Breast Augmentation Revision
MAMMAplasty REVISION
Overview
Breast revisions may be needed for a variety of reasons:
- not happy with previous surgeon's works
- natural aging process
- implants don’t last forever
- change in aesthetic goals
- Capsular Contracture: The most common complication of breast augmentation that may be a reason for breast revision surgery. As the body heals around the breast implant, it forms a capsule. Sometimes this capsule becomes firm and can distort the breast, sometimes causing pain. This issue can be addressed by removing the capsule and exchanging the implants at that time, or by removing the implants.
- Implant Rupture: Breast implants can rupture, even if there is no instance of trauma to the breast. Rupture is much more obvious with saline implants than silicone, as the breast will deflate. For silicone implants, especially if they are highly cohesive gel, it can be difficult to detect and will likely require imaging with ultrasound and/or MRI. Ruptured implants can be associated with capsular contracture.
- Implant Rippling: This is more common with saline implants and is typically seen in patients who had very little breast tissue initially. This may be improved by changing to a different type of implant, placement of the implant beneath the muscle, and/or fat grafting.
- Asymmetry: Sometimes breast augmentation can make previously existing asymmetries in the breasts more obvious, or they heal and settle differently resulting in asymmetry.
- Desire for a Different Size: Sometimes if you desire a smaller size, you may also need a breast lift (mastopexy).
- Malpositioned: This requires surgery to adjust the “pocket” for the implant so the position can be corrected. Also, as you age the implants may move as our tissues naturally lose elasticity.
Consultation
- During your breast revision consultation, Dr. Cho will assess your current medical history, including medications, vitamins and herbal supplements you take, alcohol, tobacco, and drug use. She will also ask about family history of breast cancer, previous mammograms, and if you’ve had any breast biopsies.
- Examine and measure your breasts, including detailed measurements of their size and shape, skin quality and placement of your nipples and areolas. She will also examine your breasts for any masses or lesions.
- Take photographs
- Discuss your goals and limitations of the surgery
- Discuss risks or potential complications
Pre- and Post-Op Care
- Do not take any blood thinning medications for 1 week before surgery, including aspirin, NSAIDs, ibuprofen/motrin, naproxen (also, avoid any herbal supplements or vitamins which can prolong bleeding)
- Do not smoke, vape, or take nicotine-containing products before or after your surgery as they can impair the healing process
- You will typically be allowed to sponge bathe, but do not shower until cleared by Dr. Cho
- Wear your surgical bra at all times if possible
- Take medications as directed
- Avoid heavy lifting as directed by your surgeon
- Come to all postoperative visits as scheduled
Recovery
- 1-2 weeks, final results can take up to 3 months to allow for tissues and implant to settle
- During your recovery you will have a support bra that will minimize swelling and support the breasts as they heal
- You will be given specific instructions on how to care for the surgical sites after surgery, and how to take the prescribed medications to reduce pain and risks of infection
- It is important that the surgical incisions are not subjected to excessive force, swelling, abrasion or motion during the time of healing
- To help avoid postoperative complications and facilitate healing, you will not be able to lift more than 15 lbs or do any strenuous activities (particularly if it involves pushing or pulling) for a few weeks
Patient Review
I got a breast reduction done by Dr. Cho and I love the results! She listened to all of my concerns and made my breasts proportionate to my body size, and I couldn’t be happier with my results! From the time I came in for my consultation to insurance approval and surgery date was 10 weeks. Everything happened so fast. I drove almost 2 hours to see Dr .Cho and it was worth it. Her and her team are professional, kind and warm she has a great... See full review
Melissa A. / Reduction Mammaplasty Patient
Surgery is a Big Decision
We are here to answer any questions you have and help you determine the right choice for you. If you are considering surgery, please schedule a consultation with Dr. Cho today. She would be honored to discuss your goals and help you achieve the look you desire.