Breast implant revision surgery is a procedure performed to replace or adjust breast implants after a previous breast augmentation. While breast implants are designed to be long-lasting, they are not lifetime devices, and certain factors may lead to the need for revision surgery. Whether due to aesthetic concerns or medical complications, breast implant revision is sometimes necessary to restore the desired look, feel, or function of the breasts.

If you’ve undergone breast augmentation and are wondering when breast implant revision might be necessary, here’s a detailed guide to help you understand when and why this procedure is recommended.

1. Implant Rupture or Deflation

One of the most common reasons for breast implant revision is the rupture or deflation of the implants. Both saline and silicone implants can rupture, although the signs are different depending on the type of implant.

  • Saline implant rupture: When a saline implant ruptures, the implant quickly deflates, and the body absorbs the saline solution, causing the breast to lose its shape and size. The rupture is usually noticeable almost immediately, as the breast becomes significantly smaller or flatter.
  • Silicone implant rupture: A rupture in silicone implants, known as a silent rupture, is less obvious because the silicone gel often remains within the surrounding tissue. This means the breast may not lose its shape or size right away, and the rupture may only be detected through imaging tests like an MRI or ultrasound.

When to consider revision: If you experience a rupture or deflation in either type of implant, it is recommended to undergo breast implant revision to remove and replace the damaged implant.

2. Capsular Contracture

Capsular contracture occurs when the scar tissue (or capsule) that forms around the implant tightens and hardens. This can cause the implant to feel firm, distort the shape of the breast, or even become painful. Capsular contracture can happen at any time after breast augmentation, and the severity is categorized into four grades, with grade IV being the most severe.

Signs of capsular contracture:

  • The breast feels unnaturally firm or hard.
  • The breast appears misshapen or higher than the other breast.
  • There is discomfort or pain around the implant.

When to consider revision: If capsular contracture causes discomfort or visibly alters the appearance of the breast, breast implant revision may be necessary. During the revision, the hardened scar tissue is removed, and new implants may be placed if needed.

3. Desire for a Change in Size or Shape

Over time, personal preferences for breast size and shape may change, leading some individuals to seek breast implant revision. Some may wish to go larger or smaller, while others may want to switch from one type of implant to another (e.g., saline to silicone or round to teardrop-shaped implants).

Reasons for size or shape change:

  • Changing aesthetic preferences: You may feel that the implants no longer suit your body or lifestyle.
  • Aging: As you age, your natural breast tissue may change, which can affect how the implants look.
  • Weight fluctuations: Significant weight loss or gain can alter the appearance of your breasts, leading to a desire for revision.

When to consider revision: If you’re dissatisfied with the current size, shape, or projection of your implants, revision surgery can help achieve a look that better aligns with your goals.

4. Implant Malposition

Implant malposition occurs when the breast implants shift out of their original position, resulting in an unnatural or asymmetrical appearance. Malposition can happen for several reasons, including improper placement during the initial surgery, capsular contracture, or changes in your body over time.

Common types of implant malposition include:

  • Bottoming out: The implant drops too low on the chest, causing the nipple to appear too high.
  • Symmastia: The implants move toward the center of the chest, creating the appearance of a uniboob.
  • Lateral displacement: The implant shifts outward toward the armpit, especially when lying down.

When to consider revision: If your implants have shifted and the position is affecting the appearance or comfort of your breasts, implant revision can reposition the implants and correct the issue.

5. Rippling or Wrinkling of the Implants

Rippling or wrinkling of breast implants can occur when the edges of the implant are visible or palpable through the skin, creating an uneven appearance. This is more common with saline implants, but it can also occur with silicone implants, particularly in individuals with thin skin or minimal breast tissue.

When to consider revision: If implant rippling is visible or you can feel the wrinkles through your skin, breast implant revision may be recommended to replace the implants, change their position, or add fat grafting to improve the appearance.

6. Aging and Natural Changes in the Breasts

As you age, the natural breast tissue may undergo changes due to gravity, weight fluctuations, pregnancy, or hormonal changes. These factors can affect the appearance of both your natural breasts and breast implants.

Common changes include:

  • Breast sagging (ptosis): Over time, the breast tissue may sag, making the implants look lower or less perky.
  • Thinning skin: With age, the skin loses elasticity and volume, which can affect the overall appearance of the breasts and make implants more visible.

When to consider revision: If the natural aging process or changes in your breast tissue affect the appearance of your implants, breast implant revision or a breast lift (mastopexy) may be recommended to restore a youthful, perky look.

7. Complications After Surgery

While complications after breast augmentation are rare, they can happen and may require revision surgery. Some possible complications include:

  • Infection: If an infection occurs around the implant, it may require removal and replacement once the infection is resolved.
  • Implant extrusion: In very rare cases, the implant may push through the skin and require immediate revision.
  • Asymmetry: If the initial augmentation results in uneven breasts, revision surgery can correct the imbalance and improve symmetry.

When to consider revision: If any of these complications occur, it’s essential to consult your surgeon for timely intervention and revision surgery to address the issue.

8. Desire for a Different Type of Implant

Some individuals may opt for breast implant revision to switch to a different type of implant. For example, you may want to switch from saline to silicone implants for a more natural feel or change to newer, more advanced implants like gummy bear implants (cohesive silicone gel).

When to consider revision: If you’re interested in updating your implants to a newer type or material, breast implant revision can help you achieve the look and feel you desire with the latest implant options.

Why Choose Dr. Stanwix for Breast Implant Revision in Richmond, VA?

Breast implant revision is a complex procedure that requires the expertise of a skilled and experienced plastic surgeon. Dr. Matthew G. Stanwix, a board-certified plastic surgeon in Richmond, VA, specializes in breast implant revision and can help you achieve the results you desire. Whether you’re experiencing implant complications or want to update the appearance of your breasts, Dr. Stanwix offers personalized consultations and expert care to ensure a safe and successful outcome.

Contact Stanwix Plastic Surgery Today

If you’re considering breast implant revision surgery, contact Stanwix Plastic Surgery in Richmond, VA to schedule a consultation with Dr. Matthew G. Stanwix. Serving clients throughout Richmond, Charlottesville, Williamsburg, and beyond.

Location:
Stanwix Plastic Surgery
12320 West Broad Street, Suite 205
Richmond, VA 23233
Phone: 804-724-7244

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