BREAST IMPLANT REVISION
- Capsulectomy or Excision of capsule for hardness
- Change of Implant Pocket
- Excessive Cleavage Gap
- Symmastia or “Mono-Breast” or “Uni-Boob” or “Kissing Implants”
Poor outcome after breast surgery is devastating and can cause the patient severe psychological issues. Our doctors have a great deal of experience in correcting post breast augmentation complications. Almost half of patients seeking breast augmentation for the first time can get a good result by any surgeon. The other half need a Plastic surgeon with a very specific knowledge of breast variations and wide variety of technique.
Our doctors enjoy helping patients with complicated primary breast augmentation, implant exchange or malposition, or implant failure. His practice is dedicated to performing revisional surgery on patients who have received poor outcome or have had implants for 10 years and or more are due to have them changed.
The difference in procedures is the extent of scarring. Flaps are used during a simple lift procedure. Fat transfer is used for patients who desire a more fullness over their buttock area. During the fat transfer procedure, the removed fat is placed deeply within the muscle and in many different layers to create a smooth surface without irregularities. It is common for surgeons to perform liposuction as well to enhance the shape of the buttocks.
Fat grafting has changed buttock enhancement to be a simpler procedure, performed within 1.5 hours, with minimal pain, discomfort, and recovery time. Candidates for this surgery are usually 18 years or older and in good physical health.
BRAZILIAN BUTT LIFT PRE-OPERATION
If you are a smoker, your surgeon will strongly urge you to quit at least six weeks before your surgery as smoking can interfere with the healing process and the viability of the fat grafts. Also, medications that can increase the risk of bleeding should be stopped. As this surgery is performed as an outpatient procedure under general anesthesia, it’s important to arrange for transportation.
recovery timeline
Breast revision surgery recovery typically takes around four to six weeks for major activities like exercise, though full results may take several months as swelling subsides. During the first week, you’ll focus on rest and wear a supportive bra. Light activities are usually possible within the first one to two weeks, but heavy lifting, strenuous exercise, and tanning must be avoided for at least six weeks or until cleared by your surgeon.
Key Recovery Stages
- First Week: Focus on rest, wear a supportive surgical bra, and avoid strenuous activity, heavy lifting, and driving if you’re still taking pain medication. Short walks are encouraged to promote circulation.
- Weeks 1-2: Most patients can resume light activities and return to work, especially if their job is not physically demanding.
- Weeks 2-4: You can typically begin leisurely walks, but you should still avoid strenuous exercises. Swelling, bruising, and mild discomfort should start to decrease.
- Week 5-6: Many patients see significant reduction in swelling and may be cleared by their surgeon to resume more strenuous activities and their normal exercise routine.
- Full Recovery: Final results, including natural contouring and settling of the implants, are usually evident from three months to a year after surgery.
have a question?
Quick answers to questions you may have
What is breast implant revision surgery?
Breast implant revision is a procedure performed to replace, remove, or adjust existing breast implants. It may be done to improve appearance, correct complications, or update implant size or type.
What is recovery like after implant revision?
Recovery is often similar to the first augmentation but can vary depending on the complexity. Most patients return to light activities within 1–2 weeks and resume full activity in 4–6 weeks.
Are the results permanent?
Implant revision results are long-lasting, but implants are not lifetime devices. Patients may require future revisions due to aging, weight fluctuations, or personal preference.
How do I know if I need implant revision?
If you notice changes in breast appearance, discomfort, or simply want a different size or type of implant, it may be time for a revision consultation.
Can I switch from implants to a lift or fat transfer instead?
Yes. Some women choose to remove implants and undergo a breast lift or fat grafting for a more natural look. Your surgeon will review the best options based on your goals.
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Most of these unsatisfactory outcomes occur as a result of poor patient selection, technique and/or implant selection. Furthermore, other problems can occur as a result of poor healing and capsule contracture due to patient’s lifestyle. Please note that the fees/cost for corrective surgery are higher than primary augmentation.
We offer breast implant surgery in Chicago, plastic surgery breast implants, corrective breast implant plastic surgery in breast implant clinics performed by our best breast implant surgeons and breast implant specialists in Chicago, Barrington, Oak Brook, Orland Park.
Avail breast reduction surgery in Chicago by our best breast reduction surgeon.
Scar Revision
For poor scarring such as Hypertrophic scar or Keloid. Prior to scar revision our doctors,recommend the Scitonlaser technology to improve the quality of the scar. Failing the latter then formal surgery on the scar by re-cutting and suturing will certainly improve the scar.
Simple Exchange of Implants
For size issues (usually for bigger size) or content (usually Saline To Gel)
Correction of “Double-Bubble” syndrome
This is a condition where the implant and the native breast are in completely different anatomical levels. Routine subpectoral mammary augmentation in women with a small breast lower pole deficiency often results in poor late results with the appearance of a double-bubble deformity. The surgical correction is complex and requires the need for a series of a. excision of breast tissue, b. pocket adjustment or capsulorrhaphy and c. exchange of implants or any combination of the above.
Reconstruction after Removal Of Infected Implant
Implant infection is extremely rare but as this overseas breast job demonstrates they can occur.
Correction of Breast Implant Bottoming Out
This condition is a form of Implant migration. Although can be seen with all types of augmentation it is more common with violation of natural mammary crease of the breast and/or too large of an implant.
Replacement of Ruptured Implant
Capsulectomy or Excision of capsule for hardness
It is not fully understood the reason for this occurrence of this condition. Capsular hardening or contracture is more common in certain ethnic groups such as Asians and Africans. It can however affect any racial group. The hardening is caused by excessive scar tissue forming around the implants. It can occur as early as 6 weeks after surgery and as late as 10 years. The best way of preventing this is to massage the augmented breasts in the postoperative period so the capsule forms softly around the implant. The breast hardening process or capsular contracture can have both cosmetic and pain implications.
Capsulectomy operation removes the hard capsule and the new implants are inserted in a fresh pocket preferably behind the pectoralis muscle. In these situations the use of Polyurethane coated implants are recommended.
Change of Implant Pocket
There are many reasons why one would opt for change of implant pocket.
Rippling and Implant Edge Visibility are hard to get rid of. One sure way is for the patient to be a small amount of weight around her breasts. Exchange of implant to smooth high filled implant &/or going behind the muscle also can be very helpful maneuvers.
Placing the implant behind the Pectoralis muscle can create an issue namely “winking”. In most patients this is not a major issue but in some women with strong muscles, flexing the Pectoralis Major muscle can create a pull effect that may look undesirable. I normally recommend no surgery for this condition, but some may want to opt to have the implant placed in front of the muscle.
Implant Pocket Re-adjustment or Capsulorrhaphy
Implant Malposition & Displacement: Migration can occur from time to time usually in patients that exercise excessively. If the condition doesn’t respond to taping then a formal pocket re-adjustment or new pocket formation needs to take place.
Excessive Cleavage Gap
Between breasts creating eg “Tori Spelling” & “Posh Spice” boobs. This condition usually arises from poor choice of implant and inadequate submuscular dissection.
By further dissection and appropriate use of a broader based implant this condition can be improved. Please note that some women are prone to having this issue as a result of the poor curvature of their chest wall.
Symmastia or “Mono-Breast” or “Uni-Boob” or “Kissing Implants”
This condition is described where there is no cleavage or very tight cleavage. Patients can be born with this condition or acquire it after Breast Augmentation.
If apparent immediately after breast augmentation it occurs as a result of overdissection centrally and/or use of very large based implant so that the implants are left too close in the middle. It can also develop months later but overzealous use of “push-up” bras creating thinning of tissue centrally. Eitherway the condition of Symmastia is very distressing to patients.
Surgical treatment is possible but needs complex re-adjustment of the pockets using permanent suture technique and smaller size implants with narrower base.
In Mild cases a Thong Bra maybe all that is needed and avoiding push up bras.
In Moderate cases if the implants are submuscular the choices are either to suture down the tissues centrally with permanent sutures and dissect the pocket laterally so the implants have room to shift outwards. If the implants are subglandular the implants need to be placed in a new submuscular pocket.
