Breast Revision Surgery to correct Botched Boob Jobs and Implant Complications in Melbourne, Australia
- Do you need your implants changed or, do you need to fix a Breast implant complication?
- Are you unhappy with your current breast augmentation results?
- Do you have issues or concerns with your current breast implants?
Dr Craig Rubinstein is a Specialist Melbourne based Plastic Surgeon. Furthermore, he has over 25years of experience and is considered one of the best Plastic Surgeons in Australia. As a result, he has experience with Breast Revision Surgery for Breast Surgery Complications.
What is Breast Revision Surgery?
Breast Revision Surgery is follow-up breast surgery to either improve your aesthetic outcome or fixing a complication. However it’s not a simple fix, it can involve complex breast revision surgery techniques like changing the pocket or capsule, repositioning or performing a breast lift at the same time. As a result, revision Surgery requires collaborative decision making and a detailed analysis of what surgical techniques will provide you with the best result.
Why some patients want to have Breast Revision Surgery
Below are some other reasons for Breast Implant Revision Surgery:
- If the patient had a breast augmentation without a breast lift, despite moderate skin laxity or severe skin ptosis
- Another is that there was miscommunication or perceptions about ideal breast size/shape (most women want to go a bit bigger during revision)
- There was a lack of customisation, pre-surgery measuring/planning, in other words, one size fits all surgery.
- Post-op recovery and rest recommendations were ignored. Therefore the results were sub-optimal
- Similarly, recommended follow-up appointments we not attended and/or failure to wear support garments after surgery (also resulting in a sub-optimal result)
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Common Reasons for Breast Revision Surgery
There is a wide variety of reasons women seek breast implant exchange or revision surgery. For Example:
- A desire to change implant size – related to lifestyle changes, weight changes or exercising comfort
- Breast Surgery Complications can include;
- 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, bodyweight or appearance goals
- General Pain caused by patients breast implants
NOT everything that has gone wrong can be fixed
- Before you evaluate breast implant revision surgery, 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.
Breast Revision Surgery is a complex surgery.
Questions to consider before having REVISION breast surgery:
There are other things to consider when contemplating having revisional breast surgery.
- First, have you given your surgery results at least 12 months of healing time?
- Similarly, has initial swelling fully subsided and bruising resolved?
- Are your breast implants causing you any pain?
- Have your augmented breasts become unusually hardened? (Capsular Contracture?)
- Are you disappointed with the look of your current implants?
- Have you noticed breast rippling or movement?
- Are your implants moving or breasts ‘bottoming out’?
- Have you lost your cleavage and as a result have a uni-boob look? (Symmastia)
- 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?
- Finally, are you prepared for the fact that 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.
Fixing Botched Boob Jobs: Breast Revision Solutions
Breast implants DO have a lifespan (as do all medical devices). As a result, 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 include;
- 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 also develop or a number of factors (for example; childbirth) 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 of Breasts – in other words, 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)
- Capsulectomy/ Capsuloraphy for Hardening of the Breast Pocket or Capsular Contracture – a complication resulting in hardening of the implant pocket
- Breast Implant Replacement – typically for a modern implant or size change
- Rippling or Wrinkling – wavy, unnatural skin texture usually on top of the breast
- Remove or Replace Ruptured Implants – to remove, rectify and possibly replace an implant
- Symmastia Surgery – implants too close together crossing the midline, also known as a uniboob
Types of Breast Implant Revision Surgery
Breast Implant Removal (Explantation)
- In general, explantation is typically more popular with older patients or
- Patients who are concerned about sensitivities
- This procedure involves the entire breast implants being 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 not only depend on existing breast tissue but also 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.
- In addition, 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 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).
- A Capsulectomy involves the removal of scar tissue,
- and, Capsulotomy, involves the making of incisions in the scar tissue surrounding the implant
- This procedure helps to not only produce a softer, more natural appearance but also a more natural feel, especially after capsular contracture.
How much does Breast Revision Surgery Cost?
Breast Implant Replacement and Breast Revision Surgery prices in Melbourne tend to range from $16,000 to $30,000 (average costs).
- Revision surgery is usually more expensive than the primary (original) surgery.
- This is due to the fact that it is more complex. As a result, it tends to involve a lot more time in the operating theatre.
- The exact price will depend on your choice of Surgeon as well as WHAT procedures and techniques might help.
Further Reading – Medical References
Below is a list of Further Reading as well as links to the related website.
- Firstly, 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]
- Secondly, 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]
- Thirdly, 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]
- As well as, 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]
- Finally, 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]