Breast implant revision is a surgical procedure to replace old implants with newer ones. Primarily the surgical procedure aims to improve the breast profile while updating the implant material. The goals of the surgery include:
A concurrent breast reduction or lift
Repositioning the implant inside the breast by reshaping the implant pocket
Changing the shape, size, or style of the implant
The need to have a breast revision may arise due to cosmetic or medical reasons:
Desire to have a new breast profile by changing the size
Pain due to capsular contracture
Risk of implant leakage or migration of the implant
Change from silicone to saline or vice versa
With time or age, breast implants change their shape, changing the shape and size of the overlying tissues. Sometimes migration of the implant causes the breast to get an undesirable appearance, like irregularities and indentations. Breast implant revision offers a solution to such problems.
Many implants have a lifetime warranty on the actual implant, but the cost of implant replacement after ten years isn't covered, which is why many women prefer to replace it within ten years. Breast implant revision is a patient-specific procedure tailored to the patient's needs. Choosing an experienced surgeon to have your implants revised is highly recommended.
Steps of the breast implant revision procedure
The procedure is usually performed on an outpatient basis and involves the following steps:
Your doctor will choose the right type of anesthesia for you. It can either be general anesthesia or intravenous sedation.
The type of incision for a breast implant revision surgery depends on where the revision occurs. The surgery can include one or more of the following incisions:
Inframammary incision (the lower fold of the breast)
Breast lift incision – either the vertical incision or Wise pattern incision
Partially or fully around the areola (periareolar incision)
Closing the incisions
After replacing the implants, incisions are sutured, taped, or glued with skin adhesives.
You cannot see the accurate results of the breast implant revision surgery immediately after the procedure due to swelling of the breast tissues. It takes almost six or more weeks for the swelling to subside. Sometimes, it takes up to a year for the breasts to look normal.
The downtime for each patient is different because it depends mainly on the patient's age, body anatomy, and medical history. However, discussing realistic surgery expectations with your surgeon would be best.