Breast Revision

A Guide to Breast Revision Surgery

Breast revision surgery is a term for procedures designed to correct or improve the results of a previous breast surgery. Patients often seek a revision to address specific concerns and restore a more natural or desirable appearance. Your safety and satisfaction are our highest priorities, and this guide is here to provide clear information about your options.

Common reasons for seeking breast revision surgery include:

• Capsular contracture (hardening of scar tissue around the implant)

• Rupture or leakage of a breast implant

• Implant malposition (implant is too high, low, or to the side)

• Rippling or visible folding of the implant

• Dissatisfaction with the current size

• Asymmetry

Common Issues Addressed by Breast Revision

Capsular Contracture
This is a hardening of the natural scar tissue capsule that forms around any breast implant. It can occur with both saline and silicone implants and may cause the breast to feel hard, look distorted, and become uncomfortable or painful. For symptomatic cases, surgery is the recommended solution. The procedure involves a capsulectomy (removing the hardened capsule), removing the old implant, and often placing a new one. Using a dermal matrix over the new implant can be an effective method to help prevent recurrence.

Implant Malposition
If an implant has shifted too high, too low, or too far to the side of the chest, it is considered malpositioned. Depending on the cause and extent of the displacement, treatment can involve modifying the implant pocket with internal sutures, repositioning the implant (e.g., from over the muscle to under, or vice versa), and sometimes using a dermal matrix to provide additional support.

Implant Deflation or Rupture
A ruptured saline implant will deflate as the sterile salt water is safely absorbed by the body, leading to noticeable breast asymmetry. A ruptured silicone implant may not show visible changes, as the cohesive gel often stays within the capsule. Revision surgery is needed in either case. The procedure may be a simple replacement, or both implants may be removed. Depending on the manufacturer's warranty, the cost of the implant itself may be covered.

Dissatisfaction with Breast Size
Sometimes, after an initial augmentation, you may feel your implants are either too large or too small. Revision surgery can be performed to exchange the implants for a more suitable size. If you are downsizing, a breast lift may also be needed to address any stretched or excess skin.

Rippling
Rippling occurs when the folds of an implant are visible through the skin. This is more common with saline and older-generation silicone implants, especially in patients with thin breast tissue. If the implant is the primary cause, replacing it can resolve the issue. If thin tissue is a factor, fat transfer can be performed to add a layer of natural tissue over the implant, creating a smoother contour.

Frequently Asked Questions

Who is a good candidate for breast revision?

The best candidates are healthy individuals with realistic goals for their surgery. Patients with moderate to severe concerns typically benefit the most from surgical correction. A thorough consultation will help determine the best course of action for your specific situation.

How is breast revision surgery performed?

The procedure is tailored to address your specific issue. If capsular contracture is the main problem, a capsulectomy is necessary. If implant position is the concern, the implant pocket will be adjusted. Each surgery is carefully planned to achieve the best possible outcome.

What is the recovery like?

Recovery from breast revision is often similar to a primary breast procedure.

• Downtime: Most patients require one to two weeks of downtime.

• First Week: Moderate swelling and minor bruising are expected. In some cases, small surgical drains may be placed for 1-2 weeks to help with fluid removal.

• After One Month: The majority of the swelling will have resolved. Discomfort from swelling and along the incisions are the most common complaints.

• Sensation: Be aware that there may be changes in nipple sensitivity after the surgery.

If you’re ready to explore your options, consult with Dr. Han Hoang, a board-certified, UCLA-trained plastic surgeon, to create a customized plan tailored to your unique needs.

📞 Call us at 714-584-3507
 📧 Email us at hanhoangmd@gmail.com