Breast Implant Replacement Surgery

Breast Implant Replacement Surgery in Melbourne

  • Do you need a implant size change or want to fix a Breast implant complication?
  • Are you unhappy with your current  breast augmentation results?
  • Do you want to change your implant type due to concerns about implant texturing?

What is Breast Implant Replacement Surgery?

Breast implant replacement Surgery is changing one or both breast implants over for another implant(s), aiming for a better aesthetic outcome or fixing a complication.

This could involve complex breast revision surgery techniques like changing the pocket or capsule, repositioning or performing a breast lift at the same time.

Revision Surgery requires collaborative decision making and a detailed analysis of what surgical techniques will provide you with the best result.

Why are some patients unhappy with their current breast implants?

Some of the reasons that could cause poor breast augmentation results include:

  • Only had augmentation without a breast lift, despite moderate skin laxity  or severe skin ptosis
  • Had a miscommunication or perceptions about ideal breast size/shape (most women want to go a bit bigger during revision)
  • Lacked customised pre-surgery measuring/planning
  • Ignored post-op recovery & rest recommendations and had a sub-optimal outcome
  • Didn’t attend recommended follow-up appointments or Failed to wear support garments after surgery

Need Implant Remove and Replace Breast Surgery? Download this Guide

Implant Removal or Replacement Download

Common Reasons for Breast Implant Replacement or Augmentation Revision

There are a wide variety of reasons women seek breast implant exchange or revision surgery.

These include:

  • A desire to change implant size related to lifestyle changes, weight changes or exercising comfort
  • Breast Surgery Complications like
    • Capsular contracture
    • Capsular calcification
    • Implant rupture
    • Breast implant deflation
    • Implant leakage
    • Breast implant wrinkling
    • Excessive movement of the breast implant
    • An allergic reaction to the breast implant
    • Infection or bleeding after surgery
  • Asymmetry in nipples or breast shapes or sizes (usually pre-existing, but potentially amplified when breast volume increases)
  • Suspicions or recent diagnosis of breast cancer
  • Worries about the quality, brand or type of implant (e.g. textured implant)
  • A prior, botched procedure or a poor surgical result from overseas surgery that needs to be corrected
  • A change in lifestyle, body weight or appearance goals
  • General Pain caused by the breast implants

Breast Implant Revision surgery is complex and that NOT everything that has gone wrong can be fixed

  • Before you evaluate breast implant replacement, it is important to consult closely with a fully QUALIFIED,  experienced Plastic Surgeon.
  • However, if you do not feel comfortable with your original surgeon, seek a second opinion.
  • Don’t be surprised if your Surgeon encourages you to go back to your original surgeon.

Breast Implant Replacement with Dr Craig Rubinstein

Questions to consider before having REVISION breast surgery or breast implant exchange:

There are other things to consider when contemplating having revisional breast surgery.

  • Are your breast implants causing you any pain?
  • Have your augmented breasts become unusually hardened?
  • Are you disappointed with the look of your current implants and have given them at least 12 months for swelling to subside?
  • Has initial swelling fully subsided and bruising resolved?
  • Have you given your surgery results at least 12 months healing time?
  • Do you want to return to life with smaller breasts or more similar to how your breasts looked before you got your implants?
  • Have you noticed breast rippling or movement?
  • Are your implants moving or breasts ‘bottoming out’?
  • Have you lost your cleavage or do you have a uniboob look?
  • Did you give your original surgeon a chance to rectify the situation (if they are a FRACS qualified specialist)?
  • Are your expectations realistic in terms of what you started with?
  • Are you prepared for the fact that a revision surgery may or may not get you what you’re wanting, depending on what you’re dissatisfied with?

We would always advise going back to your original surgeon if they are a FRACS qualified Specialist Plastic Surgeon.

Replacing Ageing Implants or fixing Botched Boob Jobs: Breast Revision Solutions

Breast implants DO have a lifespan (as do all medial devices).

Most breast surgery patients will need to undergo additional breast surgery in their lifetime (revision surgery, replacement or removal).

Considerations for REPEAT or REVISION Surgery

  • ageing implants
  • size or shape adjustment (size change, lift with implants)
  • overall improvement of the breast implant appearance

Even with the best surgical outcome, skin can be prone to stretch, scar tissue may develop or a number of factors including child birth can take its toll.

  • As a result, many women with breast implants may eventually require breast revision surgery.

What Breast Implant Revision Surgeries does Dr Craig Rubinstein perform?

  • Asymmetry Correction – breasts that are uneven, dissimilar or lopsided
  • Bottoming Out – the breast has dropped significantly below nipple – the nipple sits way too high on breast
  • Double Bubble – a crease across the lower part of the augmented breast (2 breast mounds)
  • Hardening of the Breast Pocket or Capsular Contracture – a complication resulting in hardening of the implant pocket
  • Implant Replacement – typically for a modern implant or size change
  • Rippling or Wrinkling – wavy, unnatural skin texture usually on top of breast
  • Ruptured Implant – to remove, rectify and possibly replace an implant
  • Symmastia – implants too close together crossing the midline (creating a uniboob)

Types of Breast Implant Revision Surgery

Breast Implant Removal (Explantation)

  • Explantation is typically more popular with older patients or
  • Patients who are concerned about sensitivities
  • This procedure involves the breast implants being entirely removed and NOT replaced with newer implants.

While having their breast implants removed, patients may opt to also have a breast lift performed to achieve a smaller yet natural look.

Options and outcomes for this procedure depend on existing breast tissue and the elasticity of your skin.

Breast Implant Replacement

  • This is surgery involves the removal of existing implants to be replaced with newer ones.
  • Breast implant replacement also appeals to patients who would like to change their implant size, replace ageing implants or reduce implant visibility or rippling.
  • This procedure may sometimes involve altering the position of your implant from above the muscle (sub-glandular) to beneath the muscle (sub-pectoral) or vice versa.
  • Patients may also opt to change older saline breast implants or ruptured implants in favour of modern silicone cohesive gel breast implants.

Breast Implant Pocket Revision Surgery

  • Pocket revision surgery involves modifying the pocket where the implant is located using surgical dissection or repair of sutures.
  • This procedure also often assists with improving your breast shape, helping to gain cleavage, releasing the muscle or allowing for a size change.

Capsulorrhaphy

Capsulorrhaphy involves the reconstruction of the implant pocket inside the breast using sutures.

This procedure is often used to re-position breast implants that are either too close (symmastia), too low (bottoming out) or too far apart (laterally displaced).

Capsulectomy/Capsulotomy

  • Capsulectomy involves the removal of scar tissue
  • Capsulotomy however involves the making of incisions in the scar tissue surrounding the implant
  • This procedure helps to produce a softer, more natural appearance and feel especially after capsular contracture

How much does Breast Implant Replacement and Breast Revision Surgery Cost? 

  • Revision surgery is usually more expensive than primary (original) surgery.
  • The reason is that it is more complex (more difficult) and tends to involve a lot more time in the operating theatre.
  • The exact price will depend on your choice of Surgeon and WHAT procedures and techniques might help.

Breast Implant Replacement and Breast Revision Surgery prices in Melbourne tend to range from $16,000 to $30,000 (average costs).

Further Reading

Complications and Risks – Mastopexy Breast Lift Surgery

Uneven Breasts: How Breast Asymmetry Impacts Your Breast Augmentation

The Next Steps

  • Visit the FAQs pages and patient reviews to learn more about your intended procedure.

How to Book your Initial Consultation

  • Email us or call on (03) 8849 1444 to arrange your consultation with Dr Rubinstein
  • A referral from your GP or from your specialist is helpful but not essential

What to Bring to your Surgeon Consultation

  • You are more than welcome to bring a friend or relative to help discuss the information and your choices
  • Ensure you also take a lot of notes and thoroughly examine the documents provided
  • Please be aware you may need to undress for a physical exam so wear simple clothes

References

American Society of Plastic Surgeons. November 2018. What is breast implant removal surgery? [online] Available from: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal [accessed 22 November 2018]

International Society of Aesthetic Plastic Surgery. November 2018. Revision Breast Surgery [online]. Available from: https://www.isaps.org/procedures/breasts/revision-breast-surgery/ [accessed 22 November 2018]

American Society of Plastic Surgeons. November 2018. What is breast implant revision surgery? [online]. Available from: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision [accessed 22 November 2018]

US National Library of Medicine National Institutes of Health. November 2018. Capsulorrhaphy for revisionary breast surgery [online]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19083508 [accessed 22 November 2018]

US National Library of Medicine National Institutes of Health. November 2018. Open Capsulotomy: An Effective but Overlooked Treatment for Capsular Contracture after Breast Augmentation [online]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5096543/ [accessed 22 November 2018]

Dr. Craig Rubinstein’s affiliations include:

fracsASAPSAustralian Society of Plastic SurgeonsASPSisaps
*Disclaimer: Individual results can vary significantly from patient to patient. The information we provide is of a general nature.  For further information on what to expect for your preferred procedures, arrange to see one of our Specialist Plastic Surgeons for a full-history and surgical consultation. Read further information about surgical outcome variability on our Disclaimer Page.