in Dallas, TX
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 cosmetic 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 implant 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. The implants themselves may or may not be replaced.
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 and/or other surgical maneuvers to reduce the deformity.
Malposition of Anatomical Implants
Anatomical implants, commonly called “teardrop-shaped” implants, rarely 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 or placed back into their correct position.
When breast implants are placed too closely together, too far apart, or when they do not “settle” into the correct position once the final breast augmentation results develop, the solution may be to completely remove the implants and possibly replace them if the patient desires. Another option is to manipulate the tissues that support the implants to move them into the correct position.
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 affected implant, irrigate the breast pocket, and replace the implant.
The desire to change implant size is the most common reason for breast revision surgery. Usually, the patient desires to have larger breasts than her primary augmentation achieved. During your breast revision consultation, your surgeon will assess your chest width to determine if larger implants will safely and effectively achieve the look you desire.
Symmastia occurs when one or both breast implants are positioned too close to the midline of the chest and the two breasts become connected at the cleavage. This complication is characterized by the skin over the sternum tenting from one breast to the other or the two breast implants touching in the middle. The nipples may also point outward. During breast revision surgery for symmastia, the breast pocket is manipulated to correctly position the implants. The connection at the midline is also corrected, resulting in a more natural breast appearance.
Scar quality varies from individual to individual, depending most heavily on the patient’s own natural scaring. Typically, there will be a scar around the areola, a vertical scar from the areola to the breast crease, and a scar along the breast crease.
Duration of Results
The results of breast reduction will last a lifetime, and the breasts will continue to age naturally. Patients will experience lighter, more youthful breasts and increased comfort and confidence as a result of this procedure.