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About the procedure Breast Revision Surgery

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Disclaimer:

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

What is Breast Revision Surgery

Breast revision surgery is performed to address changes or concerns following a previous breast augmentation or reconstruction procedure. This may involve altering, replacing, or removing implants or correcting complications from earlier surgeries. Common reasons for revision include implant rupture, capsular contracture (the hardening of scar tissue around the implant), asymmetry, or changes in implant size or type. Unlike primary breast augmentation, which is performed for the first time, breast revision surgery is undertaken to modify or correct outcomes from prior procedures.

Over time, changes in the body may affect the appearance of breast implants, leading some patients to consider revision. This procedure can be used to adjust breast shape and size after implants have been in place for several years. Whether due to physical changes, complications, or a preference for a different outcome, breast revision surgery allows for adjustments to suit the patient’s current needs. The approach to revision varies based on the specific concerns being addressed, and a consultation is necessary to determine the most suitable options.

At Dr Eddie Cheng’s clinic, breast revision surgery is approached with a focus on addressing individual concerns while prioritising patient safety. The procedure is performed to modify, replace, or remove implants as needed, considering both anatomical factors and the patient’s current preferences. Every case is unique, and a thorough consultation allows for a clear understanding of the concerns and surgical options available.

The consultation process provides detailed information about the potential risks, benefits, and expected changes following surgery. Each surgical plan is tailored to the patient’s needs, ensuring that the chosen approach is suitable for their anatomy and circumstances. The aim is to achieve changes that align with the patient’s requirements while maintaining proportion and balance. A structured plan for aftercare and recovery is also provided to support the healing process and long-term outcomes.

Different Methods of Performing Breast Revision Surgery

Removal and Replacement of Implants

One of the most common approaches to breast revision surgery involves removing old implants and replacing them with new ones. Patients may consider implant replacement for various reasons, including implant rupture, changes in breast tissue over time, or a preference for a different implant type or size. During the procedure, the practitioner removes the existing implants and evaluates the surrounding tissue for any complications, such as capsular contracture. Once the implants are removed, new ones are placed, and the area is reshaped to suit the patient’s anatomy.

In some cases, the removal of implants can lead to changes in breast shape or volume. A breast lift (mastopexy) may be performed at the same time to reposition the nipple and adjust skin laxity. This combination can help reshape the breast following implant removal and replacement. The selection of implant type, size, and shape is based on a detailed consultation to determine a suitable approach for the patient’s needs.

Removal of Implants and Replacement with Fat

Some patients choose to have their implants removed and replaced with fat transfer, either as a standalone procedure or in combination with a breast lift (mastopexy). Fat transfer involves liposuction to remove fat from another area of the body, which is then purified and administered into the breasts using a syringe to add volume. This method may be considered by patients who want to reduce breast size while maintaining some volume or for those who have experienced implant-related complications.

The suitability of this technique depends on the amount of available fat in the patient’s body. Fat is typically harvested from areas such as the abdomen, thighs, or flanks. While this method can provide subtle volume changes, it does not achieve the same level of size increase as implants and may require multiple sessions to achieve the intended result.

Removal of Implants and Replacement with Both New Implants and Fat

For some patients, a combination of implants and fat transfer offers an approach that allows for both volume and contour adjustments. This method involves using implants to increase volume, while fat transfer is used to modify specific areas of the breast. The procedure includes removing existing implants, reshaping the breast tissue, and placing new implants for structural support. Fat is harvested from the patient’s own body and administered into targeted areas using a syringe to change the shape and provide a more natural integration with the surrounding tissue.

This approach may be considered for patients who have experienced changes in breast tissue over time or for those seeking additional adjustments beyond implant replacement alone. Factors such as skin elasticity, previous implant placement, and overall breast shape are assessed to determine the most suitable combination of implant size and fat transfer volume. Since fat transfer relies on the body’s ability to retain the administered fat, some patients may require more than one session to achieve the intended outcome.

Breast Lift (Mastopexy) Combined with Implant Replacement or Fat Transfer

For patients who experience changes in breast shape after implant removal, a breast lift (mastopexy) may be performed alongside implant replacement or fat transfer. A mastopexy involves adjusting the breast tissue and removing excess skin to reshape the breasts. This technique is used when changes in skin elasticity result in the need for additional support after implant removal.

The decision to combine a breast lift or mastopexy with implant replacement or fat transfer is made after a thorough consultation to assess the patient’s anatomy and surgical goals. This approach can help reshape the breast while adjusting volume, whether through implants or fat transfer.

Reasons Patients Choose to Have a Breast Revision

There are various reasons why patients may choose to undergo breast revision surgery. One of the most common reasons is dissatisfaction with the original results. This could be due to complications such as implant rupture, capsular contracture (scar tissue that tightens around the implant), or asymmetry between the breasts. In addition, some patients may want to change the size, shape, or type of their implants to align with their current body proportions or goals. In some cases, patients may choose revision surgery due to complications that arise over time, such as changes in breast tissue or loss of implant integrity.

Changes in breast shape and volume over time can be a reason for considering breast revision surgery. Factors such as ageing, weight fluctuations, or pregnancy may affect the appearance of the breasts, leading some patients to seek surgical adjustments. In some cases, revision surgery is performed to address concerns such as discomfort from implants. The procedure allows for modifications based on individual needs, whether to replace implants, adjust breast shape, or address functional concerns.

Procedure gallery View our patient results

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Breast Augmentation Mammoplasty Results

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Breast Lift Results

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Breast Reduction Results

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Breast Implant Removal and Breast Lift Results

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Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Aftercare and Recovery

Following breast revision surgery, patients are typically advised to wear a supportive surgical bra or compression garment to help reduce swelling and support healing. The recovery timeline varies depending on factors such as the complexity of the procedure, individual healing response, and overall health. Adhering to post-operative instructions is essential, including avoiding heavy lifting, strenuous activity, and any movements that place strain on the chest area during the initial weeks. Pain and swelling are common in the early stages but generally subside over time. Light activities can usually be resumed within two weeks, while more intense exercise and lifting are often restricted for around six weeks, depending on the patient’s progress.

Regular follow-up appointments are an important part of recovery, allowing the practitioner to monitor healing and address any concerns. The final appearance of the breasts takes time to develop as swelling subsides and the tissue adjusts. Patients may notice gradual changes over several months as the breasts settle into their new position and shape. Full recovery can take several months, and during this period, following aftercare guidelines helps support healing and minimise complications.

Risks and Complications

As with any surgical procedure, breast revision surgery carries potential risks and complications, which may vary depending on individual factors and the specific surgical approach. These can include:

  • Infection at the incision sites
  • Haematoma (blood collection under the skin)
  • Scarring, with varying degrees of visibility based on the surgical method
  • Changes in breast or nipple sensation, which may be temporary or permanent
  • Capsular contracture or the hardening of scar tissue around the implant
  • Risk of asymmetry between the breasts
  • Need for revision surgery if results do not meet expectations
  • Fluid accumulation (seroma)
  • Risks related to anaesthesia
  • Discomfort or tenderness at the implant or graft site

 
A thorough consultation is essential to discuss these risks and how they may apply to each patient’s circumstances. The choice of surgical approach, individual healing responses, and adherence to post-operative care can influence the likelihood of complications. Regular follow-up appointments allow for ongoing monitoring and early management of any concerns that may arise during recovery.

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