Thousands of women undergo breast augmentation surgery each year and many of these patients will require a revision surgery. The most common reason to have a second breast implant revision surgery is to change the size of the implant- with most patients electing to go larger in size. Dr.Bruno minimizes breast implant revisions for this reason by using 3D imaging before surgery so that patients can visualize the size of their implants before actually undergoing the procedure.
Another common reason to need a revision would be to treat a condition known as capsular contracture. This basically refers to hard scar tissue which can form around the breast implant causing the implant to become distorted and firm. This occurs in about 10% of all patients undergoing breast augmentation. It is known to occur more commonly in breast implants inserted through the areolar incision as well as implants placed above the muscle (subglandular). For this reason Dr.Bruno prefers to insert implants under the muscle (subpectoral) and most often through the breast crease or inframammary incision. Some breast implants which have been placed in front of the pectoral muscle need to be converted to a subpectoral position to reduce the chance of recurrence of hard scar tissue. Furthermore, the texture of the breast implant may need to changed to reduce the incidence of hard scar tissue formation. Breast implant revision surgery can also be diminished through the use of prophylactic vitamin E as well as other prescription medications. Finally, capsular contracture can also be prevented through the use of a special funnel which allows the breast implant to be inserted without contacting the surgeon’s gloves thereby minimizing any contamination of the implant. Besides size requests, capsular contracture is the main reason for needing a breast implant revision surgery.
Breast implants can also rupture or deflate which is another main reason patients may require a breast implant revision surgery. Saline implants (water-filled) have a ten year deflation rate of about 10%. Silicone (gel-filled) breast implants have a ten year deflation rate of about 3-4%. Most patients choose silicone implants due to their more natural feel compared to saline breast implants. Dr.Bruno will explain the differences in greater detail at the time of your consultation in Beverly Hills.
Some patients may want to downsize the size of their breast implants which may often need to be performed at the same time as a breast lift. This is done to remove any excess skin that may occur as a result of the smaller breast implant. This type of breast implant revision surgery can be complex and Dr.Bruno can examine your skin to determine which type of breast lift is best for you.
Basically, most patients who have breast augmentation will likely undergo a second surgery in their lives, for a variety of reasons. You can however be lucky and go many years without requiring breast implant revision surgery. Dr.Bruno can explain these issues in greater detail during the consultation.
If you have had breast implant surgery and are experiencing a problem or have a concern, please contact Dr.Bruno in Beverly Hills at 310-461-3855 for more information on breast implant revision surgery.