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Breast Revision–Correction Surgery

Breast surgery can be a very difficult procedure in secondary or tertiary revision cases in patients who have undergone multiple breast adjustment surgeries. Some patients, over time, may experience a thinning of their breast tissues, difficult to address scarring, poor positioned implants, or even implant rupture.

Using techniques combining breast reconstruction and breast enhancement, Cultura can perform corrective breast surgery for both primary breast concerns as well as secondary breast augmentation cases from multiple previous breast surgeries.

Breast augmentation, especially over time, may pose some critical conditions where a woman may decide or need to undergo a secondary breast revision or breast reoperation procedure. Some of these conditions include:

  • Breast Implant Rupture
  • Bad Breast Implant Positioning
  • Capsular Contracture
  • Bottoming Out Syndrome – The downward moving of the breast implant past the inframammary fold
  • Ptosis – Extreme sagging of the breast
  • Desire a Change in Breast Look or Breast Aesthetic

Approximately 20 out of 100 women who undergo breast augmentation may suffer from capsular contracture at one time or another. The exact reason for capsular contracture is unknown, however, there is strong evidence to indicate that infection could be a probable cause.

Poor Breast Implant positioning or mispositioning of the breast implant could occur as a result of poor surgical placement of the original implant or breast problems that could occur with anatomically correct breast implants moving from their original location.

In all breast cases, breast implant deflation requires breast revision surgery. Implant pops or breast implant deflation can occur as a result of many reason which include:

  • Breast Implant Trauma – Excessive squeezing or hard impacts to the breast can result in rupturing the implant.
  • Breast Implant Age – The longevity of breast implants are typically expiration at around 10 years.
  • Breast Implant Wear and Tear –Breast implant suture placement may cause the implant to wear down.
  • Overfilling or Under-filling Breast Implants

Breast implant deflation of our modern breast implants are extremely uncommon. In most cases the breast manufacture may warrant their implants for a specified number of years. Check with your surgeon if your implants are covered by a breast implant warranty.

Bottoming out can occur when the inframmary fold loses it’s “adheasion” to the chest wall cavity and the implant begins to move down past the natural boundaries of the breast. Skin looseness or excessive laxity could play a part in this result. However, attempts by the original surgeon to move or modify the inframmary fold could also be a reason for bottoming out result.

Over time, overly large breast implants may cause them to harden and create a ptosis in some women. These clients may desire to have a breast lift. Skin laxity and gravity are the primary reasons for this clinical condition.

For a certain number of women they may just want to change the look of their breast. Some choose to be larger than they are now or in some cases go smaller. In either case breast revision surgery is an option for them to meet their goals of how they want to look.

Correcting any of these conditions requires breast revision correction surgery. This process requires removing the failed breast implant and or improving the breast augmentation. We than will be replacing the implant with a new breast implant. In few cases, the surgeon may feel its necessary to remove and replace both implants.

On occasion, a client may decide to remove the implant altogether in which during the revision surgery a breast lift may be performed in combination.

Other surgical options include having a breast lift or mastopexy in conjunction with a breast augmentation surgery for optimal results.

This technique or recommendation would be to correct sagging breast or ptosis from when the breast first underwent breast augmentation.

What Can a Woman Expect During Breast Revision Surgery?

General and local anesthesia is typically used and when needed, the original scars are used as incision markers. One implant may be removed and replaced and depending upon the age of the original implants, both breast implants may be replaced.

How Long Is the Recovery From Breast Revision Surgery?

Breast revision surgery typically is not as harmful to the woman’s body as the initial breast augmentation surgery is. Therefore, pain and recovery is considerably less the second time, as is the downtime. The patient can usually expect to be back to work and or their normal activities within a week. Complete recover will usually take about three to four weeks.


Please call our office or fill out the contact form to request your complimentary consultation with Dr. Kelly Bolden at Cultura.