Why It Might Be Time for Breast Revision Surgery

September 24 2015

Women who have had a breast augmentation with implants occasionally experience conditions that affect their satisfaction with the appearance of their breasts. Some changes are related to the implants themselves while others are related to changes in the breast tissue from childbirth, breastfeeding or large weight gain or loss. When these changes occur, breast revision specialists can help women decide if breast revision surgery is right for them.

What Are the Most Common Reasons for Breast Revision Surgery?

Saline implant rupture – When an implant ruptures, the breast deflates much like a punctured balloon, which can be very distressing for the patient. In this case, treatment involves replacing the affected implant; many implants are covered by a manufacturer’s warranty covering the cost of the defective implant.

Capsular contracture – Occasionally, the scar (capsule) around the implant will tighten causing painful contracture around the implants and an uneven, lumpy appearance. Capsular contracture almost always requires surgical intervention; consultation with breast revision specialists will provide the patient with the breast treatment options.

Implant malposition – When the implant capsule is the right size, it allows the breast tissue enough movement to give a soft natural feel. If the capsule is too large, the implant can slip into an unnatural position. Surgical revision can involve a breast lift, internal sutures to revise the capsule or other techniques.

Synmastia – Often called “uni-boob,” this condition occurs when the pockets containing the implants “communicate” with each other across the patient’s chest. Breast revision surgery is required to correct the pockets and restore a natural look.

Poor implant coverage – If the breast tissue covering the implants is too thin, a rippling effect can be seen on the top of the breasts. This usually occurs in implants placed above the muscle. Breast revision surgery typically involves moving the implants beneath the muscle. Cohesive implants, also known as “gummy bear” implants may be a good choice in women with thinner breast tissue.

Changes in breast tissue – Weight gain or loss, pregnancy, breastfeeding and normal aging can cause changes in the breast tissue and affect the appearance of breast implants. Breast revision surgery can involve a breast lift, change in size and placement of implants or other techniques as recommended by the surgeon.

There are many conditions that can require surgical breast revision. Breast revision specialists have many options to help women who are unhappy with the appearance of their breast implants.