Breast augmentation surgery is a life-changing choice for almost 300,000 women each year, helping women to feel more confident and beautiful. But mistakes and regret are both human things and we can’t escape them, not even when it comes to breast implants. Dr. Scott at Plastic Surgery Center in Sarasota, FL is an expert in breast augmentation revision, a surgery that will correct problems with breast implants so you can feel confident again.
How Soon Can You Have Breast Augmentation Revision?
It’s an understandable impulse to want to solve a problem as soon as you notice it, but for some things, waiting before taking action is the smarter move. The absolute soonest you can have a revision surgery is 6 months after your original breast augmentation. Waiting 6 months ensures that you have fully recovered from the initial surgery and gives the problem you identified time to resolve itself, if possible.
Of course, just because you have to wait a minimum of 6 months before you can have a revision doesn’t mean there’s a time limit on the surgery. It’s possible to have a revision at any time after you have had a breast augmentation, whether that’s 1 year after your initial surgery or 10.
In fact, certain types of revisions, such as those concerning old implants that need to be replaced, can happen 20 years after the initial implants, most of which are projected to last roughly that length of time.
Other FAQs About Breast Augmentation Revision
1. What Is Breast Augmentation Revision?
A breast augmentation revision is a surgical procedure during which the breast implants you currently have are replaced or corrected to resolve issues with the implant.
Revisions can accomplish a wide range of tasks, from replacing old implants with newer material, resolving implant malfunctions, and even redoing a breast augmentation surgery to make the implants smaller, larger, or differently shaped. Some breast revisions also lift the breast into a higher position.
2. How Does Revision Work?
As you might imagine, breast implant revision works much the same way as your initial breast implant surgery. Many of the same techniques are used and most of the same steps are followed to prepare for and recover from surgery. The main steps of your revision will include:
You will need to have a consultation with Dr. Scott so he can assess the condition of your breasts and your implants. At your consultation, you will identify your concerns and your breasts will be examined. You will need to provide certain information, such as copies of your medical records, your implant card, and any operative notes that are included in your record. It’s important that we have a full set of information, as this will inform the best way to approach your surgery.
Dr. Scott will perform an evaluation and create a revision outline for your treatment. You may be asked to complete certain exams before your revision surgery, such as a mammogram and blood labs. You will also need to be healthy enough to tolerate general anesthesia.
Your breast revision surgery will be similar to your initial breast augmentation procedure. This means you will be admitted to a medical facility for your surgery, you will need to fast the night before for general anesthesia, and you will not be able to drive yourself home after your revision is complete.
The exact method of your surgery will depend on the nature of your revision. Your surgery may be less invasive than your initial procedure, or just as invasive. Dr. Scott will answer any further operative questions during your consultation.
3. What Are Common Reasons for Revision?
There are several reasons why women seek revision surgery for breast augmentation. The most common reasons include:
- Implant leak or rupture
- Capsular contracture
- Implant rippling or folding
- Implant “bottoms out”
- Smaller or larger size desired
- Different implant shape desired
- Breast droopiness
- And more
While breast augmentation surgery can be highly effective in creating the breast shape and size you want, there are times when the results of the surgery are not quite as imagined. For some women, breast augmentation surgery can be like shopping for clothes; what looks good on the rack may not necessarily look good on the body. Similarly, the results of the breast augmentation surgery may not be the right “fit” for you, which is a perfectly valid reason to have a revision.
4. What Is Capsular Contracture?
Capsular contracture is a condition where the body reacts to a breast implant as a foreign object. Capsular contracture happens when the internal scar tissue of your surgery tightens around the breast implant, making the implant hard and often painful.
This is a common complication of breast implants and generally happens within the first several months after your surgery; capsular contracture rarely happens to older implants for this reason.
What Else Do You Need to Know About Capsular Contracture?
The earliest sign of capsular contracture is a tightening of the breast tissue and some breast tenderness during your recovery period. Many women do not notice capsular contraction has happened until the implant itself begins to feel hard, or it is painful to lay down or touch the breasts.
Capsular contracture can happen in all types of implants, although it’s slightly more common in silicone implants than in saline implants. The placement of your implant may also make capsular contracture more or less common. Speak with Dr. Scott to understand how likely capsular contracture is with your new implants.
5. What Causes a Rupture or Leak?
An implant rupture or leak can happen to any breast implant at any time. In fact, there are quite a few reasons why a rupture or leak might happen. The most common cause of a ruptured or leaking implant is from high-impact force, such as a car or sporting accident. Other causes for breast implants to rupture include:
- Normal implant aging
- Damage from needle or biopsy
- Surgical error
- Mammograms (rarely)
It’s important to know that implant ruptures or leaks can cause pain in the breasts, along with deformities or changes in breast shape. Ruptures and leaks can happen with both silicone and saline implants; the difference between the implants, however, could mean the rupture or leak can look different.
Leaks from saline will “deflate” the breast as the saline is absorbed by the body, but because silicone cannot be absorbed by the body, the implant rupture with likely be a change in breast shape and texture.
6. Why Does Rippling or Folding Happen?
Breast implant rippling or folding occurs when the implant material wrinkles or shows visible edges beneath the skin. Implant rippling is far more common in saline implants. There are a few causes for implant rippling and folding, such as:
- Weight loss
- Insufficient breast tissue
- Implant is too large
- Implant over muscle
- Overfilled implants
7. What Does It Mean When an Implant “Bottoms Out?”
Sometimes implants “bottom out” due to a surgical error or when there is not enough support at the bottom of the implant. An implant will literally “bottom out” and slip beneath the bottom of the breast, which will make the implant appear lower than your natural breast.
Implants that bottom out are uncomfortable and do not look as desired, so it’s important to get them fixed quickly.
8. Is It Okay to Have Revision Just for Size?
Having a breast revision purely to correct the size of the breast implant is perfectly acceptable. You should be satisfied with the size of your breast augmentation surgery. It’s sometimes the case that the size of your original breast augmentation is not the size you want now, especially if you are having a revision several years after your initial surgery.
9. How Does a Revision Correct Asymmetry?
Asymmetry is one of the more frustrating complications from breast augmentation surgery. Asymmetry refers to an imbalance in the size, shape, or position of the breast implant that has resulted in breasts not being symmetrical to each other. Revision specifically corrects asymmetry issues such as:
The areola is the tissue around your nipple. Sometimes breast augmentation surgeries change the shape of the areola during the implant process, and other times the shape of the areola changes over the course of the healing process. Revision can reshape the areola to the desired matching size.
The position of the nipple refers to how high it sits on the breast. Sometimes the position of the nipples is obviously asymmetric as a result of your original breast augmentation surgery, generally due to surgeon error. The revision surgery will correct the placement of the nipples to lift them into a higher or more central location at the front of the breast.
10. Can You Have Revision Surgery Just to Change Impant Texture?
Sometimes patients choose an implant texture that they may not like once they have healed. This is often the case with saline implants, which do not feel as natural as silicone implants. Revision surgery can change the implants so you can have a breast texture you prefer.
11. Which Implant Feels the Most Natural?
Between silicone, saline, and the new “gummy bear” implants, the implant that feels the most natural is between silicone and gummy. Some patients prefer gummy implants because they mimic the natural feel of breast tissue the best.
12. Which Implant Shape Is Best?
You also have a few implant shape options to pick from, which may be a reason to seek revision surgery. Round implants are more traditional and produce a fuller breast shape, but teardrop-shaped implants have a more natural and shapely appearance.
13. Is Revision Easier Than the Original Breast Augmentation?
Revision surgery isn’t exactly “easier” in terms of the procedure–it is usually much the same process as your original surgery. However, some patients feel that revision is easier because they know what to expect from the recovery process.
14. Is There an Age Limit for Revision Surgery?
No. Although breast augmentation and breast revision surgeries are more common in women aged 20 to 30 years old, there is no age limit for either surgery. It’s common to have an original breast augmentation or breast revision surgery between the ages of 35 to 55.
15. How Do You Know If You’re a Good Candidate?
Women who are not satisfied with the results of their breast augmentation surgery and who are healthy enough to tolerate general anesthesia are good candidates for treatment provided their original breast augmentation was a minimum of 6 months ago. Dr. Scott will determine if you are a good candidate during your consultation appointment.
Breast Augmentation Revision Guarantees the Breasts You Want
Every woman should be completely satisfied with the results of her breast augmentation surgery. However, if you are not pleased with the results, then you have the option of breast augmentation revision to guarantee the breasts you want. To schedule your construction appointment, please contact Plastic Surgery Center in Sarasota, FL today.