Breast revision surgery is performed to correct a complication or dissatisfaction resulting from a previous breast surgery. Even at the hands of the most skilled and qualified breast augmentation surgeon, the need for breast revision surgery may arise. Depending on the circumstances, breast revision surgery may involve breast implant removal and/or replacement. During your consultation for breast revision surgery, your surgeon will assess your concerns and determine the best technique to meet your needs.
Common Reasons for Breast Revision Surgery
The following are some of the most common reasons for breast revision surgery:
Bottoming out occurs when the breast implant descends below the breast crease after surgery, causing the breast to lose volume in the upper portion. This complication can also cause the nipple to appear too high on the breast. Your surgeon may perform a capsulorrhaphy, which involves sutures in the lower portion of the breast that will elevate the breast implant to the correct position.
Capsular contracture is one of the most common breast augmentation complications. This complication occurs when the scar tissue surrounding the implant hardens excessively, squeezing the implant and producing discomfort and/or an unnatural breast appearance. This complication usually requires removal of the scar tissue and new implants are placed.
Double Bubble Deformity
Double bubble deformity can occur when the breast implant slides below the breast crease and creates a second area of fullness, or “bubble,” on the bottom of the breast. To correct this complication, your surgeon may need to perform a breast lift as well as a secondary augmentation.
Malposition of Anatomical Implants
Anatomical implants, commonly called “teardrop-shaped” implants, are often desired because they have a very natural shape that creates more fullness in the lower portion of the breasts and taper upward. Although rare, these implants can cause the breasts to appear oblong or misshapen if they are placed incorrectly or rotate within the breast pocket. During breast revision surgery, the malposed implants may be replaced with round implants.
The rate of implant rupture has decreased significantly over the last few years. Rupture can occur with either silicone or saline implants. Rupture of a saline implant will result in an obvious deflation of the breast, whereas silicone implant rupture generally requires an MRI screening to detect. During breast revision surgery for a ruptured implant, your surgeon will remove the defective implant, and replace the implant.
The desire to change implant size is the most common reason for breast revision surgery. If the patient desire a larger size than larger implant may be a good option. If scar tissue is present than the scar tissue may need to be removed to achieve this change. Smaller implants are frequently requested and can be done alone or associated with a breast lift if needed.