Corrective breast surgery is often much more complicated than the primary operation. The assessment and planning has to take into account a more difficult environment then the original procedure. For this reason, secondary (or corrective) breast surgery is usually more expensive and takes much more time to perform. It may, however, have components that are rebatable through your health fund.
Breast Augmentation Correction Technique
Some of the issues which lead women to seek corrective breast augmentation surgery include:
All implants have a capsule that forms naturally around them. These capsules are made by the body to wall-off the implant. They are normally soft and pliable, but for various reasons – in some patients – they can become firm over time, making the breasts feel harder than they previously were.
To correct this problem, the implant capsule is removed. If the implant that is in place is damaged or old, it will be replaced with a new modern implant. Changing the location of the implant to below the muscle (if this wasn’t the case in the original operation) can also reduce the risk of capsular contracture.
We also recommend all patients to cease smoking, as the rates of capsular contracture are twice as high in smokers as in non-smokers.
Excessively Wide Cleavage
Although it is natural for your breasts to drift toward your armpits when you are lying down, implants should not remain in this position when you are seated or standing upright. When the pocket becomes too large, either from over-dissection or over time with expansion, the implants can fall off to the sides when the patient is lying down.
Symmastia or ‘Kissing Implants’
This is where the breasts have literally joined together, so that there is no cleavage. The causes of this problem vary from causes related to the patient’s anatomy, to placement of too wide an implant, to muscle tearing from trauma, or possible surgical error in the form of excessive dissection. This can happen with both above-the-muscle or below-the-muscle implants.
While it is possible to change your implant size and shape (going either larger or smaller) with a breast implant revision procedure, it’s often not a simple matter of exchanging implants – more complexity may be involved.
Another form of implant exchange may occur to change implant type, e.g. from saline to cohesive silicone gel.
Double bubble deformity occurs when the implant settles below the natural inframammary fold, creating a well-defined crease on the lower curvature of the breast implant and giving an unattractive appearance.
Correction is complex and may require implant exchange, pocket adjustments (Capsulorrhaphy) or parenchymal modifications/ breast lifts.
Implant rippling occurs when there is not enough tissue coverage over the implant, and leads to a wavy appearance, usually when a woman leans over. This can be very difficult to correct, particularly when the patient is very thin as there is little tissue available to cover the implant surface.
When poor scars have formed for a multitude of reasons.
BOOK A CONSULTATION
Breast implant revision surgery is performed under general anaesthesia and is usually a day-only procedure. There is minimal pain after the procedure and this is usually controlled with simple analgesia. All your sutures are usually self-dissolving and your dressings are waterproof so you can start having a shower from the day after your surgery. You will be given a garment to wear and this is to be worn for 6 weeks post-operatively.
Most people can return to a level of daily duties the next day but this can vary on an individual basis so when planning for this surgery we would suggest you plan to have:
- A week off work for office-based jobs
- 10-14 days off work for more physical-type work
- Minimal driving for a week following the surgery
Meet the Experts
Dr Rohit Kumar is an Australian trained and fully certified cosmetic plastic and reconstructive surgeon.
Dr Kumar completed his Bachelor of Medicine and Bachelor of Surgery (MBBS) degree in 1995 at the University of Queensland. He subsequently went on to successfully complete a Masters Degree in the field of Burns Surgery in 2004 – MMedSci (Burns)
His advanced surgical training commenced in the specialty of General Surgery in which he trained for four years. This gave him a solid foundation of technical knowledge and surgical perspective upon which he then built his considerable skills, once he commenced his advanced training in Plastic and Reconstructive Surgery. The Australasian training scheme in Plastic and Reconstructive Surgery is one of the most thorough and rigorous in the world and upon successful completion of this training, over a period of ten years, Dr Kumar was awarded his Fellowship in Plastic and Reconstructive Surgery – FRACS (Plas).
He thus brings over 15 years of surgical experience to his practice having been involved in over ten thousand procedures in that time.
If you are considering a breast augmentation revision surgery, then it is important that you are informed of the potential risks, complications and side effects of this surgery.
While all care is taken to minimise or totally avoid these complications and side effects, complications may and do occur despite the best medical care. It is important that you carefully read and understand the risk factors and they will be discussed in more detail when you have your consultation with your surgeon.
The Risks include…
- Injury to the surrounding tissue
- A collection of fluid or blood within the breast that needs to be drained
- Altered sensation to the breast or nipple
- Slow healing
- Malposition of the implant
- Rupture of the implant
- Ongoing capsule formation and capsular contracture
- Rippling or wrinkling of the implant and skin
- An association with ALCL (a very rare lymphoma)
- Unable to achieve ideal outcome