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Breast Implant Revision

Breast Implant Revision | Body Plastic Surgery

Saline or silicone breast implants typically last for approximately ten to fifteen years and may require replacement. When this occurs, a breast implant revision procedure is performed.

What to Expect During and After Surgery

Breast implant revision is typically an outpatient procedure. Patients are given general anesthesia for the procedure and are discharged to the comfort of their own home the same day.

The surgeon starts typically follows the incision from the previous breast augmentation surgery, which could be under the patient’s arm, around the areola, or in the natural crease under the breast.

After surgery, it is normal to experience soreness, swelling and bruising at the operation site. Drainage tubes will be used for a few days, and compression bandages are recommended to reduce the swelling and provide the patient with extra support during recovery. Physical activities must be limited to prevent complications , and any sign of infection must be reported to the physician immediately.

Capsular Contracture

Capsular contracture is the term used to describe scar tissue that can form around breast implants and which may cause the breasts to harden. It may cause the breasts to look or feel different, including causing puckered or dimpled skin, and may cause discomfort around the area of the implant. It is the most common complication following breast augmentation, and may develop over time after the initial surgery.

What Causes Capsular Contracture?

Unfortunately, it is unknown exactly what causes capsular contracture, but there are certain techniques that can reduce risks of this complication. Those techniques include:

  • Placing the implant behind the chest muscle (subpectoral or partially submuscular), as opposed to under the breast tissue.
  • Receiving post-operative massage. Massage may reduce the risks of capsular contracture by helping the breasts to soften post-operatively, and may help the breast implant settle into the pocket as the muscle relaxes. Massage may also help reduce swelling and make a patient feel better faster post-operatively. Note that you should only receive massage at your surgical site after breast augmentation if your surgeon specifically gives you permission.

What to Expect During and After Surgery

If capsular contracture surgery is required, it is typically an outpatient procedure. Patients are given general anesthesia for the procedure and are discharged to the comfort of their own home the same day.

The surgeon starts typically follows the incision from the previous breast augmentation surgery, which could be under the patient’s arm, around the areola, or in the natural crease under the breast. The scar tissue that has built up in the tissue surrounding the implant is removed. The existing implant is also removed, and replaced with a new saline or silicone implant.

After surgery, it is normal to experience soreness, swelling and bruising at the operation site. Drainage tubes will be used for a few days, and compression bandages are recommended to reduce the swelling and provide the patient with extra support during recovery. Physical activities must be limited to prevent complications , and any sign of infection must be reported to the physician immediately.

A consultation is required prior to any plastic surgery procedure. The cost of services will be discussed during your consultation, while discounts may be available if more than one procedure is performed at the same time.

Body Plastic Surgery Provider

Roy Semlacher, MD