SURGICAL PROCEDURES

Revision Breast Surgery

REVISION BREAST SURGERY IS OFTEN REQUIRED 10-15 YEARS AFTER BREAST AUGMENTATION SURGERY TO CHANGE OR REMOVE THE IMPLANT, OR CONDUCT A BREAST LIFT.

Breast enlargement is one of the most popular plastic surgery procedures for many good reasons - it is safe, predictable, can produce an immediate improvement in properly-selected women, and has very high patient satisfaction. However, it is important to appreciate that following breast implant surgery you will almost certainly need further surgery again in the future. We customise revision breast surgery plans for the following reasons:

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Change in size / shape

Occasionally, women want to change their cup size following a boob job. This might involve implant exchange, plane change, capsulectomy (removal of capsule), capsulotomy (release of the capsule without removing it), capsulorrhaphy (reshaping the capsule) or a combination of these.

2. Capsular Contracture

A minority of patients may develop capsular contracture following breast augmentation. In such cases, the capsule needs to be removed (capsulectomy) and the breast implants replaced, sometimes with a plane change. We may decide you would benefit from uplift surgery at the same time.

3. Implant rippling

I have not seen a case of visible implant rippling amongst my patients although I am called upon to address it following previous breast surgery. This can involve changes to the implant, its placement and adjunctive surgical techniques such as fat grafting. We’ll formulate a tailor-made plan for you.

KEY TREATMENT AREAS

Revision Breast Surgery is perfect for patients who want to replace and remove breast implants to change the size or shape of their breasts. It also targets breasts that have developed a Capsular Contracture and use used to fix implant rippling following previous breast surgery.

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FULVIO’S ADVICE

There is no set time limit for revision surgery - some women have the same implants for decades - but on average it takes place 10-15 years after the original procedure. In many cases it is easier and less invasive than the original surgery. Whatever your needs, we’ll tailor a personalised surgery plan for you.

AFTERCARE

Pain medication is typically only needed for a few days, and swelling reduces after a few weeks. After the surgery, you will be asked to wear a post-surgical bra and will be given postoperative exercises to optimise results. You should be able to return to work after 1-2 weeks. Wounds will be checked at 1 week, and we’ll meet again at 1, 3 and 6 months.

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PROCEDURE STATS

Time: 1.5-2 Hours

Hospital: 1 Night

Anaesthetic: General

Exercise: 4-8 Weeks

Smoking: Stop for 2 weeks before & after surgery

Full recovery: 4-6 Weeks

Washing: Shower after 2 days, bath after 2 weeks

Driving: 1-2 Weeks

Surgical bra: 4-6 Weeks

Time off work: 1-2 Weeks

WHAT THEY’RE SAYING

“Fulvio, Medicine can cure but a good doctor’s inspirational works can give the strength to fight from within. Thank you for doing just that. It’s really appreciated.”

— Satisfied Patient

FREQUENTLY ASKED QUESTIONS

Breast augmentation (breast enlargement) is one of the most popular plastic surgery procedures for many good reasons - it is safe, predictable, can produce an immediate improvement in properly-selected women, and has very high patient satisfaction. However, it is important to appreciate that following breast implant surgery you will almost certainly need further surgery again in the future - to carry out an uplift, to change the implant, or eventually simply to remove the implants. There is no set time limit for revision surgery - some women have had the same implants for decades - but on average, revision surgery takes place ten to fifteen years after the original procedure.
In many cases implant exchange is easier and less invasive than the original surgery, since the pocket for the breast implant already exists. An exception, is revision surgery for thick capsule formation ('adverse capsular contracture' or ACC), in which all or most of the capsule is removed and the implant plane may be changed.

Depending on your type of revision surgery, generally, patients only need simple painkillers for the first few days after surgery. You should book a week off work in case you need it, but most patients say they feel like a fraud by the third or fourth day! If your job is office-based, it is often possible to return to work within a few days. However, picking up small children and driving should be avoided for the first fortnight and be wary of any sexual activity for at least the first week. Moreover, strenuous activities such as running, horse-riding and heavy gym work should be avoided for up to six weeks. Saving your energy to heal the body post-surgery is the most sensible way to reduce the risk of complications.