Breast Revision Surgery

Breast Revision Surgery to correct Botched Boob Jobs and Implant Complications in Melbourne, Australia

  • Do you need your implants changed or 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?

Breast Revision Surgery for Breast Surgery Complications is performed by Dr Craig Rubinstein, Specialist plastic Surgeon in Melbourne.

What is Breast Revision Surgery?

Breast Revision Surgery is follow-up breast surgery to improve  your aesthetic outcome or fixing a complication. This can 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 some patients want to have Breast Revision Surgery

Some of the reasons for further Breast Implant Revision Surgery 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

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Common Reasons for Breast Revision Surgery

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

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 complex surgery.

  • Breast Implant Replacement with Dr Craig Rubinstein

Questions to consider before having REVISION breast surgery:

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

  • Have you given your surgery results at least 12 months healing time?
  • 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 and have given them at least 12 months for swelling to subside?
  • 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? (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?
  • 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.

Fixing Botched Boob Jobs: Breast Revision Solutions

Breast implants DO have a lifespan (as do all medical 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 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 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 of Breasts  – 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 breast
  • Remove or Replace Ruptured Implants – to remove, rectify and possibly replace an implant
  • Symmastia Surgery – 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 Revision Surgery Cost?

  • Revision surgery is usually more expensive than the 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 – Medical References