Breast augmentation revision is a sophisticated surgical procedure designed to address and rectify issues arising from a previous breast augmentation. Whether due to complications, aesthetic dissatisfaction, or changes in a patient’s body over time, revision surgery aims to restore and enhance the appearance and feel of the breasts. Understanding the common problems and their solutions is crucial for anyone considering this procedure.

1. Capsular Contracture

Issue: Capsular contracture occurs when the scar tissue, or capsule, that normally forms around the implant tightens and squeezes the implant. This can cause the breast to feel hard and look misshapen.
Solution: The recommended treatments for capsular contracture include capsulectomy, which involves removing the scar tissue, and capsulotomy, which releases the scar tissue. In many cases, replacing the implant is also necessary to achieve the best results.

2. Implant Malposition

Issue: Implants can shift from their initial placement, leading to issues such as lateral displacement, where the implants move toward the armpit, or bottoming out, where the implants descend too low.
Solution: Correcting implant malposition typically involves repositioning the implants and may include using internal sutures to create an “internal bra” that supports and maintains the proper implant position.

3. Implant Rupture or Deflation

Issue: Both saline and silicone implants can rupture or deflate, causing visible changes in breast size and shape.
Solution: When an implant ruptures or deflates, it is essential to remove and replace the damaged implant. Silicone implant removal requires careful handling to prevent silicone leakage, while saline implants are easier to remove.

4. Size Dissatisfaction

Issue: Patients sometimes feel that their implants are either too large or too small compared to their expectations.
Solution: Size dissatisfaction can be addressed by exchanging the current implants for ones that are more appropriately sized according to the patient’s desired outcome.

5. Rippling

Issue: Rippling occurs when the implant surface can be felt or seen through the skin, a common problem with saline implants or in patients with thin breast tissue.
Solution: Switching from saline to silicone implants can reduce rippling, as silicone implants tend to create a smoother appearance. Additionally, placing the implant under the muscle can help provide better coverage.

6. Bottoming Out

Issue: Bottoming out is when the implants descend too low on the chest wall, giving a bottom-heavy appearance.
Solution: To correct this, surgeons can use the internal bra technique or revise the implant pocket to better support the implants.

7. Symmastia

Issue: Symmastia, or “breadloafing,” occurs when the implants move too close together, merging the cleavage area.
Solution: This can be corrected by creating new implant pockets and using internal sutures to keep the implants in place. Acellular dermal matrices (ADMs) may also be used for additional support.

Frequently Asked Questions

What is Breast Augmentation Revision?
Breast augmentation revision is a surgical procedure aimed at improving or correcting the results of a previous breast augmentation. This can involve replacing implants, correcting implant position, or adjusting the breast tissue.

Who is a candidate for Breast Augmentation Revision?
Candidates for breast augmentation revision include those who are dissatisfied with the size or shape of their implants, experiencing complications like capsular contracture or implant malposition, or seeking to correct changes due to aging, weight fluctuations, or pregnancy.

How long is the recovery period for Breast Augmentation Revision?
Recovery times can vary, but generally, patients can expect a recovery period similar to their initial augmentation, often around 6 to 8 weeks. It’s important to follow your surgeon’s post-operative care instructions closely to ensure optimal healing and results.

About Dr. Don R. Revis, JR., MD, FACS
Dr. Don R. Revis, JR., MD, FACS is an internationally acclaimed plastic surgeon with over thirty years of dedicated experience in the field of breast surgery. Board-certified by The American Board of Plastic Surgery, Dr. Revis has developed the innovative “Internal Bra” technique, which significantly improves implant stability and reduces complications such as bottoming out and implant malposition. His meticulous approach and commitment to advanced surgical methods ensure that each patient receives personalized care tailored to their unique anatomy and aesthetic goals. Dr. Revis performs over 300 primary augmentations and 350 revisions annually, reflecting his expertise and the trust patients place in him from around the globe. His dedication to achieving natural-looking, symmetrical results has made him a pioneer in breast surgery, and his compassionate care fosters a supportive environment for all his patients.

Your Perfect Outcome Awaits
At South Florida Plastic Surgery, we are committed to providing top-tier care and exceptional results. Schedule your consultation today to explore how we can help you achieve your aesthetic goals.

Transforming Challenges into Beauty.