Jandali Plastic Surgery offers breast implant revision for patients in Connecticut, Fairfield County, Westport, Wilton, Weston, Easton, Fairfield, Norwalk, Trumbull, Shelton, Bridgeport, Milford, Stratford, New Haven County, and New York.
According to Mentor and Allergan (the two largest breast implant manufacturers), the reoperation rates for primary breast augmentation are about 15% at 3 years and 30% after 7 years. These rates are even higher for revision-augmentation patients. Patients may decide to change the size or type of their implant, requiring additional surgery. Certain problems can require additional surgery, including: implant rupture, capsular contracture (scar tissue around the implant), poor skin scarring, and asymmetry.
Breast implants are not permanent devices, so the longer you have your implants, the more likely it is that you will need surgery to replace them. Breast implants have a lifespan of about 10 to 15 years. If saline breast implants rupture, there will be a sudden deflation in size of the breast. Silicone breast implant rupture is harder to detect but may be detected on mammography or MRI.
Capsular contracture is excessive scar tissue that can form around the breast implants. The capsule that forms around the breast implant is usually soft and thin. However, excessive scar tissue can form, causing distortion, hardening, malposition of the implant, and possibly pain. If this occurs, you may need a surgical release of the capsule that has formed around the implant (capsulotomy), or possibly have the entire capsule removed (capsulectomy). Recent studies have shown that medicines such as Singulair® or an extended course of antibiotics after surgery may help prevent the reformation of a hard capsule.
Asymmetry or implant displacement may be reasons to undergo a revision of your breast augmentation. State of the art techniques will be used to correct issues such as "bottoming out" of the implant, or symmastia (when the two implants meet in the middle – "uniboob").
Wrinkling or rippling of the implant can be an issue, especially in thin patients or in patients who have had a previous implant placed on top of the pectoralis muscle. If the implants are on top of the muscle, they can be revised and moved underneath the muscles. In addition, if the original implants are saline implants, they can be exchanged for silicone implants, which show less rippling. Sometimes, if there is still rippling, fat grafting can be used to smooth the contour and hide the ripples.
If you are interested in revision or correction of a breast augmentation, breast lift, or breast reconstruction, come visit our plastic surgery office in Fairfield County, Connecticut. Call 203-374-0310 to set up an appointment with Board Certified plastic surgeon Dr. Shareef Jandali. We look forward to seeing you!