For women who have underwent breast augmentation, problems may occur later on that affect the appearance of the breasts. This may include capsular contracture, sagging of breast tissue, asymmetry, symmastia or simply a desire to change the size of the breasts. These issues can be addressed with breast implant revision surgery.
Who is a candidate for breast implant revision?
Good candidates for breast implant revision are healthy patients who are unhappy with their breast appearance after having breast augmentation in the past. This can be performed for a condition like capsular contracture, when scar tissue around the implant causes the breast to harden, leading to disfigurement and discomfort. Also, some patients may develop sagging breasts with breast tissue hanging off the level of the implants, giving the appearance of a double bubble deformity. Breast implant revision can be performed for symmastia (uniboob), where the implants are at the midline. Similarly, the procedure can correct implants that are falling off laterally to the side. With this procedure, asymmetries can be improved. Finally, implants can be replaced with larger or smaller implants. Please note, it is important to maintain realistic expectations when proceeding with this type of surgery.
How is breast implant revision performed?
Depending on your specific issue, breast implant revision can include a variety of different techniques. For capsular contracture, the capsule around the implant can be removed and the implant can be placed in a different tissue plane, either below or above the muscle. For sagging breast tissue, a breast lift (mastopexy) is usually performed. An implant pocket revision (capsulorrhaphy) can be done for symmastia and asymmetries of the implant position. Occasionally, the lower breast crease needs to be adjusted with a reconstruction of the inframammary fold. For those wishing to have larger implants, replacement can be performed but implants must fit within your breast/chest dimensions. For those who want smaller implants, a breast lift is sometimes performed concurrently with the implant exchange to prevent sagging breast tissue.
What to expect after surgery?
Dr. Farris and his staff at Farris Plastic Surgery will provide specific instructions regarding your surgery.
You will be able to go home the same day after surgery and have a follow up appointment within one week. Postoperative pain is limited. It is advised that you avoid strenuous activity or heavy lifting for 3-4 weeks. An underwire bra may be used beginning at 4 weeks after surgery.