Revisions After Previous Breast Surgery

Revisions After Previous Breast Surgery

Revisionary breast surgery is the general term used for procedures performed on the breasts after breast augmentation, breast lift, breast reduction or breast reconstruction has already been done.  A wide range of revisionary procedures are available to either improve upon one’s final result or to maintain them in the long term. Success with these oftentimes challenging procedures requires a thorough understanding of the underlying issues, the details of the procedure previously done and most importantly patient's goals and desires.  Through their comprehensive understanding of cosmetic and reconstructive surgery of the breast our surgeons can properly address the common and uncommon issues that arise following surgeries of the breast regardless of whether or not they performed the initial surgery.

Common revisionary procedures include implant exchange after breast augmentation, breast lift after previous augmentation or lift, breast augmentation after a reduction or lift and scar revisions.

Implant exchange following previous breast augmentation is the most common revisionary surgery currently being performed.  The reasons for exchanging breast implants include aging implants (recommendation is to have exchanges every 10-15 years to avoid implant rupture), desire to be large or smaller and dissatisfaction with the appearance of current implants due to issues such as rippling, implant malposition, capsular contracture, and rupture amongst others.  When not combined with a breast lift, simple implant exchanges can frequently be performed through pre-existing incisions from the first surgery. These procedures have a similar recovery to the initial surgery and are able to be performed on an outpatient basis.

Breast lift surgery, or mastopexy, is a procedure designed to elevate the position of the breast tissue and nipple to a more aesthetically pleasing position.  In patients who have had previous breast augmentation a breast lift may be necessary years after the initial procedure due to stretching of tissues and the effects of gravity on breast tissue over time.  If being performed after breast augmentation this procedure is frequently combined with an implant exchange for a multitude of reasons.  Several different incision patterns are possible depending on the degree of lift necessary and patient’s goals and desires.  These incision patterns can either be around the nipple, around the nipple and straight down or around the nipple straight down and along the breast fold.  These surgeries can also be performed on an outpatient basis.  

Secondary breast augmentation following either a mastopexy or breast reduction is performed to address dissatisfaction with the upper pole of the breast or final volume following either surgery.  Both breast lift and reduction are excellent techniques for improving one’s nipple position but can oftentimes fall short of improving the volume of the upper pole of the breast.  The best way to address a lack of volume in the upper pole of the breast is currently with placement of a breast implant.  An implant may also be necessary in people who are dissatisfied with the size of the breasts after these surgeries.  Pre-existing incisions can typically be used to insert implants following either surgery and the procedure performed on an outpatient basis.

Our surgeons take their time in consultation to ensure that all patients’ concerns are clearly defined and to match the necessary procedures with their desired results.  Any records of previous surgeries are very helpful when determining the best procedure to be done for each case if not previously performed by us.  If you are interested in scheduling a consultation today please click here.

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