Breast Revision

“Changes in the breasts can occur after any breast implant surgery and may need surgical correction…”

Breast implants are wonderful devices built with advanced technological developments that promise incredible durability, longevity, and satisfaction for women seeking fuller and larger breasts. Nonetheless, even the best breast implants are not guaranteed to last forever. Breast revision surgery after breast augmentation can replace damaged implants, exchange implant size or type, treat surgical complications, or remove breast implants entirely. This procedure may be performed for a variety of reasons and can be more difficult than breast augmentation surgery, so it is wise to choose your plastic surgeon carefully. Dr. Roxanne J. Guy, MD, FACS, has over 33 years of experience in breast surgery, including breast reconstruction and revision, and would be happy to carry out your breast revision treatment.

Consultation & Preparation

Your initial consultation with Dr. Guy will give you the opportunity to discuss your expectations for breast revision surgery in detail. Women may desire breast revision surgery for a variety of reasons, the most common of which include:

  • Capsular contracture
  • Implant size change
  • Implant rupture or deflation
  • Bottoming out
  • Double bubble deformity
  • Symmastia
  • Breast asymmetry
  • Implant malposition
  • Implant explantation (removal)
  • Breast tissue changes related to age, pregnancy, or weight changes

Dr. Guy will evaluate your desire for surgery and examine your breasts before making a diagnosis of the problems that need to be addressed. Dr. Guy will also discuss the variables that may affect your procedure and the techniques that she recommends for the best results. In some cases, she may recommend a more complex revision procedure including mastopexy or uplift. Dr. Guy may require an MRI or mammogram before breast revision, and in some cases, she may recommend against breast revision based on individual needs. Once a treatment plan has been determined, Dr. Guy will give you all the information you need to prepare for the procedure, including preoperative guidelines, medications, anesthesia, surgery location, risks, etc. Be advised that all patients will need to avoid smoking, as well as certain vitamins and medications, around the time of the surgery.

The Procedure

Breast revision surgery is usually performed as an outpatient procedure under general anesthesia. Techniques vary widely depending on the patient’s needs. For example, in mild cases where saline implants have deflated, a simple procedure can sometimes be conducted to remove and replace the implant in the affected breast. More complicated situations require the reoperation of both breasts as well as the removal of scar tissue. Breast revision often involves some element of removing or releasing the scar capsule, removing and replacing the implants, and manipulating the breast pockets. Women may also choose to have their implants removed entirely (implant explantation) and their breasts adjusted to their former natural size. After your surgery, a companion can drive you home to rest and recover.

Recovery & Results

Because the techniques used in breast revision are unique to each patient, the postoperative experience will be unique as well. Dr. Guy will help you understand what to expect after your procedure. In general, women should expect to be wrapped in bandages for a few days. Occasionally, surgical drains may be placed to expel fluids for the first day or two. The bandages will be exchanged for a soft bra after a couple of days. You may feel some pain or discomfort during the first week and can take prescribed pain medication for relief. Occasional aching may occur for a couple of weeks. Patients should avoid heavy lifting and pushing for at least two weeks and should follow all of Dr. Guy’s instructions in the meantime. As you heal, you will see improvements in the appearance of your breasts. Any surgical issues will be resolved, and you will have a more natural presence. The results of your procedure will give you the appearance you desire and should be long lasting.