Some women need to have adjustments made to their breasts and/or breast implants after their breast augmentation procedure. In some cases, revisionary breast surgery is performed in the first year after breast augmentation, but the majority of revisions are performed years after the initial augmentation.

Breast Implant Exchange For Size

On occasion, a woman may find that her original breast implant selection does not give the look and breast size she desired. In some, this decision is made in the first year after breast augmentation. In others, this decision may be in response to changes that have occurred to the breasts with time and aging. Some women decide to have their breast implants replaced with smaller implants, and some decide to have their breast implants replaced with larger implants. In addition, some women decide to change the implant type. For example, if a woman does not like the feel of a saline breast implant, she may have saline implants exchanged with softer, silicone gel implants. The exchange procedure is much easier to experience than the original breast augmentation. The old breast augmentation scar is used to access the implant and the implant is simply removed and replaced with the desired type and size. The breast augmentation incision is then closed, just as it was originally.

Breast Implant Exchange For Implant Failure

Unfortunately, breast implants can break. To replace a broken breast implant, revisionary breast augmentation surgery is needed. The old augmentation scar is usually used, and the failed breast implant is simply removed and replaced with an identical implant.

Correction Of Breast Implant Position

In some cases, breast implants do not sit in an optimal position on the chest and under the breasts. In some cases, the breast implants are too high and in some the implants sit too low. Breast implant position changes can also usually be performed using the original augmentation scar.

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Correction Of Capsular Contracture

Capsular contracture formation around breast implants can be bothersome to women and lead to the need for revisionary breast augmentation surgery. A capsular contracture is when the scar tissue around a breast implant thickens and contracts around the implant. This can lead to a firm breast implant and breast distortion. In some cases, capsular contractures are painful.

For advanced capsular contractures, surgery is needed to either incise the breast scar tissue (capsulotomy) or to remove the breast scar tissue completely (capsulectomy). The breast implant is then replaced. The existing augmentation scar can usually be used for this procedure. But, if an axillary breast augmentation scar is present, we would usually recommend another approach (and scar) to treat this problem.

Breast Augmentation Scar Revision

Overall, breast augmentation scars heal well and are generally well accepted by patients. However, if a breast augmentation scar is particularly thick and wide, the scar can be removed. However, another scar will form and there is no guarantee that a revised scar will be better than the original breast augmentation scar.

Correction Of Breast Ptosis

In some cases, revisionary breast surgery is needed to lift the breasts following breast augmentation. This may occur soon after breast augmentation in patients with excess breast skin and low nipple position that probably would have benefited from breast lift, during the original augmentation. In others, the breasts sag over time due to aging and possibly from the size and weight of the breast implants. In such cases, revisionary surgery in the form of a breast lift, or mastopexy, is needed.

Removal Of Undesired Breast Implants

Though rare, some women elect to have their breast implants removed and not replaced. The implants are removed using the original breast augmentation scar. The appearance of the breasts after breast implant removal is variable, depending on the amount and elasticity of the remaining breast skin. In some cases, a breast lift will be needed, following breast implant removal.

If you have had breast augmentation, but now have problems or don’t like your look, then a breast augmentation revision may be the solution for you. Call our office in Portland to schedule a consultation at (503) 783-0544.