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Breast Implant Revision

Thin and small patients tend to have problems with implants such as palpable edges or wrinkling or unnaturally round breasts due to insufficient skin to cover implants. These problems can also be solved using autologous fat to fill and correct the concavity or wrinkles. The surgery is similar to that for primary breast augmentation with autologous fat. The surgeon takes an adequate amount of fat, purify it, and inject it in local areas with an implant edge or concavity. Injections are superficially made in cutaneous tissues above implants while avoiding damage to the implants. Using a sufficient amount of fat, problems with implants such as their texture or appearance can be improved without revision surgeries. In addition, some problems with breast shapes after implants, e.g., distanced breasts or upper breasts not full enough, can be improved using local fat injection, saving suffering from a second augmentation with implants. However, this surgery still has the drawback of autologous fat absorption. Patients need to completely stop breast massage after the procedure to prevent excessive loss of fat cells. Thus, the best timing for the surgery would be after the care period of the implant surgery, when breast massage is no longer needed.

Surgical conditions

Duration

0hr
  • Type of anesthesia: General anesthesia or IV sedation
  • Type of incision: 0.3-cm incisions in the medial or lateral lower breast
    1-cm liposuction incision (belly button or groin)
  • Recovery: 1–2 days
  • Removal of stitches: 5–7 days

General instructions

No food and water on the day of surgery

0hr
  • Stimulation with cold compress or excessive heat should be avoided for 2 weeks postoperatively.
  • Compression or aggressive massage of breasts should be avoided for 1 month postoperatively.
  • Smoking and alcohol consumption should be avoided for 3 months postoperatively.
  • Breast massage should be discontinued until the result stabilizes.
  • Periodic follow-ups and check-ups are necessary if breast lumps are observed even after 6 months.

Ideal candidates

  • Those who have problems such as palpable wrinkles or edge related to breast texture after implant surgery.
  • Those who have problems such as overly round breast or distanced breasts related to breast appearance after implant surgery.
  • Those with ptotic breasts or hollowness in the upper breasts after implant surgery.
  • Those who would like to improve the problem of asymmetric breasts due to implants.
  • Those who would like to further increase their breast size.

Possible complications

  • Breast calcification
  • Unknown lumps
  • Autologous absorption
  • Mammary gland inflammation
  • Implant puncture
  • Unsatisfactory results

Surgical advantages

  1. Effective improvement of problems with breast texture after implants.

  2. Enhances the natural look after implant surgery.

  3. Avoids risks and the care period associated with revision surgery with implants.

  4. Local adjustment of breast shape after implants, creating an even more perfect breast shape.

Surgical drawbacks

  1. The ratio of fat absorption varies according to the individual.

  2. Possible fat calcification or lumping.

  3. Continuous breast massage may lead to rapid fat loss.

Possible procedures in conjunction

Before & After

These photographs represent typical results, but not everyone who undergoes plastic surgery will achieve the same.

Breast Implant Revision