Breast revision surgery is commonly offered to patients who present with complaints of clinically significant capsular contracture, implant malposition, double bubble deformity, implant rupture, or the desire for an implant volume change.
Breast Revision for Capsular Contracture
Capsular contracture is a condition in which a capsule — or hardened scar tissue — forms around the breast implant. This can occur within 1-2 months of your breast augmentation and can happen with both silicone and saline implants. A breast revision can be performed to correct the capsular contracture after which you can choose to have a new implant put in its place.
Breast Revision for Double Bubble Deformity
A double bubble breast deformity occurs when the implant is positioned behind a resistant inframammary fold. The implant is placed low in order to position the nipple on the most projecting part of the breast. In the process, the fold ends up creating a crease across the implant. Patients who develop this deformity often times need a combination augmentation/breast implant as well as a formal mastopexy. In these patients, the initial problems were loss of breast volume and nipple position. Simply placing the implant in a lowered position attempts to compensate for the ptosis. However, it can result in a double bubble deformity. In addition, an inadequately released pectoralis major muscle can contribute to the problem.
Breast Revision for Implant Rupture
Ruptured implant etiology can arise for various reasons. Whenever a patient presents with a ruptured implant, we advise removal in the near future. Rupture can lead to robust capsular constracture, making revisionary surgery more difficult.
Breast Revision for Implant Exchange
As patients become accustomed to the changes produced from the breast augmentation, they may, at some point, decide to change the size, shape, or material of the implant. It is normal for patients to undergo a breast revision as they get older and their bodies continue to change. You may also choose to undergo an implant exchange simply to benefit from newer breast implant technology.
Your Breast Revision Consultation
During your breast revision consultation, your Southern California board certified plastic surgeon will speak with you to identify any issues that may warrant a revision procedure. Ruptures, capsular contracture, and any other breast implant defects can be diagnosed by Dr. Kolder or Dr. Improta. They will then work with you to determine a treatment plan for your breast revision and outline the surgery steps, benefits, and recovery of your procedure.
The Breast Revision Procedure
Breast revision surgery is performed under general anesthesia on an outpatient basis in our surgery center. Breast revision surgery is tailored to each individual patient and can be as simple as implant exchange or as complex as tissue transfer to reconstruct a deformity. The details of your procedure will be covered during your consultation. Each woman’s breast revision will vary based on the reasons for her surgery and whether she will be receiving new breast implants.
Recovering from Breast Revision
The entire breast revision recovery process is similar to the previous breast surgery and usually takes several weeks. You should make arrangements to have someone take you home, even if you use our car service, and plan on having someone with you for the first twenty-four hours. Though you are encouraged to rest during that time, you should not spend all your time in bed. You will need to get up and walk around for five minutes every hour, except when sleeping.
Breast Revision Next Steps
For more information about breast revision, please contact our office to schedule a consultation with one of our Southern California board certified plastic surgeons. All cosmetic consultations are complimentary at Pacifica Center for Plastic Surgery in North Camarillo.