“Correcting complications or unsatisfactory results to restore balance and serenity.”
Revision breast augmentation is a surgical procedure designed to correct or improve the results of a pre-existing breast augmentation. It is performed when there are complications or dissatisfaction with the results obtained from the initial surgery. Issues that may require revision surgery include capsular contracture, bottoming out, dislocation, and prosthetic rupture.
Periprosthetic Capsular Contracture
Capsular contracture occurs when the body forms a capsule of scar tissue around the implant, but this contracts and compresses the implant, causing breast deformation and pain.
Surgical treatment includes.
Capsule removal, the fibrotic capsule can be removed partially or completely; prosthesis replacement, sometimes the prosthesis can be replaced with a new one of a different size or material to reduce the risk of recurrence; deeper plane techniques: inserting the prosthesis under the pectoral muscle can reduce the formation of capsular contracture.
Bottoming Out
Bottoming out occurs when the implant drops too far downward, causing the breast to lose shape and symmetry. Causes may include excessive breast enlargement or weakening of tissue. Techniques to correct it include: lifting the prosthesis, repositioning the prosthesis to a higher position, with possible skin or tissue reinforcement through a mastopexy; use of smaller prostheses, to prevent the excessively large prosthesis from continuing to slide down.
Dislocation
Dislocation occurs when the prosthesis moves from its original position. It can be corrected through: prosthesis repositioning: the surgeon repositions the prosthesis to the correct area; capsule strengthening: creating a stronger capsule around the prosthesis to stabilize it.
Prosthetic Rupture
Prosthetic rupture is an emergency that can occur for various reasons, including trauma or defects in the prosthesis material. Symptoms include: loss of volume in the breast; breast deformity; localized pain or discomfort.
Investigations to be prescribed to assess prosthetic rupture include.
Breast ultrasound, can detect any leaks or abnormalities in the implant; magnetic resonance imaging (MRI), is the most sensitive investigation to diagnose implant rupture, especially in cases of saline or silicone implants; mammography, although not the best for identifying rupture, can be useful for a general checkup. In the case of a broken prosthesis, surgical correction consists of removing the broken prosthesis and replacing it with a new one.
Symptoms of prosthetic rupture
Breast asymmetry, one of the breasts may appear emptier or lower; pain or discomfort, localized sensations of discomfort or pain; changes in breast texture: may become softer or less firm to the touch; revision surgery should always be tailored to the patient’s specific condition and issues encountered.
