Breast Implant Revision

Breast Implant Revision is also known as breast implant replacement. It is a cosmetic surgical procedure to revise or correct the aesthetic appearance of the breast resulting from the following: ruptured implants, unsatisfactory result of a breast augmentation, infection, implants that have rippled, rubbed or shifted, wrong implant size, hardening of implants, leakage of silicone implant, and deflation of saline implants.

There are different procedures for different reasons in having a breast implant revision.

Rippling of Implant – The surgeon uses the same incision to reposition the implants in case the saline implants are still palpable and visible. The surgeon may also opt to change the kind of implant or place a new implant into a new breast pocket.

Changing of Implant Size – Still, the surgeon will use the same incision to remove and do the replacement of the implant. If one wants a bigger implant, the surgeon will make the pocket bigger or the space in the breast.

Hardening of the implant and capsule (capsular contracture) – Using the same incision, the surgeon will first remove the original implant and places a new one.

Implant displacement / malposition – To correct the position of the breast, the surgeon will alter the scar tissue from the capsule around the implant and recreate the pocket that will fit the right position using suturing procedures. The tissues will be utilized to reinforce the new implant pocket. The use of acellular dermal matrix product for additional support may also be used.

Risks and Complications

These are rare and often only temporary, however, they may include:

  • Infection
  • Allergic reaction to anaesthetic
  • Bruising
  • Excessive Bleeding
  • May need more procedures done
  • Displacement of implants
  • Capsular contracture
  • Rupture of implants
  • Rippling of implants
  • Altered breast sensation
  • Leakage
  • Haematoma
Q. How is the recovery time after a breast implant revision?

A. There will be bruising, swelling and a change in skin sensitivity that may last for a couple of weeks.

Q. How long does the procedure last?

A. It will take between one and three hours depending on the procedure, technique and the patient’s anatomy and health.

Q. Who are good candidates to undergo the breast implant revision procedure?

A. Those who need a breast implant revision, are aged over the age of 18, in good health and psychologically stable.

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check your implants Do you really need to replace your implants after 10 years? April 16, 2019 - The big question seems to be do you need to replace your implants after 10 years? With all the media hype and discussion over the last few years about whether or not you should or need to get your implants checked or replaced after a certain time, and after listening to a podcast on Transforming Bodies through Plastic Surgery Hub that you should regularly get your implants checked, I decided to book in to Brisbane Plastic Surgery. I had my breast augmentation surgery done over 11 years ago and always wondered if I should or needed to get them redone. I was a little nervous but went to my appointment and Keren, the super friendly nurse at Brisbane Plastic Surgery, sat me down and asked me a bunch of questions. She then did a check of my breasts with her hands. I also had an X-Ray scan done to check if there was any leakage or rupture. Even though I was obviously a little worried that I would get some scary news back, I felt good that I was taking the step to get them checked, and Keren made me feel relaxed and comfortable the whole way through. Keren gave […]
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Upper Pole Fullness Creating Upper Pole Fullness with a Breast Lift and Implants February 28, 2019 - Dr Raymond Goh performs a large number of breast surgeries each year and shared these photos of a recent breast lift patient who also had implants to get the shape she wanted. The patient was a young lady in her 20’s who didn’t like her droopy breasts and larger areolas. She came to Dr Goh who performed a breast lift with small implants. Dr Goh says, “We were able to provide this patient with more upper pole fullness, better breast shape and more ideal nipple areola size and position. She also wanted to be slightly bigger in cup size, but wished to remain natural and in proportion to her body and lifestyle.” Upper Pole Fullness Many women request “upper pole fullness” from their surgeon. The upper pole is the part of the breast from the nipple upwards. A full upper pole refers to a rounder upper chest and cleavage. To achieve this look the surgeon needs to place the implant higher in the chest. There are a few things a surgeon considers to achieve upper pole fullness including: Patient anatomy – different patients have different builds and so different approaches are required. Placement of the implant – usually an under […]
Capsular Contracture – Do I Have It & Can It Be Treated? Capsular Contracture – Do I Have It & Can It Be Treated? February 12, 2019 - When you make the decision to undergo breast enlargement, there is a chance that your body may form scar tissue around the implant. However, you won’t be able to feel this change and you may not be aware you have it at all. When the scar tissue starts to tighten too much though, it can harden your implant and change its shape, which can cause a lot of pain and discomfort – this is known as capsular contracture. Signs You May Have Capsular Contracture During the early stages of capsular contracture, you won’t experience any symptoms, so you don’t need to seek treatment. It’s only necessary to seek treatment during the later stages. When your breasts are assessed for capsular contracture, they will be graded as follows: Grade 1: The breasts are still soft and look regular Grade 2: The breasts are slightly hard to the touch but still look regular Grade 3: The breasts feel hard to the touch and the appearance begins to distort Grade 4: The breasts are very hard and painful to the touch and they are distorted Unfortunately, there is no real way to determine whether you will develop capsular contracture after your breast augmentation […]
EnBloc What is enBloc? Breast Explant or Breast Implant Removal… February 5, 2019 - For any woman who’s considering having their breast implants removed, it’s important to know what happens in the process. Having your implant removed by a surgeon who knows what they’re doing is essential, and we chatted to Dr Isolde Hertess, Specialist Plastic Surgeon from Cairns Plastic Surgery to tell us why you need to know what EnBloc is. What is enBloc? By definition enBloc means ‘all together or at the same time’. Dr Hertess explains what an enBloc refers to for a breast implant removal. “EnBloc refers to surgeons who during a breast explant, or breast implant removal procedure, remove the implant, scar tissue AND capsule. In all my breast explant surgeries I remove the capsule, and this is essential to ensure that any silicone that may have leaked outside the Silastic shell are also removed.” A big reason for women wanting their implants removed is that they have a ruptured implant or are concerned about Breast Implant Illness (BII). BII is said to be caused by the implant leaking it’s fluid into the patient’s body. The Breast Implant Illness website says that implants contain over 90 chemicals and this no doubt is the underlying cause for many of the […]
Combining Breast and Body Surgery with Dr Nicholas Moncrieff from Hunter Plastic Surgery January 17, 2019 - You’ll love this Facebook Live with Dr Nicholas Moncrieff from Hunter Plastic Surgery on combining breast and body surgery, held on our closed Facebook Support Forum “Plastic Surgery Support For Aussie Chicks”. There were a heap of questions from the community for Dr Moncrieff, and it was a real insight on what #moncrieffmagic is all about. Questions answered included the following. What do you believe is the best implant available on the market?? What causes rippling in implants ? And what do you usually do to correct the issue? Do all implants to your knowledge take a weird shape when bending over? Or is this cause from excess breast tissue or implants not large enough? I’ve been diagnosed with a post Cesarean Section Neuroma that requires surgical intervention would it be best to: 1)speak to a plastic surgeon about the surgery on its own, 2) incorporate it into an abdominoplasty, 3) continue with Gynecologist for surgical intervention. How long do you recommend you should wait in between surgeries? What is the recovery time before you suggest the second surgery can be performed for those patients needing to break up their procedures into more than one surgery? Group member asking for […]

2 Comments

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    Hi I’ve just found out that my right breast implant has erupted and needs to be taken out as it’s been 15 years I was wondering if anyone or how much it’s going to cost in Melbourne

    • Trish

      Hi Karen
      Here’s a link to Melbourne Plastic Surgeons
      Get a referral from your GP so you can claim any rebates from Medicare.
      Good luck with your search, and if you’d like to join our closed Facebook community of women supporting women, please email trish@plasticsurgeryhub.com.au and she’ll send you a link.
      The PSH Team

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