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Cosmetic Surgery | Breast | Revision Breast Augmentation

Cosmetic Surgery

Revision Breast Augmentation

Exchange of breast implants (revision breast augmentation) is typically undertaken to regain soft and symmetrical breasts.

Implants that gave the correct look originally, now need changing to a different size or shape as time has passed. Often it is a combination of factors – native breast volume has reduced, and nipple positions have also changed.  Alternatively, over time implants may have become mis-shapen or irregular feeling. Such features  often signal a ‘capsular contracture’ –  internal scar-like tissue  which surrounds implants and can progressively distort them – causing altered position, visible irregularities and occasional discomfort. Sometimes women have had a routine breast scan (ultrasound or MRI) and by chance have had it pointed out that an old implant may need changing (implant rupture).

The extent of the surgical procedure necessary will depend on the nature of the problem. Simple exchange of implant may be all that is needed.  If the nipple position has become very low-hanging (ptotic) over time then as well as changing the implant, a mastopexy (nipple lift) procedure will also be necessary.   If a capsular contracture is causing problems then capsule surgery is usually required, often removing all of the capsular contracture/ scar tissue (capsulectomy procedure) at the same time as the old implant is removed.

Augmentation revision surgery is a general anaesthetic procedure, usually with a one or two night postoperative hospital stay. The downtime is longer than at the initial (‘primary’) breast augmentation procedure, particularly if additional capsule or mastopexy surgery is required. Patients typically return to office-style work with two weeks, but it is six weeks before more strenuous upper body activities (outdoor pursuits / sports etc)  are permitted.