For the past two decades, breast enhancement surgery has been in the top 5 most requested and popular plastic surgery procedures. But having a breast aesthetic surgery is not a decision to take lightly. Millions of women have undergone breast surgery over the last few decades and while breast augmentation remains one of the most popular plastic surgery procedures, other breast surgeries do not fall far behind.
For the past two decades, breast enhancement surgery has been in the top 5 most requested and popular plastic surgery procedures. But having a breast aesthetic surgery is not a decision to take lightly. Millions of women have undergone breast surgery over the last few decades and while breast augmentation remains one of the most popular plastic surgery procedures, other breast surgeries do not fall far behind.
Of course, after having a breast augmentation or breast reduction surgery, the last thing likely on your mind is having additional breast surgeries now and in the near future. However, breasts will continue to change with age and time, hormones have unpredictable effects and we are all living longer. This is leading to increasing numbers of women seeking breast revision surgery as a solution. Dr Rozina Ali, one of the best plastic surgeons in London, is highly qualified in breast surgery. She shares her insights regarding the many factors that could cause your breast implants to deviate from your original expectations or appearance and could lead to revision surgery. But let us take things step by step.
Contents
What is Breast Revision Surgery?
Breast revision surgery is a surgical procedure that aims to correct or improve the results of a previous breast surgery. The procedure may involve removing and replacing breast implants, correcting asymmetry or other cosmetic issues or addressing medical complications that have arisen from the initial breast surgery
Over time, breasts change in shape and size. Implants may not change at all and in fact, their lack of movement can lead to the overlying breast tissue creating an appearance or feel to the breast that is less desirable than the original result.
Breast implant revision surgery needs to be tailored specifically to the patient’s goals and desires. Correction of either aesthetic breast surgery or post-reconstruction problems requires experience, judgement and surgical skill. It may include a range of procedures, including revision of breast implants, reshaping/lifting breasts or adding fat to breast tissues that may previously have been lifted or reduced or it may require the correction of unsightly scars.
Who Is A Candidate For Revision Surgery?
While it is reasonable to expect patients to replace their breast implants after 10+ years, there are several reasons they may need to be replaced sooner. These reasons may vary from not achieving the best or natural-looking results you were hoping for to experiencing complications with your implants, such as capsular contracture or simply preference to revise or rejuvenate the results following a change in breast shape, volume, size or symmetry.
Prior to breast revision surgery, make sure to consult with your aesthetic surgeon to establish the best time frame and circumstances for you to safely undergo breast surgery once more. If you have recently had breast surgery, Rozina would always advocate waiting for at least six months and possibly up to a year before embarking on correctional surgery in order to allow the scarring (particularly internal scarring) to mature and soften so that the tissue is pliable and easier to work with.
When Should You Consider Revision Surgery?
Besides being unhappy with the breast surgery, there may be some serious signs one needs revision surgery. Here are the top 3 signs:
1. Implant Discomfort
Painful or uncomfortable implants can indicate a number of issues that require a breast implant revision, including capsular contracture, seroma, haematoma, trapped nerves or poor implant placement. Regardless of the cause, persistent pain is not a normal result of breast augmentation surgery.
2. Implant Displacement
It is common for a breast implant to settle into a slightly different position over time, as can breast tissue. However, when the implants are no longer aligned with the natural shape of the body, breast revision surgery may be required.
3. Breast Asymmetry
While some amount of breast asymmetry is natural, when one breast looks noticeably different, breast revision can adjust your breast contours to look more symmetrical in size and shape.
Signs You Might Need Breast Revision Surgery
Knowing when to consider revision surgery is crucial for maintaining both your appearance and your health. The most obvious sign is physical discomfort – if you’re experiencing pain, tightness or unusual sensations around your implants, it’s time to consult with a surgeon. Another common indicator is visible changes in your breasts, such as asymmetry (where one breast looks noticeably different from the other), implants that have shifted position or changes in breast shape that you’re unhappy with.
| Warning Sign | Description | Recommended Action |
|---|---|---|
| Physical Discomfort | • Persistent pain • Unusual tightness • Strange sensations around implants • Ongoing tenderness | Schedule consultation with board-certified plastic surgeon for evaluation |
| Visible Changes | • Noticeable asymmetry between breasts • Implants that have moved from original position • Changes in overall breast shape • Unnatural appearance | Document changes with photos and consult surgeon |
| Implant Issues | • Visible rippling of implant through skin • Implant feels harder than normal • Can see implant edges • Implant appears to be folded | Immediate consultation recommended |
| Body Changes | • Changes after pregnancy • Significant weight gain or loss • Age-related breast tissue changes • Changes due to menopause | Regular follow-up with surgeon to discuss options |
| Position Problems | • One or both implants sitting too high • Implants riding too low • Side displacement • Implants too close together or far apart | Professional evaluation needed |
| Capsular Changes | • Hardening of tissue around implant • One breast feels firmer than other • Distortion of breast shape • Discomfort when moving arms | Surgical consultation required |
| Age of Implants | • Implants over 10 years old • Unknown age of implants • Previous surgery complications • Outdated implant type | Preventive consultation recommended |
Note: While these signs suggest the need for revision surgery, not all changes require immediate action. Always consult with a board-certified plastic surgeon for proper evaluation and personalized recommendations.
Key Takeaways:
- Document any changes you notice with photos and written descriptions
- Keep records of your original surgery date and implant details
- Don’t panic if you notice changes – many are normal and can be addressed
- Regular check-ups can help catch potential issues early
Preparing for Breast Revision Surgery
If you’re considering breast revision surgery, preparation is key to ensuring the best possible outcome. The first and most important step is finding a board-certified plastic surgeon who specializes in revision procedures. This isn’t the time to cut corners or look for the cheapest option – revision surgery is often more complex than initial breast augmentation and requires specific expertise.
During your consultation, be prepared to discuss your complete medical history, including details about your original surgery. Take time to think about what you want to achieve with the revision – whether it’s addressing a specific problem or changing your appearance. Your surgeon should take detailed measurements and photos, discuss various implant options if relevant and explain the surgical approach they recommend.
They should also be clear about recovery expectations, potential risks and what you can do to prepare for surgery. Good surgeons will encourage you to ask questions and will make sure you understand all aspects of the procedure before moving forward.
Understanding the Cost Factors
| Cost Factor | Details | Typical Range* |
|---|---|---|
| Core Surgical Costs | ||
| Surgeon’s Fee | • Based on surgeon’s experience • Varies by geographic location • Reflects surgical complexity | $3,000 – $7,000 |
| Anesthesia | • Type of anesthesia used • Length of procedure • Anesthesiologist’s fees | $800 – $1,500 |
| Facility Fees | • Operating room costs • Recovery room fees • Medical supplies • Staff fees | $1,000 – $3,000 |
| Additional Required Expenses | ||
| New Implants | • Saline implants • Silicone implants • Specialized implants • Brand variations | $1,000 – $2,500 |
| Post-Surgery Supplies | • Surgical bras • Compression garments • Medications • Dressings | $200 – $500 |
| Variable Costs | ||
| Pre-Op Tests | • Blood work • Mammograms • Medical clearance • Imaging studies | $300 – $1,000 |
| Follow-up Care | • Post-op visits • Additional treatments • Revision touch-ups • Scar management | Typically included |
| Insurance Considerations | ||
| Potentially Covered | • Capsular contracture • Implant rupture • Medical complications • Post-mastectomy reconstruction | Varies by policy |
| Not Covered | • Cosmetic improvements • Size changes • Aesthetic adjustments • Elective revisions | Full patient responsibility |
| Financing Options | ||
| Medical Credit Cards | • CareCredit • Other healthcare financing • Interest rates vary • Payment terms flexible | Based on credit |
| Payment Plans | • In-house financing • Monthly payments • Direct surgeon agreements • Third-party lenders | Practice specific |
Important Notes:
- *Price ranges are estimates and can vary significantly by location and provider
- Always get detailed written quotes before proceeding
- Ask about package deals that include follow-up care
- Confirm what’s included in the quoted price
- Discuss payment options before scheduling surgery
Hidden Costs to Consider:
- Time off work for recovery
- Travel expenses if using out-of-area surgeon
- Childcare during recovery
- Post-surgical garments and supplies
- Possible future maintenance procedures
Cost-Saving Tips:
- Compare multiple surgeon quotes
- Ask about seasonal specials
- Consider financing options
- Check insurance coverage if medically necessary
- Look into payment plans
- Bundle procedures if multiple revisions needed
These prices are approximate and can vary significantly based on location, specific surgical needs and other factors. Always consult with board-certified plastic surgeons for accurate quotes based on your specific case.
Conclusion
Make sure to select a highly trained plastic surgeon (FRCS Plast) who will spend plenty of time with you during your initial consultation to consider your aesthetic goals, lifestyle and personal preferences. Keep communicating until you feel comfortable your needs have been understood and you trust your surgeon will be able to reduce the risks of the initial breast augmentation you have in mind.
