Breast Augmentation Revision

Breast Augmentation Revision in Utah

Breast Augmentation revision after photo angela keen2Breast augmentation revision is far more complicated than performing primary breast augmentation surgery. I recommend that all patients first see their original surgeon if they become dissatisfied with their results. The original surgeons need follow up in order to learn from their patients and improve their techniques. Your original surgeon has the advantage of being familiar with your anatomy. They know the materials used, and they were involved in your early post surgery course. For these reasons, the original surgeon may have several advantages in terms of helping you.

Having said that, many of my breast augmentation revision patients have already seen their original surgeons, and gotten the impression that there is nothing which can be done. Breast augmentation revision surgery, is one of the most rewarding procedures I perform. It typically involves a variety of techniques from strategic release of scar, suture or biomaterial reinforcement of the borders of the breast, addition or subtraction of fat and skin, and or a change in the size or shape of the implant. There are various reasons why breast implants my fail to stay where they were intended to go or look they way they were expected to look.

  • Your rib cage anatomy. The slope of your rib cage is an important influence on where your breast implants will settle. If your ribs slope laterally and peak centrally, your breast implants will have a tendency to settle laterally. In these cases, I ensure that a proper diameter, possibly textured implant is used. The capsule of the original implant is entered, and release of scar tissue is carefully performed medially, and capsule on the lateral portion of the chest wall is sutured down to prevent access of the implant to this area.
  • Your muscle anatomy. Women who have active pectoralis muscles, such as athletes and body builders, may have strange dimpling in their augmented breasts after surgery. For this reason, some surgeons will not actually use the submuscular position for these types of patients.
  • Your breast tissue anatomy. The shape of your implanted breast also depends on anatomy of the original breast tissue, which is often very different from side to side. The amount of skin, the firmness of the breast tissue, the strength of the “footprint” of the breast, and the amount of fatty tissue on the chest wall superior and lateral to the implant, can all be asymmetric in ways that will affect the symmetry of your final result. Failing to notice these things beforehand my lead to disappointment with an otherwise good augmentation result. Sometimes these things can be addressed in a breast augmentation revision, however, with techniques to reduce the larger breast with lifting and reduction techniques. All breast implants ripple when you stand up. This can only be seen if you have very little breast of fatty tissue on your chest. Sometimes issues of rippling can be addressed with fat grafting techniques or by reducing the size of the breast implant to allow a better ratio of natural tissues over the implant.
  • Your surgeon’s technique. The majority of laterally displaced implants I see are in patients who have had the armpit incision for their augmentation. I think it is possible that overly vigorous dissection laterally is performed to introduce the implant. The fragile lateral tissue often will not heal with enough strength to keep the implant in place. Dissecting too much of the lower fold of the breast can also allow the implant to position too low. Sometimes this is simply a matter of the strength of your tissues while healing versus the forces that are being put on them an may not relate in anyway to the surgeon’s technique.
  • Scar tissue formation. If the thin scar tissue all patients develop around an implant turns into thicker scar tissue, then the implant can take on a higher, and more full appearance. In cases like these, the scar tissue needs to be broken down – typically in the operating room. This is a tricky procedure as there is typically a lot of bleeding, which itself can lead to thick scar formation.
  • The size of your breast implant. If your breast implant is too large for the “footprint” of your breast, it can disrupt the important ligaments which define your breast position and allow it to migrate to an unwanted position. Sometimes too, the implant is simply too wide or too narrow and a more appropriate diameter can give a more natural appearing result.



















Questions about Breast Augmentation Revision?

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