What is Breast Implant Revision by Dr Turner?
Breast Implant Revision surgery encompasses the removal and/or replacement of breast implants from a previous surgery. This surgery usually involves utilising more modern, cohesive implants, as well as creating a new breast pocket for the implant. This surgical procedure offers patients the opportunity to modify the size or contour of their implants while effectively addressing any complications that may have arisen from the initial breast augmentation procedure.
Some women may also want their implants removed or replaced because they are concerned about potential health issues that may be related to an implant rupture or older, textured implants. If you would like more information on this topic, you can learn more in our recent blog ‘Patient Safety Advisory – Breast Implant Removal and Capsulectomy’.
Breast implant revision surgery aims to rejuvenate and enhance the contour and aesthetic appeal of the breasts, while addressing any concerns the patient may have with their existing implants. It is crucial to emphasize that this procedure is significantly more intricate than the initial breast augmentation and requires the expertise of a seasoned plastic surgeon, like Dr Scott Turner.
Breast Augmentation surgery is the most common cosmetic surgery procedure performed worldwide. While the vast majority of women have an excellent outcome with long-lasting results, some patients may require a breast implant revision procedure years later to address something they are not pleased with. In most cases with revision surgeries, Dr Turner will ask you to wait 1 year after your initial surgery, to allow your body to heal and adapt to your new implants. This one-year mark is when the final result of most surgeries will be revealed, with little changes occurring after this time.
While most modern breast implants have a lifetime warranty from the manufacturer, it is expected that they will fail at some stage and so most women who have breast implants will require a revision procedure after 10-20 years. At this point, some women chose to remove their implants entirely, many opting for a breast lift without implants, whereas those who wish to replace their implants often opt for a similar-sized, updated implant and capsule.
Options for Breast Implant Replacement
Dr Turner provides a comprehensive range of breast implant revision procedures, including breast implant removal, implant replacement, and a combination of implant removal with breast lift or fat grafting to the breast. Each approach is tailored to address your specific concerns and achieve the desired outcome with precision and meticulous care.
Common Reasons for Breast Implant Revision Surgery
1. Breast implant size change – Breast implants replacement
A frequent comment we receive from clients is “I wish I had chosen a larger implant”. While it is possible to change the size of your implants with revision surgery, it is often helpful to consider what specific aspects of your current look you would like to change.
Would you like more cleavage?
Often a higher profile implant will help to create more cleavage and upper breast fullness without changing the implant width or height. This is often referred to as increasing your upper-pole fullness, and sometimes depending on your situation and surgical goals, this can be achieved with fat grafting.
Would you prefer more lateral breast tissue?
Changing the width of your implants can help to accentuate your shoulders, waist and hips, without creating a full upper-pole.
In contemporary times, the perspective on breast aesthetics has evolved, recognising that larger breast sizes may not always be the desired outcome. If a substantial reduction in size is sought, it may be necessary to complement the process with a breast lift procedure, which addresses the surplus skin that has stretched due to the presence of larger implants.
2. Common Breast Implant Complications
Breast Implant Rupture
If the shell of a breast implant ruptures, the implant may deflate or deform which will require revision breast implant surgery. With the rupture of saline implants, there is an obvious decrease in the size of the breast like a deflating balloon, however, with silicone implants, this is more difficult to detect.
Diagnosis of silicone implant rupture requires an ultrasound to determine the integrity of the implant shell (fold defects) and to look for the presence of silicone that may have leaked outside the breast implant. The risk of rupture with modern silicone breast implants is very low (<1%).
Capsular contracture continues to be the primary complication after breast augmentation, with occurrences reported as early as three months post-surgery and as delayed as 10 to 20 years later. The development of capsular contracture can lead to noticeable changes in the breasts, including hardness, altered shape, and potential discomfort or pain.
Capsular Contraction most often requires revision surgery to remove the abnormal capsule, this procedure is called a capsulectomy. In women who undergo multiple breast implant revision surgeries for capsular contraction, the overlying soft tissue can become increasingly thinner and result in more visibility of the implant, with the risk of palpability and rippling. This can often be improved by the addition of fat grafting to the breast envelope at the time of a breast implant revision procedure.
3. Other Breast Implant Complications
Double Bubble Deformity
Double bubble deformity is a static deformity and occurs when the implant settles below the natural breast fold creating a defined crease on the lower part of the breast implant leaving an unattractive appearance. There are many surgical techniques that can be implemented to alleviate double bubble deformity depending on the underlying cause.
Breast Implant Malposition
Breast implants may shift upward, downward, inward or outward (toward the armpit). Although occasionally unavoidable, meticulous surgical techniques can help avoid implant displacement. As part of your breast augmentation surgery, Dr Turner creates a very precise pocket for the implant in order to avoid implant displacement and malposition. Patients who request overly large implants are at greater risk of implant displacement.
Lateral displacement occurs when breast implants shift towards the armpit resulting in loss of cleavage definition. Although it is natural for your breasts to drift toward your armpits when you are lying down, implants should not remain in this position when you are seated or standing upright. In some patients with significant chest wall asymmetries ‘pectus carinatum’ is unavoidable due to the extreme slope of the chest wall.
Breast Implant Rippling
Rippling refers to the visible or palpable wrinkling or waviness that can occur on the surface of a breast implant. It is most commonly observed in saline-filled implants but can also occur with silicone gel-filled implants. Rippling can be seen or felt through the skin and may be more noticeable in certain areas of the breast, such as the sides or upper pole. The most common reason this occurs is due to having thin tissues above the implant, which can often be settled with fat grafting, or changing your implant type.
Are you a suitable candidate for Breast Implant Revision Surgery?
It is important to note that each individual case is different, however, if you present any of the following, generally you are an ideal candidate:
- You are unhappy with the appearance, size or shape of your current implants.
- You would like to either have larger or smaller breast implants.
- You are concerned about the current condition of your implants.
- Your current implant is causing you medical problems or has been compromised.
- You are a non-smoker and have realistic expectations from surgery.
The information provided is for general purposes only, it is not intended to replace a professional consultation with a qualified plastic surgeon. Invasive procedures carry inherent risks and potential complications which will be discussed in detail. Results vary and should be used only as a guide as every client is unique, which is why a second opinion is advisable. Learn more about the risks of plastic surgery at https://drturner.com.au/patient-resources/risks-complications-of-surgery/
Breast Implant Revision Surgery FAQs
[sc_fs_multi_faq headline-0=”h3″ question-0=”What Is Breast Implant Revision Surgery?” answer-0=”Breast implant revision surgery is designed to correct complications from a primary breast augmentation procedure, which has created a health risk, or a cosmetic issue has evolved. This procedure generally involves the removal and/or replacement of breast implants” image-0=”” headline-1=”h3″ question-1=”Am I A Suitable Candidate For Breast Implant Revision Surgery?” answer-1=”Breast implant revision surgery would generally be suited to individuals who have experienced issues or complications with previous breast augmentation procedures. The ideal candidates for this procedure are women over 18 years of age or older, are in good physical health, not currently pregnant or breastfeeding, psychologically stable, and have realistic expectations.” image-1=”” headline-2=”h3″ question-2=”How Long Does This Procedure Take?” answer-2=”This relies heavily upon the technique adopted by Dr Turner to conduct the procedure, your anatomy, and the types of complications you have endured. Breast implant revision surgery generally takes approximately one to three hours, however, this will vary according to the above specifics.” image-2=”” headline-3=”h3″ question-3=”What Are Some Of The Risks Or Complications Are Associated With Revision Breast Implant Surgery?” answer-3=”All surgery carries the possibility of complications such as unsatisfactory results, excessive bleeding, infection and adverse reaction to anaesthesia. Similarly, with an initial breast augmentation, the risks of this particular procedure include nipple sensitivity /loss in sensitivity, capsular contracture, rupturing rippling and leaking.” image-3=”” headline-4=”h3″ question-4=”How Is Breast Implant Revision Surgery Performed?” answer-4=”Dr Turner will make incisions in either the crease of the breast, below the breasts or around the areola. This procedure is performed with delicacy and precision to prevent the risk of a secondary breast revision surgery. Dr Turner will determine the best treatment regime for you during your preliminary examination.” image-4=”” headline-5=”h3″ question-5=”What Type Of Issues Can Breast Implant Revision Surgery Correct?” answer-5=”Some of the problems this procedure can address are as follows: capsular contracture, implant rupturing/leakage, unnatural manifestation, breast implant wrinkling and incorrect placement of the breast implants. Older breast implants should be inspected by Dr Turner, he will determine whether they require replacement due to age.” image-5=”” headline-6=”h3″ question-6=”What Should I Expect During The Recovery Period?” answer-6=”You may require some assistance during the first few days of your recovery, due to lack of mobility and the effects of the medications. You may have drainage tubes in place to assist with any excess fluid. It is recommended you take rest during your recovery period and that you take the medications prescribed by Dr Turner or your anaesthetist. You will be contacted by us the day after your surgery to review your progress and answer any queries you may have.” image-6=”” count=”7″ html=”true” css_class=””]
Breast Implant Removal Surgery FAQs
[sc_fs_multi_faq headline-0=”h3″ question-0=”What is the breast implant capsule?” answer-0=”The capsule is a layer of scar tissue, blood vessels, and connective tissue, that form around (foreign bodies) Implants due to stimulation of the body’s immune response.” image-0=”” headline-1=”h3″ question-1=”What is Capsular Contracture?” answer-1=”This capsule is normally flexible, soft, and goes unnoticeable. But, sometimes it becomes hard and painful, which is an uncomfortable condition known as ‘capsular contracture’.
There are four grades of capsular contracture
● Grade I: Breast is normally soft and looks natural
● Grade II: Breast is a little firm but looks normal
● Grade III: Breast is firm and looks abnormal
● Grade IV: Breast is hard, painful, and looks abnormal
” image-1=”” headline-2=”h3″ question-2=”What is en bloc capsulectomy?” answer-2=”
When removing ruptured silicone implants en bloc capsulectomy is sometimes necessary.
A total capsulectomy ‘en bloc capsulectomy’ is removing all of the capsule and implant as one single piece (en bloc means “all together”) to minimize exposure of the body to the loose silicone. A complete capsulectomy is a time-consuming and diligent procedure.
The capsule may include fragments of silicone, bacteria, inflammatory cells or it may be hard and calcified. This can form a biofilm where bacteria and other organisms are embedded. Sometimes women worry that the capsule may cause problems if left in the body and they prefer to have it removed.
Typically, the breast implants and capsules can be removed through the same incision that was used for implant placement, which minimizes new scarring. Most breast augmentation surgeries will use one of two incision sites, an inframammary incision (just under the breast) or a periareolar incision (around the bottom of the areola).
” image-2=”” headline-3=”h3″ question-3=”What is breast implant-associated ALCL?” answer-3=”Breast implant-associated Anaplastic Large Cell Lymphoma, or BIA-ALCL, is a rare disease that may occur in patients with breast implants, esspecially textured breast implants. It typically presents as a swelling usually only on one side of the breast and often occurs many years after the breast implants were placed.
When patients undergo imaging examination, fluid is seen in the breast and this may be sampled and the fluid sent for analysis. Treatment for Bia-ALCL is a total (en bloc) capsulectomy and sometimes chemotherapy may be needed. This is usually performed by a multidisciplinary team including a plastic surgeon, surgical oncologist, and medical oncologist.” image-3=”” headline-4=”h3″ question-4=”What is breast implant illness?” answer-4=”
Some women with silicone implants have experienced nonspecific immunologic symptoms, obviously without explanation. Recently, two new hypotheses came out as potential explanations for these symptoms:
● Autoimmune Syndrome Induced by Adjuvants (ASIA), and
● Low-level bacterial contamination.
In Autoimmune Syndrome Induced by Adjuvants (ASIA), silicone is stimulating the immune system and is causing symptoms such as fatigue, joint or muscle pain, memory loss, or other symptoms. Diagnostic criteria include some combination of exposure to silicone before the onset of clinical symptoms and improvement with silicone removal.
” image-4=”” headline-5=”h3″ question-5=”Do Breast Implants affect Breastfeeding and Babies?” answer-5=”
Some women who undergo breast augmentation can successfully breastfeed and some cannot. At this time, it is not known if a small amount of silicone may pass through from the breast implant silicone shell into breast milk during breastfeeding. Studies did not indicate higher levels in breast milk from women with silicone implants when compared to women without implants.
In addition, concerns have been raised regarding potential damaging effects on children born to mothers with implants. Two studies in humans have found no increased risk of birth defects in children born to mothers who have had breast implant surgery.
” image-5=”” count=”6″ html=”true” css_class=””]
Further Medical References
Why Choose Dr Turner?
When you select our practice, you are placing your trust in a Plastic Surgeon who genuinely cares about your well-being. Dr Turner is dedicated to ensuring your comfort throughout your entire surgical journey, taking the time to address your questions and alleviate any concerns you may have. We prioritise your satisfaction and strive to ensure that the procedure you choose is the perfect fit for you.
We understand the importance of confidentiality, and we go to great lengths to maintain a private and discreet environment during your visits. From your initial consultation onwards, we are confident that you will feel assured in our capable hands. Recognising that each person is unique, both physically and emotionally, we provide a personalised evaluation and develop a customised procedure plan tailored to your specific needs.
Your journey with us is centred on your individuality and achieving your desired outcomes. We are committed to providing you with exceptional care, making sure that you feel comfortable, informed, and confident every step of the way.
Your Breast Implant Revision with Dr Turner
Your initial consultation for Breast Implant Revision surgery commences with a personalised one-on-one meeting with Dr Turner at one of his esteemed clinics in Sydney or Newcastle. During this consultation, a comprehensive overview of the surgical process, as well as potential complications, will be provided to ensure you are fully informed. Dr Turner will engage in a thorough discussion to understand your specific desires and objectives. Following this, a meticulous examination will be conducted to assess your suitability as a surgical candidate.
Measurements of your chest wall and breasts will be taken, and a careful evaluation of your breast skin quality, existing breast volume, and nipple position will be performed. Standard preoperative photographs will also be taken for documentation purposes.
Recognising that each woman is unique in terms of her goals and body shape, Dr Turner will expertly guide you through the selection of suitable breast implants if you choose to replace your current implants. It is of utmost importance to precisely match the shape, size, and placement of the implants to harmonise with your natural body shape, thereby achieving the desired outcomes.
During this consultation, Dr Turner and his dedicated team will:
- Review the various breast procedures available to you
- Thoroughly discuss the potential risks associated with the procedure
- Provide a detailed explanation of the surgical technique
- Outline the expectations before, during, and after the procedure
- Offer transparent information regarding the cost and payment options
- Address any queries or concerns you may have, ensuring complete clarity
This comprehensive consultation process ensures that you are well informed and empowered to make informed decisions regarding your breast augmentation surgery.
Always Do Your Research
- Enquire to find out more about your surgery
- Please read our website to learn more about your intended procedure
Do you need a Medical Referral to see Dr Turner?
- A GP Referral is required to Consult with Dr Turner (under new AHPRA Regulations)
- Please obtain a referral from your GP or Specialist if you want a consultation for an MBS item number surgery.
- Please note that your Medicare Rebates will NOT be claimable without a valid recent Medical Referral
Making The Most Of Your Consultation
- Please arrive slightly early for your in-person consultation
- You are welcome to bring a friend or relative to help consider the information and discuss your options
- Please be aware you may need to undress for a physical exam so wear simple clothes
- Ensure you also take a lot of notes during the consultation and thoroughly examine all the documents provided
Want more information before scheduling your consultation?
- Find out more about pricing and payment plans
- Request more information about the procedure – call or contact us
How to Book Your Consultation
- You can book your initial consultation by paying the $350 cosmetic consultation fee in advance – when you make your appointment
BOOK A PHONE CALL FOR MORE INFO
- To find out more information about surgery you can book a FREE 15-minute phone conversation with our Friendly Patient Care team via Calendly- Book Consultant 1 or Book Consultant 2
Contact us or call on 1300 437 758 to arrange your surgeon consultation in Sydney.