So, you’ve taken the plunge and had breast surgery—congrats! But what if your new look feels a bit off, leaving you second-guessing your choice?
Well, you’re not alone. In fact, research reveals that the rate of revisions after primary augmentation can soar to a surprising 36%. Yep, you read that right—almost four out of ten women find themselves contemplating a do-over. Whether it’s pesky complications, a shift in what you want, or just the natural changes that life throws your way, understanding the ins and outs of breast surgery revisions is a must.
So, in all the excitement of gaining a new look, if even a small part of you is thinking “What have I done?”, don’t worry—we’ve got your back. Dive in and learn more about breast surgery revisions so that, if necessary, you can find (once again) the perfect fit for yourself!
How to Know if You’re in Need of Revisions
Identifying whether or not you need a breast surgery revision is the first step, which is crucial for successful outcomes. Generally, it is recommended that you wait at least six months to a year after your first surgery before you consider a revision.
This allows for complete healing and stabilisation of the initial results. If you’re experiencing discomfort, dissatisfaction with your aesthetics, or noticeable changes in your breast appearance, it’s time to explore revision options.
An open discussion with an experienced and qualified surgeon at Sunion Health will give you clarity on whether a revision is suitable for you.
What Might Prompt a Revision? Common Reasons Explored
Navigating Implant-Related Issues
An extremely common reason for breast surgery revisions is complications with the implants themselves. Understanding them can help you set realistic expectations.
Implant Rupture: Despite advancements in implant technology, ruptures can still occur. Studies by BAAPS have shown that the risk of implant rupture can be as high as 1 in 10 for certain types of implants, within a decade. Saline implants commonly tend to deflate visibly but silicone ruptures can be silent—so make sure regular check-ups are a practice, to detect problems early!
Displacement: Over time, implants may shift from their intended position due to gravity, changes in body weight, or inadequate support from surrounding tissues. If you find your implants aren’t sitting quite right, it might prompt you to seek a revision.
Capsular Contracture: This occurs when the implant gets surrounded by the scar tissue, causing it to harden and lose its original shape. Capsular contracture is one of the leading causes of revision surgeries, affecting approximately 15% of patients. If you feel discomfort or notice an aesthetic change, it could be time to consult a surgeon.
Our surgeons at Sunion Health have the experience and the expertise to guide you, so you can always reach out to us to book a consultation.
Are You Happy with Your Aesthetics?
Dissatisfaction with the appearance of your breasts after the initial surgery is another obvious reason for seeking a revision. This comes from various factors like:
Size and Shape: A lot of people might want larger or smaller implants after their initial surgery. Your preferences can change over time and that’s okay. If you start feeling like your implants aren’t quite what you thought they’d be, know that there are plenty of others in the same boat as you.
Symmetry: Post-surgery you may have found that your breasts which were naturally asymmetrical, are now more amplified. You could possibly wish to make minor adjustments, such as changing the size of one implant or repositioning them. These small changes can make a big difference in how you feel about your appearance.
Natural Appearance: In recent years there’s been a shift towards more natural-looking breasts. Some patients opt for a revision to achieve a more subtle appearance, moving away from the overly enhanced look. This growing desire for a “less is more” approach can be another cause for considering revisions.
Sometimes Life Happens
Life changes can also be a reason for breast surgery revisions. Factors to consider are:
Weight Fluctuations: Significant weight loss or gain can alter your breast appearance, affecting fullness and shape. Many women experience changes in breast appearance after significant weight changes, prompting a desire for revision. If you’ve recently lost or gained weight, consider how that might impact your results.
Pregnancy and Breastfeeding: If you’ve gone through pregnancy and breastfeeding, these life stages can lead to significant changes in breast volume and shape, even after breast surgery. Many women report a loss of firmness or an increase in sagging after having children, prompting them to consider a revision surgery to restore the results from their original procedure.
Ageing: As your body ages, natural changes like a loss of skin elasticity can affect the results of your prior breast surgery. If you notice that your breasts no longer reflect the appearance achieved from your original procedure, a revision might be a good option to explore.
Medical Reasons Matter
Not all revisions are driven by aesthetic concerns—sometimes they are medically necessary! Issues like poor healing, infections, or fluid buildup can arise after surgery. For example, prominent scars from poor healing might require further intervention. Infections, although rare, may need implant removal and a revision after the area has healed. Additionally, complications like seromas (fluid accumulation) or hematomas (blood accumulation) can lead to discomfort, often requiring surgical drainage to promote proper healing. These medical reasons are just as important to consider when evaluating the need for a revision.
Breast Surgery Revisions: What are your Options?
Revision surgeries can arise from a variety of factors— medical complications, aesthetic dissatisfaction, or natural body changes. Breast augmentations are the most common procedures that come in for revision. For primary augmentations in particular, revision rates remain as high as 36%, with many patients requiring further surgeries to address implant-related issues, changes in breast shape, or simply a desire for a more natural appearance
This serves as a reminder that revision surgeries are not uncommon. Let’s understand your options before planning any cosmetic procedure:
Replacing/Removing Implants
This is one of the most common reasons for revision surgeries and it can be a real game-changer. You might be itching for an upgrade. Maybe you want to go for a new implant type—try out a new size that feels more ‘you’. Now, with the way implant technology has evolved, there are a lot of options that could give you the look that you seek. On the flip side, complications (like a rupture) might necessitate the replacement or removal of your implants. Remember to get regular check-ups. It helps catch problems before they become too serious.
Capsulectomy
A capsulectomy consists of removing the scar tissue that has formed around the implant. This procedure can get rid of symptoms of capsular contracture and improve your implant’s position and feel. The recovery process for a capsulectomy can vary, but many patients experience immediate relief from discomfort.
Post-Augmentation Lift
Looking for that extra lift? A breast lift can be performed alongside or after augmentation to address sagging. Often, weight loss or ageing can take a toll on your breast shape. A lift can help you regain your youthful contours. If you already have implants, pairing them with a lift can grant your breasts a fuller, firmer look and correct any sagging that has occurred over time.
Symmetry Adjustments
If your initial surgery has caused your breasts to appear lopsided, symmetry adjustments can be performed to correct it. This may involve repositioning your implants, adjusting breast tissue, or even adding or removing your implants to achieve a balanced look. Many women find that minor adjustments can make a significant difference in their overall confidence.
Fat Grafting
If you’re looking to refine the results after your initial surgery, fat grafting is a popular option that offers a natural touch. Fat grafting is basically a procedure where fat is taken from other areas of your body (like the abdomen or thighs) and injected into your breasts to add volume or improve the shape. This is especially effective for filling in areas where your implants may not have given you the desired shape.
Getting Breast Revision Surgery: What to Expect?
It’s good to know what you’re signing up for so that you can be prepared.
Consultation:
Your revision surgery will kick off with a thorough consultation and discussion with your plastic surgeon. Here you’ll get a chance to share any concerns you might have, talk about what you’re hoping to achieve, and go over your medical history. It’s important to be open here so your surgeon can guide you toward the best options.
Procedure Details:
Your surgery will depend on the specifics of your revision, but there’s some good news: many revision surgeries can be done with smaller incisions than your original procedure, which might mean a quicker recovery. Your surgeon will help you understand exactly what you can expect.
Recovery Timeline:
You might find your recovery smoother the second time around. Revision surgeries often involve smaller incisions and less extensive work, which could mean less downtime. Recovery timelines vary—some people are back to their normal routines within just a few days—while others need a few weeks to heal fully. That said, many patients report getting back to normal routines a bit faster than with their initial procedure. Following your post-op care instructions is critical to ensuring you have a smooth and quick recovery.
Setting the Right Expectations for your Revision
When considering a breast revision, it’s crucial to have a clear idea of what to expect. A few important things to keep in mind would be:
Realistic Goals:
Revisions are designed to improve the results of your previous surgery but you should keep in mind that perfection isn’t always the goal. There could be limitations, and understanding that upfront can help you be better prepared for the outcome.
Emotional Changes:
Revision surgery can bring up a lot of emotions, especially around body image. It’s okay to have these feelings. Talking to a support group or even a counsellor can help you work through concerns and make the process easier emotionally.
Insights from Experts: What Surgeons Want You to Know
Plastic surgeons who specialise in breast surgery revisions highlight the need for patients to be educated in their choice. By understanding the reasons behind your complications and the options that are available to you, you can make much more informed decisions.
Recent trends in breast surgery indicate a shift towards more natural results, with an increasing number of patients requesting subtle enhancements rather than dramatic changes. Surgeons emphasise the significance of open communication, which fosters trust and leads to better outcomes.
Experts also advise that you keep realistic timelines in mind. Many surgeons recommend scheduling revision surgeries during periods when you can allow yourself ample recovery time, such as after major life events or holidays.
Frequently Asked Questions
- How many revisions are normal?
Each patient’s experience is unique so there’s no fixed answer. However, many women undergo one or two revisions throughout their lifetime, depending on various factors. - Will a revision fix all previous issues?
Revisions can address many of your concerns, but might not solve every one of them. You can consult our surgeons at Sunion Health about your specific situation to understand what is achievable for you. - How soon can I undergo a revision?
You’re advised to wait at least six months after your initial surgery before you consider getting a revision. This will allow for complete healing. In some medical cases, however, quicker intervention could be necessary. - What are the risks associated with revision surgery?
Like any other surgical procedure, revision surgery has its share of risks. Some of these risks are infection, scarring and anaesthesia-related complications. Having a discussion with our qualified surgeons at Sunion Health can help you assess the potential risks. - Can I change my implant type during a revision?
Yes, many patients take the opportunity during a revision to switch to a different type of implant (e.g., from saline to silicone) or a different size. In doing so, you could achieve a more desirable outcome based on current preferences and trends. - Will my insurance cover revision surgery?
Insurance coverage for revision surgery significantly varies based on the reason for your revision as well as your specific policy. You must check with your insurance provider to understand your options. - How long does recovery take after a revision surgery
Recovery times differ from person to person based on the type of revision they’ve undergone. On an average though, it takes about four to six weeks, depending on individual circumstances. Most patients can return to their normal activities after one to two weeks, but it is advised to avoid heavy lifting and strenuous activities initially. - What if I feel pressure to get a revision?
Feeling pressure can be normal, but it’s essential to take your time to consider your options. Surround yourself with supportive friends and family, and seek advice from professionals to ensure you’re making the best decision for yourself.
Breast surgery revisions can be your ticket to getting closer to the look you want or sorting out post-surgery hiccups.
Knowing the “why,” “what,” and “how” of revisions gives you the power to make choices that are best for you. Everyone’s journey is a little different, so it’s all about setting expectations that make you feel good about your results.
If you’re thinking about going for a revision, talk to one of our specialists at Sunion Health who’ll help you navigate your options. The first and most important step is being well informed.
