Breast Implant Revision Surgery

Breast implant revision surgery is challenging in that it involves a process of discovery. Issues that were caused by the prior implant surgery (or surgeries) are often only revealed in the operating room—making it both diagnostic and therapeutic in nature. Great results can still be achieved but they require total focus, creativity and persistence in order to deliver an outcome that is both stable and aesthetic.

What patients need to know about breast implant revision/exchange surgery:

  • Unfortunately revision surgery for breast augmentation is quite common
  • You do not have to settle for a less than pleasing result just because it is revision surgery
  • A supportive material called ADM (allogenic dermal matrix) allows for a reliable modification of the implant pocket.
  • In addition to surgery, autologous fat grafting can camouflage some of the side effects of implants that were initially poorly placed.

Unfortunately revision surgery for breast augmentation is quite common.

Poor aesthetic outcomes can be due to one or a combination of factors including implant size, malposition, capsular contracture or visible and palpable rippling. As with all cosmetic procedures the best time to get an optimal and stable long term breast implant outcome is the first time.

You do not have to settle for a less than pleasing result just because it is revision surgery.

Patients who are disappointed with the result of their first breast augmentation surgery often experience an emotional reaction which leads them to temper their mindset. There is a shift in expectation from their original desire for an aesthetic outcome to preparing themselves to accept a reconstructive, incremental improvement to their initial result. Many patients and physicians alike consider “settling” for a sub optimal outcome. This does not have to be the case. I routinely strive to produce an aesthetic result equal to that of any primary breast implant surgery.

A supportive material called ADM (allogenic dermal matrix) allows for a reliable modification of the implant pocket.

Prior to the introduction of ADMs (allogenic dermal matrix) a breast revision surgeon’s result was predicated upon site changes of the breast implants or the quality of the existing capsule. This made it very difficult to modify the sub optimal implant result. This ADM material mimics an internal bra influencing both support and shape. Providing consistent modification of the implant pocket is essential to revisions involving symnastia (loss of natural cleavage,) “bottoming out,” lateral displacement and visible rippling. It also reduces the risk of capsular contracture.

Autologous fat grafting can compliment surgical intervention by camouflaging some of the side effects of implants that were initially poorly placed.

Poorly placed breast implant prosthesis can create chest wall deformities and soft tissue irregularities (depressions) leading to post revision concerns that were not originally part of the patients anatomy. The use of autologous fat grafting enables the surgeon to dispel any anatomic reminders of the poorly placed implants.

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