in Norwalk, CT
Breast revision surgery is performed to restore the breast appearance and patient comfort after complications or dissatisfaction arise after a previous breast surgery. Women turn to breast augmentation for many reasons (to enhance confidence, gain a more feminine physique, or correct breast asymmetry, to name a few), and the majority of the time, no complications arise. Unfortunately, there is always a risk with an augmentation, aesthetically or physically, that the results may not be what was expected. Whether you’ve had your implants for 10 months or 10 years, breast revision surgery can correct any issues that may arise, such capsular contracture, implant rupture, bottoming out, or dissatisfaction with your original implants.
Am I a Candidate for Breast Revision Surgery?
Candidates for breast revision surgery are women who experience dissatisfaction with their original breast surgery. While this procedure can change the size, shape, or appearance of your implants (should you choose to go larger or smaller), breast revision is more commonly performed on women who have experienced implant complications. Candidates for breast revision are physically healthy, non-smoking individuals at a stable weight who have realistic expectations of their results.
How Is Breast Revision Performed?
The techniques used for your breast revision surgery will vary depending on your specific needs. Typically, general anesthesia is administered before the original breast implant is removed, and a new one inserted into the breast pocket. If desired or necessary, the opposite implant may be replaced as well. You may wish to have your replacement implants be a different size, material, and/or shape from your original implants. After the placement of the new implant(s), all incisions are closed, and you will be wrapped in a compression garment.
What Is Capsular Contracture?
Capsular contracture is a risk of breast augmentation that occurs when the scar tissue that forms around the implant tightens and begins to squeeze the implant. This results in an implant that is aesthetically distorted and may cause pain. Breast revision must be performed to alleviate the discomfort from capsular contracture. During this procedure, Dr. Rosen will remove the original implant and the surrounding scar tissue. A new implant will be placed in the pocket.
What Is Implant Rupture?
Unfortunately, implant rupture or implant deflation can occur at any point after breast augmentation, and a breast revision is necessary to remove the damaged implant. Should your cause of breast revision surgery be a ruptured silicone implant, Dr. Rosen will remove any loose silicone that may have leaked out. Any saltwater from a saline implant rupture will be safely and naturally absorbed by the body. Once the ruptured implant is removed, it will be replaced with a new one.
What Is Breast Asymmetry?
Although rare, some women turn to breast revision surgery to correct asymmetrical breasts that have resulted from a previous breast surgery.
How Long Is My Breast Revision Recovery?
You will be wrapped in a surgical compression garment following your procedure. This garment will help reduce swelling and aid in the healing process. In the initial days following your operation, you can expect to experience bruising, swelling, and some discomfort. Oral pain medication can remedy this discomfort. Although you can return to work and your normal schedule within a few days, you should refrain from any strenuous activity, especially activity of the upper body, for four to six weeks to best allow for proper healing.
When Will I See My Breast Revision Results?
The results from your breast revision surgery will become apparent as soon as the bruising and swelling subside. This healing generally occurs after a few weeks, although it may take up to a year for your breasts to fully heal.
Frequently Asked Questions About Breast Revision
What are the early signs of capsular contracture?
Capsular contracture can occur at any time during an implant’s lifespan (although it usually occurs within the first few years). Some of the early signs include chronic pain, increased breast firmness or tightness, a distorted breast shape, and restricted motion.
How can I tell if my silicone implant has ruptured?
Most silicone ruptures are silent ruptures, meaning that they are not readily noticeable. Whereas saline ruptures are visible immediately (since the body absorbs saline), silicone tends not to be since the gel often stays within the capsule—at least for a time.
Silent ruptures are diagnosed with yearly or bi-yearly MRIs or ultrasounds.
What if my implants move out of the breast pocket?
Implant displacement occurs when the implant slides out of the breast pocket. This complication requires breast revision. Sometimes, the implants can be repositioned, and the surrounding tissues sutured and tightened; other times, the implant must be removed and reinserted.
Types of implant displacement include:
- Bottoming out (implant falls to the bottom of the breast)
- Double bubble deformity (implant falls below the breast crease)
- Lateral displacement (implant falls to the side of the breast, toward the armpit)
- Symmastia (implants comes together at the center of the chest, creating a uni-boob)
Can I choose larger implants during my breast revision?
Many women who select breast revision for aesthetic reasons do so to enlarge the size of their implants. During your breast revision, you may choose a larger or smaller implant or change the specifications of those implants’ material and shape.
What if I no longer want my implants?
Some women consider breast revision surgery because they no longer wish to have augmented breasts. While this is rare, breast revision can remove the implants permanently for women who wish to return to their natural breast contour. In these situations, the implants will be removed, and the breast pocket tightened. In some cases, a breast lift may be required.
Will the results of my breast revision be permanent?
The results of your breast revision will be long lasting; however, there is no way to guarantee that your new implants will never experience another complication. The only way to ensure permanence is to remove the implants entirely, which is often not what women wish to do. Breast implants are very durable, and it is unlikely to come across another problem, but it is not impossible.
Will I need to combine breast revision with a breast lift?
Some women benefit from a breast lift during their breast revision. Women who have large, heavy implants or had implants for many years develop premature breast sagging that can only be corrected with breast lift surgery. Breast lift surgery can be performed simultaneously to elevate and tighten the breast contour.