Breast augmentation is one of the most popular cosmetic procedures, with high patient satisfaction rates. But implants are not lifetime devices, and over time, changes in your body, implants, or goals may lead to the need for breast implant revision surgery. This procedure corrects complications, updates implant type or size, and restores the appearance you want. Dr. Bram Kaufman provides breast revision to patients in Cleveland, Beachwood, Pepper Pike, Lyndhurst, OH, and surrounding locations.
What Is Breast Implant Revision?
Breast implant revision is a surgical procedure to remove, replace, or adjust breast implants from a previous augmentation. It may also involve modifying scar tissue, tightening the breast pocket, or performing a breast lift at the same time. The surgery is highly individualized, since no two revision cases are exactly alike.
When You Might Need Revision Surgery
Common reasons patients seek implant revision include:
- Implant rupture or leakage: Saline implants visibly deflate when ruptured, while silicone implant leaks are often detected on imaging.
- Capsular contracture: The scar tissue capsule around an implant becomes thickened and tight, causing hardness, pain, or distortion.
- Implant malposition: Implants may shift over time, causing asymmetry, bottoming out, or a “double bubble” effect.
- Size or style change: Preferences may evolve, with patients choosing to go larger, smaller, or switch from saline to silicone implants.
- Aging and tissue changes: Pregnancy, weight changes, and gravity can alter breast shape, sometimes requiring a lift in addition to revision.
- Aesthetic dissatisfaction: Some patients simply want a different look or feel than their original results provided.
The Revision Procedure
Revision breast surgery is often more complex than the original augmentation. It may involve:
- Removing and replacing implants with new ones
- Performing a capsulectomy to remove scar tissue
- Adjusting the implant pocket for better positioning
- Combining with a breast lift for improved shape and support
- Using fat transfer to enhance natural softness around implants
Recovery Expectations
Recovery depends on the extent of surgery, but in general:
- 1–2 weeks off work or strenuous activity is typical
- Swelling and bruising are common in the first two weeks
- Light activities resume within days, but exercise waits until cleared
- Results refine over several weeks to months
Breast implant revision is sometimes necessary, sometimes elective, but always personal. If your implants are causing issues or no longer suit your body and goals, consulting a board-certified plastic surgeon can help determine the best path forward.
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