Breast implant revision refers to a surgical procedure that involves the replacement or modification of breast implants. This surgery aims to correct complications or dissatisfaction with the previous breast augmentation outcome or accommodate a patient’s changing preferences regarding their appearance. Revision surgery involves removing or replacing existing breast implants with new ones, changing the size or positioning, or reshaping the breast tissue to improve the overall aesthetic.
Breast implant revisions are not uncommon, as breast implants are not meant to be considered as lifetime devices. The possibility of complications or the need for adjustments to the implants increases over time. Some of the primary reasons for breast implant revision include:
- Capsular Contracture: It is the most common complication of breast augmentation, occurring when the scar tissue that forms around the implant tightens or contracts. This can cause discomfort, pain, and distortion in breast shape. In severe cases, implant removal or replacement may be required.
- Implant Rupture or Deflation: Rupture occurs when there is a tear or hole in the implant shell due to aging, trauma, or manufacturing defects. This can lead to leakage of saline or silicone gel, resulting in changes to breast shape and size. In such cases, a revision surgery aims to remove the damaged implant and replace it with a new one.
- Symmastia: Also known as ‘bread loafing’ or ‘uniboob,’ symmastia occurs when the breasts appear merged in the midline, resulting from incorrect implant positioning, overly large implants, or thin skin and inadequate tissue covering. Revision surgery may include implant repositioning or pocket modification.
- Size or Shape Dissatisfaction: Patients may choose to undergo revision surgery to change their implant size, shape, or material, due to personal preferences or dissatisfaction with the initial results. This may involve selecting a different implant, such as switching from saline to silicone or upgrading to an anatomical or textured implant.
- Rippling or Wrinkling: When the implant is visible or can be felt through the skin, it is known as rippling or wrinkling. This issue may arise due to thin breast tissue or when the implant shifts from its original position. Implant revision procedures address this issue by adjusting the implant placement, modifying the implant pocket, or changing implant type.
- Aging and Weight Fluctuations: With time, weight fluctuations, pregnancies, and breast tissue changes, the appearance of breasts with implants may evolve. A breast implant revision, along with a breast lift, can help address these changes, maintaining an optimal shape, and restoring a desirable aesthetic.
Breast implant revision surgery typically follows the initial breast augmentation’s incision lines to avoid additional scarring. However, in cases where a breast lift or additional tissue mobilization is required, new incisions may be necessary. Recovery times can vary depending on the extent of revision, but generally, a return to normal daily activities is possible within 1-2 weeks.