Breast implants are not designed to last a lifetime. While many women enjoy long-term results after breast augmentation, there may come a time when revision surgery becomes necessary. Whether it’s due to aesthetic concerns or medical complications, recognizing the signs that indicate it might be time for a breast implant revision is essential. In this blog, we explore the most common reasons for revision surgery and what you should watch for. Dr. Bram Kaufman provides breast revision to patients in Cleveland, Beachwood, Pepper Pike, Lyndhurst, OH, and surrounding locations. Here, we outline the key factors to consider when choosing a plastic surgeon.
Why Do Women Choose Breast Implant Revision?
Breast implant revision surgery may be performed for cosmetic enhancement, correction of complications, or replacement of old implants. Common motivations include:
- Desire to change implant size or type
- Aging implants (usually replaced every 10–15 years)
- Capsular contracture (hardening of scar tissue)
- Implant rupture or leakage
- Shifting or malpositioning of implants
- Breast tissue changes due to weight fluctuation, pregnancy, or aging
Top Signs You May Need a Breast Implant Revision
- Changes in Breast Appearance
- Uneven shape or asymmetry
- Wrinkling or rippling of the implant
- Nipple displacement or unnatural contours
- Breast Pain or Discomfort
- New or persistent pain around the implant
- Hardening or tightness, especially in cases of capsular contracture
- Implant Rupture or Deflation
- Saline implant rupture causes noticeable deflation
- Silicone implant rupture may be silent (detected via MRI)
- Visible Implant Movement
- Implants that have shifted due to gravity, trauma, or tissue thinning
- Symmastia (implants merging at the midline, also called “uniboob”)
- Aging or Dissatisfaction Over Time
- Desire for a more natural look
- Downsizing or upsizing for better body proportions
- Breast sagging requiring a lift with implant exchange
What to Expect from a Revision Consultation
Your plastic surgeon will:
- Review your medical and surgical history
- Conduct a physical exam and imaging (MRI or ultrasound)
- Discuss your goals for size, shape, and placement
- Recommend a personalized surgical plan
Options During Breast Implant Revision
Depending on your needs, revision may include:
- Implant exchange (size, shape, or material)
- Capsulectomy (removal of scar tissue)
- Breast lift (mastopexy) for sagging
- Fat grafting for improved contours
Conclusion
If you’re experiencing physical discomfort, visible changes, or dissatisfaction with your breast implants, it may be time to consider a revision. Early consultation with a board-certified plastic surgeon can help identify the best path forward. With modern techniques and materials, breast implant revision surgery can restore both your comfort and confidence.
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