Breast Surgery

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Breast Implant Revision

What Is Breast Implant Revision?

Breast Implant Revision is usually only necessary many years after having initial breast implant surgery. However revision may be needed for those who have developed problems, or are unhappy with their results from previous surgery.

Breast Augmentation is one of the most commonly performed cosmetic plastic surgery procedures in Australia, with most patients getting excellent results and happy with their outcome for many years. Unfortunately, all breast implants have a limited lifespan of around 15-20 years and eventually need to be replaced. This is one of the single largest reasons that women opt for breast implant revision.

Aside from this, the reasons for breast implant revision vary. Some problems and issues can be avoided through careful planning before initially having your implants inserted. Others issues are inevitable with the passage of time and eventual weakening of the implant.

It should be noted that this surgery is generally more complicated than the initial insertion surgery, and it needs to be handled by an experienced plastic surgeon who can advise you on the best course of action to best meet your needs.

What Are the Benefits of Breast Implant Revision?

Breast Implant Revision is for those who have had past breast augmentation and have either developed problems or are unhappy with their final result. This procedure will benefit you if you have previously had implants and:

  • The implant has moved out of position, or is rippled or wrinkled
  • Are disappointed with implant size, usually undersized
  • Are disappointed with the appearance of your breast enlargement
  • Complications with contracture or infection have developed
  • Are having problems with the implant, such as hardening, leakage, deflation or rupture

Breast implant revision can also improve the cosmetic appearance of the breasts by removing scar tissue or repositioning the implant. The previous implant is usually replaced with a new one that may be a different size, shape, or texture.

What Can I Expect in the Breast Revision Consultation?

The consultation process allows open conversation between you and your plastic surgeon about what you hope to achieve with surgery. It is important to remember that the purpose of breast revision surgery is to improve the results from a past breast augmentation, not to achieve perfection. To better understand your expectations and determine your candidacy, your surgeon will ask about your aesthetic goals as well as your medical history. Be prepared to share details about any medications you are currently taking, if you have any allergies, and any past medical procedures you have had. Please bring any details about your previous breast surgery with you to this consultation as well.

During this first consultation, it is important that you fully explain what your concerns are from the results of your initial breast augmentation and how you would like your breasts to look, including size and shape. To help your surgeon get an idea of what you are desiring, it can be helpful to bring in pictures of examples you would like to obtain.

To begin planning for your procedure, your surgeon will take a variety of measurements. A successful breast augmentation goes beyond just increasing breast size. Your surgeon will consider several aspects of your ideal look, including the slope of the upper breast, the curve of the breast below the nipple, and the location of the nipple. In addition to examining your body proportions, your surgeon will go through photographs of previous patients with you, asking what you like or want to avoid. You will also have the opportunity to see how different implants may look on your frame by inserting implant samples into your bra.

The entire consultation process typically takes about 45 minutes. After discussing your goals, going over your medical history, and performing a physical examination, your surgeon will give their recommendations. They will also inform you on what the recovery entails and risks associated with your procedure. Please feel free to ask questions at any point during your consultation.

As your procedure gets closer, a second consultation is scheduled to go over your surgical plan to ensure you are happy with your decisions.

What Does the Breast Implant Revision Procedure Involve?

The exact procedure for breast implant revision depends on the issue being corrected. We handle a wide variety of issues including improvements in size or shape, high-riding or malpositioned implants, hardening of implants (capsular contracture), ruptured implants and other concerns.

In general, the incision is made through the existing scar, the implant and the surrounding “capsule” is removed, a new pocket is created and new implants are inserted. The skin is closed with internal dissolvable stitches to minimise scarring.

In some patients, an additional breast lift—a procedure referred to as a breast lift with implants—may be needed if the skin is loose, or the breast and nipples have dropped. This would require additional scars.

Will I Need to Be Hospitalised for My Breast Revision Surgery?

Breast implant revision surgery is performed in a fully accredited facility, under general anaesthesia. The procedure typically takes 3 hours to complete. After the surgery, most patients can go home after a few hours. Drains are not routinely used for revision.

What Is Recovery Like After Breast Revision Surgery?

Following breast implant revision surgery, anaesthesia will begin to wear off, typically with minimal post-operative sedation and nausea. It is normal to feel sore and tired, as well as experience swelling and discomfort; these symptoms are usually well-controlled.

Dissolving sutures are typically used, preventing the need for removal; in rare cases, non-dissolving stitches may be utilised, which are removed at about two weeks into recovery.

Surgical tape is used for the first week after surgery. Then you will wear a special bra during the day and at night for about 3 to 6 weeks. To maintain your results and reduce sagging long-term, it is beneficial to wear a supportive bra.

When Will I See My Breast Revision Results?

Most patients can see how their final breast implant revision results will look at approximately 8 weeks. Post-operative swelling, though minimal, can cause fullness for the first 4 to 6 weeks. The body will continue to heal for several months, and the implants typically settle around 3 months.

When Can I Resume Day-to-Day Activities After Breast Revision?

Since every patient heals at a different rate, resuming one’s normal routine may begin earlier or later for certain individuals. In general, breast surgery patients should avoid strenuous exercise for about 6 weeks, at which point they can begin incorporating more activity.

What Complications Can Arise from Breast Implant Revision?

Surgery always comes with some degree of risk and potential complications. These can include:

  • Infection
  • Bruising, bleeding, haematoma
  • Scarring
  • Issues with anaesthesia
  • Allergic reaction
  • Deep vein thrombosis
  • Pain

Risks and complications specific to breast implant revision include:

  • Ongoing dissatisfaction with the appearance of your breasts
  • Capsular contracture (hardening of the layer around implants)
  • Reduced nipple sensation
  • Seroma (fluid around the implant)
  • Wound Breakdown
  • Asymmetry
  • Discomfort

More details about the risks and possible complications will be explained to you during your consultation process.

Will Breast Revision Surgery Leave Scars?

Since the incision for breast implant revision surgery is usually made through the existing scar, there should be no additional scarring, unless skin tightening (“mastopexy”) is required. Any scarring should gradually fade and are in areas that become less noticeable over time.

Breast Implant Revision Before & After Pictures

    Breast Implant Revision Surgical Animation Video

    How Much Does Breast Implant Revision Cost?

    Breast implant revision surgery attracts Medicare and health insurance rebates under special circumstances, where surgery is undertaken for medical reasons or for certain complications from implants, such as rupture or capsular contracture.

    Size dissatisfaction is not covered under Medicare or Health Insurance.

    Costs include your surgeon, anaesthetist, hospital fees and implant costs (private health insurance may cover the last two, if your level of cover is appropriate).

    You will need to contact your insurance provider to learn about your coverage for hospital and associated fees. A personalised quote will be provided during your consultation.

    What Else Should I Consider Before My Breast Revision?

    Maintaining realistic expectations about your surgical outcome is one of the most important factors for achieving a successful procedure. Results from breast implant revision are intended to improve a previous outcome from breast augmentation; they are not a guarantee of an enhanced life. However, patients often feel a boost in self-confidence after the procedure.

    Prior to your surgery, it can help to plan for your recovery by arranging for help from others as you heal. You may also want to familiarise yourself with how to identify and respond to complications should they occur.

    With careful treatment planning, repeat breast implant surgery should not be necessary.

    Any More Questions About Breast Implant Revision?

    If you have any other questions or concerns about breast implant revision surgery, please feel free to contact our office. Our knowledgeable staff will be happy to assist you.