Breast revision is a secondary procedure used to improve the look and feel of the breasts after the initial augmentation. Breast implants are susceptible to aesthetic changes and physical complications as they age, and can require a surgical fix. Breast revision removes and/or replaces damaged or unwanted implants to provide healthier and more attractive breasts.
Breast Revision Options
Depending on the reason for breast revision and your desires for your post-treatment appearance, you have many different revision options. Unless your implant only needs to be moved back into the breast pocket, your breast revision will begin with the removal of the implant.
Some women who experience complications or are unhappy with the appearance of their augmented breasts decide not to replace their implants. If the implants are going to be removed permanently, both the implant and scar tissue will be taken out, and the breast pocket will be cleaned and tightened.
For women who decide to keep their implants and their augmented style, new implants are inserted once the damaged ones are removed. These implants can be the same style, or be a different size, filling material, shape, and texture.
and Breast Lift
Sometimes, women who choose to remove their implants discover the excess weight and volume of the implants (especially large or old implants) have resulted in premature breast sagging. Breast lift surgery will restore a youthful appearance to the breasts by tightening the breast tissue and removing excess skin. Large or stretched areolas can also be resized during this procedure.
Some women who still want larger, fuller breasts need to remove their implants entirely because of complications. Fat transfer is appropriate for these women. Fat transfer uses fat taken from another region of the body through liposuction and uses it to augment the breasts.
Breast revision is an outpatient procedure that is performed with general anesthesia in about one to three hours. Dr. Morales will make an incision along the breast crease to remove the damaged or unwanted implant. If possible, the incision is made in the same place as the original incision. Through this incision, Dr. Morales will reposition or remove the implant. Some patients choose to replace their implant; others decide not to. The specific procedure steps will vary depending on the reason and specifications of your breast revision.
Your recovery will be similar to that of your breast augmentation. The breasts will be wrapped in a compression garment that should be worn continuously for a few days or a few weeks. Patients can expect bruising, swelling, and some post-operative pain. The pain is typically most significant during the first 48 hours, but it improves with each day and can be relieved with medications. During this time, patients must limit their upper body movement to reduce any strain on the breasts. Most patients can return to work after one week, but they should avoid strenuous movement or exercises for at least four weeks.
The cost of your breast revision is dependent upon the specifications of your procedure. This cost varies when considering the combination of surgical procedures (removal alone, removal and replacement, or removal and lift). Additional cost factors include anesthesia, facility, and surgical fees. You will be provided with an accurate cost estimate during your consultation with Dr. Morales.
The swelling will gradually subside over several weeks. With the swelling, your breasts may seem hard and unnatural, but eventually, they will soften to a more natural feel. Your final results will become apparent once the swelling has resolved, and most women experience satisfactory results for many years, if not decades.
Thank you so much for everything. The speed with which you got me in was greatly appreciated. You did a wonderful “job,” for lack of a better word. Good luck in your future practice! And, thank you again.
Sincerely, T.R. and A.J. - Dallas, TX
Dear Dr. Morales,
See this smile on my face? You put it there! Your honesty and great work are appreciated.
Thanks! J.J. - Dallas, Texas
Frequently Asked Questions
Ideal candidates for breast revision are at least 18 years old, in good health, not currently pregnant or nursing, non-smoking individuals, and are experiencing aesthetic or physical complications with their breast implants.
There are several potential concerns regarding breast revision. These include:
- Anesthesia risks
- Post-operative infection
- Prolonged bleeding
- Blood clot
- Changes in nipple or breast sensation
Capsular contracture develops when the scar tissue around the implant begins to tighten, causing the breasts to feel hard. There is no definitive way to prevent capsular contracture, but breast implant massages are thought to lower your risk.
Loss of nipple sensitivity is typically temporary and usually lasts for a few weeks; however, it can be permanent in some cases. Loss of nipple sensitivity occurs when the nerves beneath the nipple are severed. Because the implant is being removed and replaced, there is a chance that damage may occur.
Yes. Breast implants are safe. While there have been reports about breast implant illness, these are unproven. However, there are reports linking textured implants to BIA-ALCL, a cancer of the lymphatic system. This diagnosis is treatable and so rare that the vast majority of patients will never experience it. Please do not hesitate to bring up any of your concerns with Dr. Morales during your consultation.
Implants do not always need to be removed during a breast revision; however, they usually are after one or two decades. The removal, replacement, or repositioning of your implants will depend on the reason behind the revision surgery.