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Dr Megan O'Toole, Cosmetic, Plastic and Reconstructive Surgeon, San Antonio, TX // Services // Breast Surgery // Revision
IMG- Revision

What is Breast Implant Revision?

Breast implant revision is a surgical procedure performed to address issues or complications related to a previous breast augmentation surgery. This may involve removing or replacing breast implants, adjusting their size or position, and addressing any complications that may have arisen since the initial surgery.

What are the Indications for a Breast Implant Revision?

Common reasons for breast implant revision include:

  • Implant malposition
  • Size or shape changes
  • Breast ptosis (sagging)
  • Implant rupture or leakage
  • Cosmetic preferences
  • Implant rippling or wrinkling
  • Capsular contracture: This occurs when the scar tissue (capsule) that naturally forms around the implant becomes thick and contracts, leading to discomfort or changes in breast shape.

Preparation for Breast Implant Revision

In general, preparation for breast implant revision surgery may involve the following:

  • Routine medical evaluation, blood tests, and imaging studies to ensure the patient is in good health for the surgery.
  • You will be asked if you have allergies to any specific medications, anesthesia, or latex.
  • You should inform your doctor of any medications or supplements that you are taking.
  • If you are on certain medications, your physician may adjust or temporarily stop them, especially those that affect blood clotting, for a defined period.
  • You should not consume any solids or liquids at least 8 hours prior to surgery.
  • You should arrange for someone to drive you home after surgery.
  • A signed informed consent form will be obtained from you after the pros and cons of the surgery have been explained.

Procedure for Breast Implant Revision

  • Breast implant revision surgery is typically performed under general anesthesia, ensuring that the patient is unconscious and feels no pain during the procedure.
  • Your surgeon will use the existing incisions from the initial breast augmentation surgery whenever possible to minimize additional scarring. Common incision locations include the inframammary fold (under the breast), periareolar (around the areola), or transaxillary (in the armpit).
  • If the revision involves implant removal, the surgeon will carefully open the incision, remove the old implants, and address any issues such as scar tissue (capsular contracture).
  • In cases of capsular contracture or other capsule-related issues, the surgeon may need to adjust or remove part or all of the scar tissue surrounding the implant.
  • If new implants are being placed or the size is being adjusted, the surgeon will carefully insert the new implants and ensure proper positioning.
  • Depending on the individual case, additional procedures such as a breast lift (mastopexy) or adjustment of the breast tissue may be performed to achieve the desired shape and symmetry.
  • The incisions are closed with sutures, and the surgeon may use techniques to minimize scarring.

Post-Operative Care and Recovery

In general, postoperative care instructions and recovery after breast implant revision may involve the following:

  • You may notice sensitivity, tenderness, swelling, and bruising over the breast. Medications are provided as needed to address these, including antibiotics to prevent the risk of surgery-related infection.
  • Instructions on wound care and bathing will be provided to keep the incision area clean and dry.
  • Refrain from any physical activity using your upper body for at least 2 to 4 weeks to promote healing. Avoid heavy lifting or any strenuous activities as you recover.
  • You are recommended to wear a supportive bra for at least a few weeks post-procedure for comfort and to facilitate recovery.
  • You may need at least 1 week off work to make sure you get enough rest and facilitate recovery.
  • You should be able to resume your normal activities within a few weeks, but may have certain activity restrictions.
  • A periodic follow-up will be scheduled to monitor your progress.

Risks and Complications

Breast implant revision surgery is a relatively safe procedure; however, as with any surgery, some risks and complications may occur, such as:

  • Infection
  • Bleeding
  • Scarring
  • Implant leakage or rupture
  • Changes in sensation
  • Persistent pain
  • Fluid accumulation (seroma)
  • Haematoma (abnormal collection of blood outside of a blood vessel)
  • Adverse reactions to anesthesia
  • Poor healing of incisions