What is Revision Breast Enlargement?
Breast Implant Revision is a Cosmetic Surgery procedure to remove or replace breast implants to correct ‘Capsule Contracture’, implant ruptures, displaced implants or misshapen breasts and rotated implants.
Why you may consider Revision Breast Enlargement?
Your saline breast implants have deflated or an X-ray or MRI suggests your silicone implant has a shell leak.
If you want to change your implant / breast size.
If you have tightening of the scar tissue around the implant (Capsular Contracture) or your Breast Implants have shifted in position.
If your breast tissue has changed as a result of skin stretching or weight-loss / gain.
You will regain a youthful breast shape.
You may increase or decrease your breast size.
You will improve breast symmetry.
Gravity and aging will eventually alter the size and shape of your breasts.
The weight of your implants will also affect your breast appearance with time.
Mr Khan will need to have the surgical details of your first Breast Surgery.
These are the top three pros and cons to weigh when considering breast revision. If you wish to focus on what is unique to you, please consult with Mr Khan.
Do I need to prepare for the Surgery?
Mr Khan will provide thorough preoperative instructions, answer any questions you may have, take a detailed medical history and perform a physical exam to determine your fitness for surgery. In some instances, you may need to have a Mammogram before Revision Surgery.
What will my Breast Revision Incisions and scars be like?
The original incision used to insert the implant is almost always the same one used to remove it; however, if you undergo a Breast Lift, elevating the position of your nipple and Areola will result in Breast Lift scars.
How is a Breast Revision procedure performed?
The exact procedure Mr Khan will use for Breast Implant Removal and Replacement varies depending on the reason for your Breast Revision.
Change in Implant size: If you decide to change your implant size, Mr Khan will frequently use your original incision for implant removal and replacement. If you want a larger implant, Mr Khan will surgically enlarge the "pocket," or space in the breast, surrounding your implant to accommodate a larger implant. If you want smaller implants, you doctor may surgically reduce the size of the pocket with sutures to properly fit smaller sized implants. A Breast Lift may be done at the same time.
Capsular Contracture (hardening of the Capsule and Implant): Mr Khan will probably use the same incision used to insert the original implants to remove the hardened Capsule and Implant. He will then insert a new implant.
Implant Rippling: When the edges of saline breast implants are visible and palpable (able to be felt), Mr Khan may use the same incision to remove or reposition the implants as was used to originally insert them. Other options include using a different type of implant or placing the new implant into a different breast pocket that either has thicker muscle coverage or uses other tissues to cover the implant edge.
Implant Malposition: Sometimes implant pockets are created too far apart or too close together, resulting in poorly positioned breasts. To correct this, using the prior incision, Mr Khan will manipulate the scar tissue from the capsule surrounding the implant and reconstruct the pocket in the appropriate position using suturing techniques. Mr Khan may need to utilize other tissues to reinforce this new implant pocket and may recommend using an Acellular Dermal Matrix product to add additional support.
Implant Removal: If your implants are large and your skin has stretched, Mr Khan may recommend a Breast Lift in addition to implant removal, but implant removal alone may suffice. The original incision created to insert the implant will almost always be the same one used to remove it. The lining around the implant, or "Capsule," is often surgically removed at the same time to facilitate rapid healing.
Elevation of Nipple and Areola Position: If it is necessary to elevate the position of your nipples and Areolas (pigmented skin surrounding the nipples), you will need additional incisions. Incisions around the upper portion of the Areola will be adequate in cases where not much elevation is needed. When more lifting and tightening is necessary, an incision all the way around the Areola, including a vertical scar extending down from the Areola to the crease under the breast, may be necessary. For cases where significant excess skin needs to be removed (such as in women who have had massive weight loss), a third incision may be necessary that will extend horizontally beneath the breast, following the natural curve of the breast crease. If your nipples need lifting, the nipples and Areolas remain attached to underlying mounds of tissue and this usually allows for the preservation of sensation and the ability to breast-feed.
The goal of your Mr Khan and the entire staff is to help you achieve the most beautiful and natural-looking results, as well as making your surgical experience as easy and comfortable as possible.
Recovery after Breast Enlargement with Uplift Surgery
Mr Khan will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:
Drains, if they have been placed
Normal symptoms you will experience
Potential signs of complication
Your postoperative discomfort and recovery time will be similar to that of your primary Breast Augmentation. You should be up and walking on the day of surgery. It will take several days to return to more normal activities after your Breast Revision Surgery, but it is important to your recovery that you get up and move around. The extent and duration of discomfort depends largely on the size and placement of the implants, and may include pain, stiffness, swelling, bruising and itching.
When the anesthesia wears off, you may have some pain. If the pain is extreme or long-lasting, contact your Mr Khan. You will also have some redness and swelling after the surgery. You should contact Mr Khan to find out if your pain, redness and swelling are above the normal or are signs of a problem.
How long will the Results last?
Unless you gain or lose a significant amount of weight or become pregnant, your new breast shape should remain fairly stable. However, gravity and the effects of aging eventually alter breast size. The weight of the implant used will also affect how your breasts appear as time goes on. Breast Implant Revision results are long-lasting; however, you may want to periodically visit your doctor to make sure that your implants are not posing health risks, and to help prevent any further complications.
For safety, as well as the most beautiful and healthy outcome, it's important to return for consultations / check-ups with Mr Khan for follow-up evaluation at prescribed times and whenever you notice any changes. Do not hesitate to contact Mr Khan when you have any questions or concerns.