If you’ve had breast augmentation, chances are you never thought about having breast revision surgery. However, the reality is that breast implants don’t last a lifetime and complications can occur, so breast revision is often necessary. But what is done in a breast revision vs augmentation.
Breast revision surgery
Breast revision surgery is typically done to correct a previous breast surgery, usually breast augmentation. Breast revision may be required to correct a complication of breast implant surgery such as capsular contracture, loss of symmetry, or rupture of the breast implant.
In addition, women that are unhappy with the results of their initial breast augmentation surgery may opt to have breast revision, to change the size of their existing implants.
How is breast revision done?
The breast revision procedure will vary depending on the specific concern being corrected.
Repairing capsular contracture requires opening the capsule and replacing the implants. Capsular contracture is a condition that occurs when the tissue capsule that naturally forms around the implant shrinks and squeezes the implant, causing it to harden. Some surgeons opt to add a biological mesh or biomesh to the implant, in order to reduce the chance of a reoccurrence.
Resolving asymmetry typically involves the addition of an internal mesh to strengthen the tissues, and helps the implant settle in a more natural position. Breast implants can become asymmetrical due to the stretching of the breast tissue.
Ruptured implants have to be replaced. The rupture of saline implants is easily detected, as the saline solution leaks out of the silicone shell very quickly, resulting in a noticeable change in breast size. However, it typically takes an MRI to detect the rupture of a silicone implant, because the silicone gel leaks out very slowly, so there may not be a change in the size of the breasts for a very long time.
Patients that have a size issue will have implants replaced to either increase or decrease their cup size, depending on their aesthetic goals.
Breast augmentation is a surgical procedure that is done to increase the size of the breasts, so that they appear fuller and shapelier. The procedure can also be done to correct asymmetrical breasts.
The breasts often lose volume and become deflated due to the effects of pregnancy and breastfeeding, weight loss, or aging. Breast augmentation will replace lost volume, and increase the projection of the breasts.
How is breast augmentation done?
Breast augmentation is typically done by placing implants in the breasts. The most common options are saline implants, silicone implants, or form stable implants also known as gummy bear implants.
- Saline implants have an outer shell of silicone, but contain sterile salt water. They are usually filled during surgery.
- Silicone implants are filled with silicone gel, and come pre-filled. Silicone implants are a popular choice, because they feel like natural breast tissue.
- Gummy bear implants contain silicone gel that has a thicker consistency than the gel found in traditional silicone implants. As a result, the implants maintain their shape even when cut in half. Gummy bear implants are tear drop shaped, as they are tapered at the top and wider at the bottom.
Breast augmentation is done on an outpatient basis, using general anesthesia or local anesthesia.
There are several techniques that can be used to perform breast augmentation, and this will determine the placement of the incisions. The most common technique involves making an incision under the breast at the inframammary crease.
The breast implants are inserted through the incisions into a pocket that is made. Implants may be placed either above the chest muscle (subglandular), or below the chest muscle (submuscular).
The incisions are closed with sutures, and patients are given post-operative instructions to facilitate healing at home.
After breast augmentation, patients can expect some swelling and mild bruising, and there will also be some tightness in the chest. Patients are generally able to go back to work within 1-2 weeks.
Are you interested in breast revision or breast augmentation?
If you are in the Columbus Ohio metro area, contact Dorner Plastic Surgery, Dublin, OH, for more information.
Call (614) 515-4116 today to set up a consultation with board certified plastic surgeon Dr. Brian Dorner.