Breast revision is a common procedure that can result from several different situations. Often as plastic surgeons, we are asked to see patients who have had previous breast augmentation. The effects of time can sometimes cause changes in the appearance of implants. When implants have migrated from their ideal position, sometimes a graft of acellular dermal matrix (ADM) is used to re-establish the proper position of the implant.
Also, there are situations where scar tissue can develop around implants, called capsular contracture. Many times patients want to improve upon this, and they seek consultations from the plastic surgeon for revisional surgery.
There are other situations where breast surgery revision can be necessary. Patients who have had a breast lift and then have had significant weight changes may need a revision. It is very, very rare for a patient who has had a previous breast reduction to redevelop to a sufficient size to need reduction again, but this can be accomplished. Also, in many situations, breast reconstruction after cancer is a very complicated procedure that can require multiple small tweaks to improve it.
Breast Revision Procedure
A specific plan for breast revision is dependent on each individual’s presentation. Before surgery, our plastic surgeon, Dr. David Durst, will analyze the patient, discuss with them what their goals are, and determine what could be improved with respect to their current situation. After careful consideration of these factors, a specific plan is outlined for how this can be best accomplished.
This individualized approach for the patient can involve changing implants, correcting pockets, removing scar tissue, tightening a breast lift, or reducing a breast again. In some situations, multiple small procedures including fat grafting for reconstruction patients may be performed.
As more and more patients have had breast surgery in the past, the number of breast revision patients is increasing. As a result of this increase, breast revision surgery is becoming a significant component of many plastic surgeons’ practices.