Hundreds of thousands of women enhance the appearance of their breasts every year with implants. The vast majority of these women remain pleased with their breast augmentation and experience no significant complications for many years.
Some women may start to feel displeased with the specifications of their implants—the size, shape, or placement—or they experience complications that damage the integrity of the implant.
Breast revision surgery is performed after a previous augmentation surgery to remove or replace implants in order to correct physical or aesthetic concerns.
Breast Revision Candidates
Candidates for breast revision have already undergone a breast augmentation and have developed an implant complication or are no longer happy with the look or feel of their implants. Women should be non-smokers in good overall health with realistic expectations of their results.
Your breast revision procedure begins with a consultation with Dr. Mockler. During this meeting, Dr. Mockler will show you before and after images and offer Vectra 3D imaging so you can get a better idea of your possible results.
Reasons for Implant Revision
Reasons for implant revision vary just as widely as the implants themselves. Traditionally, complications and changes in aesthetic desire are the most common concerns.
Breast implant complications are possible with silicone implants as well as implants filled with saline.
- Implant rupture occurs when the silicone shell of the implant weakens and allows the inner contents of the implant to seep into the body. Saline is absorbed by the body naturally—silicone is not.
- Capsular contracture occurs when the scar tissue tightens around the implant, causing pain and aesthetic distortion.
Changes in aesthetic desires may arise immediately after your breast augmentation or appear years down the line. Some women wish they had chosen larger, more substantial breasts, whereas others want to downsize their implants.
- Some women are choosing to remove their implants due to a fear of breast implant illness or breast-implant associated anaplastic large-cell lymphoma (BIA-ALCL). Breast implant illness is not a medical diagnosis—it is a self-diagnosis made by women experiencing unexplainable side effects like fatigue, joint pain, memory fog, and anxiety. BIA-ALCL is an immune system cancer that can develop in the scar tissue around the implant. While it is rare, it is most commonly found in women with textured implants, which Dr. Mockler does not offer.
Your Breast Revision Procedure
Your surgery is tailored to your specific needs and aesthetic desires. The cost of your breast revision will vary depending on the specifications of the procedure.
Breast Implant Removal and Replacement
Women who are unhappy with their implants, or who have experienced a complication, can choose to replace their implants for those of a different size, shape, or style.
The implant is removed through an incision in the inframammary fold. Your initial augmentation incision may be used to reduce the appearance of post-operative scarring. If a rupture occurred, any loose silicone will also be removed at this time. A new implant is placed in the breast pocket, and the incisions are closed.
Implant revision can adjust the placement of the implant. If the implant was inserted above the chest muscle, it can be moved beneath the chest muscle, and vice-versa.
A capsulorrhaphy repairs tissue that is affecting the placement of the implant. Double bubble deformity can be addressed with this technique.
Permanent Breast Implant Removal
For women who wish to part ways with their implants permanently, breast implant removal takes out the unwanted implant and tightens up the breast pocket. If there were complications with the scar tissue, a capsulectomy might be performed to remove the tissue as well as the implant.
Breast Implant Removal with a Breast Lift
Women who had large implants or had their implants for many years may experience breast sagging once they have been removed. A breast lift can follow implant removal for women looking to downsize their breasts but maintain youthful elevation and perkiness. Dr. Mockler offers breast lift surgery with the lollipop and anchor techniques.
Breast Revision Recovery
Patients will be wrapped in a compression garment just as they were after their initial augmentation. This garment will control swelling, promote circulation, and ensure that the breasts heal in the correct position. Most women wear this garment for a few weeks before switching to a sports bra. Underwire bras should not be worn until the incisions have fully healed.
Women will experience swelling, bruising, and soreness. Oral pain medication or over-the-counter painkillers can soothe this discomfort. Patients should rest during the initial recovery, but most women return to their regular activities after a few days. Vigorous exercise of the upper body is restricted for four to six weeks.
Breast Revision Results
The results of your breast revision are noticeable immediately; however, they may continue to alter slightly as the bruising and swelling subside. Results of breast revision are long lasting; however, this surgery does not prevent future complications and cannot stop the aging process. Your breasts will continue to age naturally.