision surgery. This switch can provide a different aesthetic outcome, such as a more natural feel with silicone.
What is capsular contracture, and how is it treated?
Capsular contracture occurs when scar tissue around the implant hardens, distorting the shape of the breast. During revision surgery, the hardened tissue is removed in a process called a capsulectomy, and the implants may be replaced.
How long is the recovery process after breast implant revision surgery?
Recovery typically takes about two to six weeks, depending on the complexity of the surgery. Most patients return to light activities within two weeks, but heavy lifting or exercise should be avoided for six weeks.
What happens if an implant ruptures?
If a saline implant ruptures, the body absorbs the saline solution, and the breast will visibly deflate. Silicone ruptures are less noticeable but can be detected with an MRI or ultrasound. In either case, revision surgery will be required to replace the ruptured implant.
How long do breast implants last?
While breast implants are durable, they are not lifetime devices. On average, implants last 10-15 years, but some patients may need revision earlier due to complications or personal preference.
Conclusion
Breast implant revision surgery is a valuable procedure for those looking to address complications or achieve a new aesthetic goal after their initial augmentation. Whether you need to correct an issue or simply want to change the size or type of your implants, it’s important to consult with an experienced plastic surgeon to ensure the best possible outcome.