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Breast Implant Revision in Virginia Beach

Ready to enhance your confidence? Associates in Plastic Surgery specializes in Breast Implant Revision procedures. Book a consultation today and let our experts guide you towards the perfect results you deserve. Our plastic surgeons have decades of experience in the Virginia community.

Table of Contents

What is a Breast Implant Revision Surgery?

Breast implant revision, also known as breast implant revision surgery, is a surgical procedure performed to address complications, improve the appearance, or replace breast implants that have been previously placed in the breast tissue. It is typically performed as a follow-up procedure to correct issues that may arise after primary breast augmentation or reconstruction surgery. Breast implant revision surgery may involve various techniques to address specific concerns and achieve the desired outcome. Some common reasons for breast implant revision include:
  1. Capsular Contracture: Capsular contracture occurs when scar tissue forms around the breast implant, causing the breast to feel firm, distorted, or painful. Breast implant revision surgery may involve removing or releasing the scar tissue (capsulotomy or capsulectomy) and replacing the implant to improve breast shape and texture.
  2. Implant Rupture or Deflation: Breast implants may rupture or deflate over time due to factors such as implant failure, trauma, or normal wear and tear. Revision surgery may be necessary to remove and replace the ruptured or deflated implant with a new one to restore breast volume and symmetry.
  3. Implant Malposition: Breast implants may shift position or become displaced, resulting in asymmetry or an unnatural appearance of the breasts. Revision surgery may involve adjusting the implant position, reshaping the breast pocket, or using different implant types or sizes to achieve better symmetry and balance.
  4. Changes in Breast Appearance: Changes in breast appearance over time, such as sagging (ptosis), rippling, or visible implant edges, may occur after breast augmentation or reconstruction surgery. Revision surgery may be performed to address these aesthetic concerns and improve breast contour and appearance.
  5. Desire for Size or Shape Change: Some patients may desire a change in breast size, shape, or profile after primary breast augmentation surgery. Revision surgery may involve removing and replacing the implants with different sizes or shapes to better align with the patient’s aesthetic goals and preferences.
  6. Complications or Adverse Events: Other complications or adverse events, such as infection, hematoma, or implant malposition, may necessitate breast implant revision surgery to address the underlying issue and restore optimal breast appearance and function.
Breast implant revision surgery is highly individualized, and the specific techniques and approaches used may vary based on the patient’s unique anatomy, concerns, and goals. It’s essential for patients to discuss their options and expectations with a board-certified plastic surgeon experienced in breast revision surgery to determine the most appropriate treatment plan for their needs. A thorough evaluation and consultation with the surgeon can help ensure a safe and successful outcome from breast implant revision surgery.

Am I an Ideal Candidate? An Ideal Candidate for Breast Implant Revision Surgery

  • Have undergone primary breast augmentation or reconstruction surgery and are experiencing complications, dissatisfaction with results, or changes in breast appearance.
  • Desire to address issues such as capsular contracture, implant rupture or deflation, implant malposition, changes in breast size or shape, or other concerns related to previous breast implant placement.
  • Are in good overall health and free from medical conditions that could increase the risks of surgery or interfere with the healing process.
  • Have realistic expectations about the outcomes of breast implant revision surgery and are motivated to achieve improved breast appearance and symmetry.
  • Are willing to follow all pre-operative and post-operative instructions provided by their surgeon and attend all scheduled follow-up appointments for monitoring and wound care.
  • Have discussed their concerns, goals, and expectations with a board-certified plastic surgeon experienced in breast revision surgery and have received personalized recommendations for treatment.

What Happens During a Breast Implant Revision Surgery?

During breast implant revision surgery, several steps may be involved, depending on the specific reasons for the revision and the desired outcomes. Here’s an overview of what typically happens during breast implant revision surgery:
  1. Preparation: The patient is prepared for surgery, which may involve administering anesthesia to ensure comfort throughout the procedure. The surgical site is cleansed and sterilized to reduce the risk of infection.
  2. Incision: The surgeon makes incisions in strategic locations on the breasts, typically along the original incision lines from the previous breast augmentation or reconstruction surgery. The choice of incision pattern depends on factors such as the type of implant, the need for implant adjustment, and the desired outcomes.
  3. Implant Removal: If the revision surgery involves replacing the breast implants, the surgeon carefully removes the existing implants from the breast pockets. The implants may be intact, ruptured, or deflated, depending on the reason for the revision.
  4. Capsulectomy or Capsulotomy: If capsular contracture (scar tissue formation around the implant) is present or if the existing implant capsule needs adjustment, the surgeon may perform a capsulectomy (complete removal of the scar tissue) or capsulotomy (partial release of the scar tissue) to improve breast shape and texture.
  5. Pocket Adjustment: The surgeon may adjust the breast implant pockets by reshaping or repositioning the existing pockets to achieve better implant positioning and symmetry. This may involve tightening or enlarging the implant pockets to accommodate different implant sizes or shapes.
  6. Implant Replacement: If new breast implants are being placed, the surgeon carefully selects and inserts the new implants into the breast pockets. The choice of implants (silicone or saline) and implant size may be based on the patient’s aesthetic goals, anatomy, and surgeon’s recommendations.
  7. Additional Procedures: Depending on the patient’s specific needs and goals, additional procedures may be performed during breast implant revision surgery. This may include procedures such as breast lift (mastopexy), fat grafting, or adjustment of nipple and areola position to enhance breast appearance and symmetry.
  8. Closure: Once the implants are in place and any additional procedures are completed, the incisions are meticulously closed with sutures or surgical adhesive. Dressings or bandages may be applied to the surgical site to protect the incisions and promote healing.
  9. Post-operative Care: After surgery, the patient is monitored in a recovery area before being transferred to a hospital room or discharged home. Pain medication may be prescribed to manage discomfort, and patients are given instructions for post-operative care and follow-up appointments.
Breast implant revision surgery is highly individualized, and the specific techniques and approaches used may vary based on the patient’s unique anatomy, concerns, and goals. It’s essential for patients to discuss their options and expectations with a board-certified plastic surgeon experienced in breast revision surgery to determine the most appropriate treatment plan for their needs. A thorough evaluation and consultation with the surgeon can help ensure a safe and successful outcome from breast implant revision surgery.

Recovery Timeline Following Breast Implant Revision Surgery

The recovery timeline following breast implant revision surgery can vary depending on factors such as the extent of the procedure, individual healing characteristics, and any additional procedures performed. While every patient’s recovery experience is unique, the following is a general timeline outlining the typical progression of recovery after breast implant revision surgery:
  1. Immediate Post-Operative Period (Day 1-2):
    • Patients may experience some discomfort, swelling, bruising, and mild to moderate pain at the surgical site.
    • Prescription pain medication or over-the-counter pain relievers may be recommended to manage pain and discomfort.
    • Patients are typically discharged home on the same day as surgery or after a short observation period, depending on the surgical plan and individual recovery.
  2. First Week:
    • Swelling and bruising are expected to peak during the first few days after surgery and gradually begin to subside.
    • Patients are advised to rest and avoid strenuous activities, heavy lifting, and excessive arm movements during the initial recovery period.
    • It’s essential to follow all post-operative instructions provided by the surgeon, including wearing compression garments or surgical bras as recommended.
  3. Weeks 2-3:
    • Swelling continues to decrease, and bruising fades over time, although some residual swelling may persist for several weeks.
    • Patients may gradually resume light activities and return to work, depending on their comfort level and the nature of their job.
    • It’s important to avoid activities that could strain or put pressure on the chest area, such as lifting heavy objects or engaging in vigorous exercise.
  4. Weeks 4-6:
    • Most swelling and bruising have resolved by this point, and patients typically start to see noticeable improvements in breast shape and appearance.
    • Patients may gradually resume more strenuous activities and exercise routines, following clearance from their surgeon.
    • Incisions continue to heal and mature, and any residual discomfort or sensitivity gradually diminishes over time.
  5. Months 3-6:
    • By this stage, the majority of post-operative swelling has resolved, and the breasts begin to settle into their final shape and position.
    • Scars continue to fade and flatten over time, although they may remain pink or slightly raised initially.
    • Patients can expect to see the final results of their breast implant revision surgery, including improved breast symmetry, shape, and contour.
  6. Long-Term Recovery:
    • While most of the visible signs of surgery resolve within the first few months, it may take up to a year or more for the breasts to fully settle and the scars to mature.
    • Patients should continue to attend follow-up appointments with their surgeon as scheduled to monitor their progress and address any concerns that may arise during the healing process.
It’s important to note that individual recovery experiences may vary, and patients should follow their surgeon’s specific post-operative instructions for optimal healing and recovery. If any unusual symptoms or concerns arise during the recovery period, patients should contact their surgeon promptly for guidance and assistance.

Maintaining Results

Maintaining the results of breast implant revision surgery involves several strategies aimed at preserving the improved breast shape, symmetry, and appearance achieved through the procedure. Here are some tips for maintaining the results of breast implant revision surgery:
  1. Regular Follow-Up Visits: Attend all scheduled follow-up appointments with your plastic surgeon for ongoing monitoring and evaluation of the surgical outcomes. Your surgeon can assess the stability of the results, address any concerns or changes, and provide recommendations for long-term care.
  2. Healthy Lifestyle: Maintain a healthy lifestyle with a balanced diet, regular exercise, adequate hydration, and sufficient sleep. A healthy lifestyle can promote overall well-being and help support optimal healing and tissue health, which can contribute to maintaining breast shape and appearance.
  3. Breast Self-Exams: Perform regular breast self-exams to monitor changes in the appearance and feel of your breasts. Look for any new lumps, changes in breast shape or texture, or other abnormalities that may require further evaluation by your healthcare provider.
  4. Sun Protection: Protect the skin of your breasts from sun exposure by applying sunscreen with SPF 30 or higher when exposed to sunlight. Sun exposure can accelerate skin aging and affect the appearance of scars, potentially compromising the results of breast implant revision surgery.
  5. Supportive Bras: Wear supportive bras that provide adequate support and minimize breast movement. Choose bras with wide straps and full cups to distribute weight evenly and reduce strain on the breast tissue and implants. Supportive bras can help maintain breast shape and prevent sagging over time.
  6. Breast Health Monitoring: Continue to monitor breast health by scheduling routine mammograms and clinical breast exams as recommended by your healthcare provider. While breast implants do not interfere with breast cancer screening, it’s important to remain vigilant about breast health and undergo regular screenings for early detection of any potential issues.
  7. Avoid Smoking: If you smoke, quit smoking or avoid exposure to secondhand smoke. Smoking can impair circulation, delay wound healing, and increase the risk of complications, which may affect the long-term results of breast implant revision surgery.
  8. Maintain Stable Weight: Maintain a stable weight to prevent fluctuations in breast size and shape. Significant weight gain or loss can affect the appearance of the breasts and may necessitate additional revisions or adjustments to maintain optimal results.
  9. Communication with Surgeon: Maintain open communication with your plastic surgeon and discuss any concerns or changes in the appearance of your breasts. Your surgeon can provide guidance, reassurance, or additional treatment options as needed to address any issues and ensure long-term satisfaction with the results of breast implant revision surgery.
By following these tips and staying proactive about your breast health and overall well-being, you can help maintain the results of breast implant revision surgery and enjoy the benefits of improved breast shape, symmetry, and appearance for years to come.

Possible Complications

While breast implant revision surgery is generally safe, like any surgical procedure, it carries the risk of potential complications. It’s important to discuss these risks with your surgeon before undergoing surgery. Possible complications of breast implant revision surgery may include:
  1. Bleeding: Excessive bleeding during or after surgery can lead to hematoma (collection of blood) at the surgical site, which may require drainage to prevent complications.
  2. Infection: There is a risk of infection at the surgical site, which may manifest as redness, swelling, warmth, or discharge. Antibiotics may be prescribed to treat or prevent infection.
  3. Delayed Wound Healing: Some patients may experience delayed wound healing, resulting in wound separation, poor scar formation, or skin necrosis. Proper wound care and follow-up with your surgeon can help mitigate this risk.
  4. Changes in Sensation: Temporary or permanent changes in sensation, including numbness or increased sensitivity, may occur in the breasts or surrounding areas. Most patients experience some degree of sensory changes, but it typically improves over time.
  5. Implant Malposition or Displacement: Breast implants may shift position or become displaced, resulting in asymmetry or an unnatural appearance of the breasts. Additional surgery may be needed to correct implant malposition.
  6. Capsular Contracture: Scar tissue may form around the breast implants, causing the breasts to feel firm, distorted, or painful. Revision surgery may be necessary to address severe cases of capsular contracture.
  7. Implant Rupture or Deflation: Breast implants may rupture or deflate over time, leading to changes in breast shape or size. Revision surgery may be required to replace the implant.
  8. Visible Scarring: While efforts are made to minimize scarring, some patients may develop visible scars at the incision sites. Scar management techniques may help improve the appearance of scars over time.
  9. Anesthesia Risks: General anesthesia carries inherent risks, including allergic reactions, respiratory complications, and adverse reactions to anesthesia medications. Your anesthesiologist will monitor you closely during surgery to minimize these risks.
  10. Psychological Impact: Breast implant revision surgery may have psychological implications, including adjustment to changes in body image, self-esteem, and emotional well-being. Counseling or support groups may be beneficial for some patients to address psychological concerns.
It’s essential for patients to communicate openly with their surgeon, follow all pre-operative and post-operative instructions, and attend all scheduled follow-up appointments to minimize the risk of complications and ensure a safe and successful recovery from breast implant revision surgery.

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