Breast Implant Revision in Bangkok, Thailand
Good augmentation surgery result relates to breast size, breast shape, balance, and position. Anyways, limitations to good results from breast implant surgery may be from the skin's elasticity, internal structure, or less trained- surgeon. The breast augmentation needs to be revised.
Breast implant revision is a surgical procedure for correcting or revising before cosmetic or reconstructive breast surgery to restore a youthful breast contour and appearance. The breast implant revision involves changing the size or type of the implants and correcting any complications resulting from prior surgery.
Why do you have to do breast implant revision?
There are many medical and cosmetic reasons for revising a breast implant surgically. Kamol Cosmetic Hospital is concerned about safety and satisfying outcomes. We evaluate a patient's needs to ensure the aesthetic results best suit each patient. The following breast conditions are amenable to detailed correction.
1. Implant size problems
Some women with breast implants want to change the size of their breasts. Some want their breasts to be smaller from the prior implant. Exchanging larger implants to smaller ones is more concerned about the redundant breast skin and sagging breast or ptosis. The surgeon will be accompanied by a breast lift procedure to manage the excess skin as a result of downsizing breast implants. The implant capsule needs to be removed in the same operation.
If someone prefers to upsize a breast implant, the surgeon will be concerned about the prior implant's positioning. If the implants are submuscular, the surgeon will keep this position and create a bigger pocket for the new implant.
If the prior implants are subglandular, the surgeon will change the positioning of the new implants to a submuscular one, create the new pocket, and then insert the new implant into the new pocket. In operation, the surgeon must remove the capsule implant to prevent the new implant's double bubble effect.
2. Ruptured / Leakage Implants
Breast implants, like any products, leakage or rupture will occur. A saline breast implant might cause a leak at the valve by slowly or loss of breast volume immediately. The saline implant leaks on one side and causes an asymmetry. It is usually evident to the patients. Silicone implant rupture is more difficult to identify and needs to check ultrasound, mammogram, or MRI. The surgery will be done to remove and replace the new implant.
3. Capsular Contracture
Capsular contracture is a tissue reaction that forms the capsule around the implant. This capsule can become thicker, more challenging, and tighter, leading to capsular contracture. This scar tissue reduces the movement of the implant, gives the breast an unnatural appearance, and causes discomfort. In treating capsular contracture, the surgeon removes the scar tissue around the implant, and the new implant will be placed in a position different from the chest muscle. (see more)
Picture 1. Shows Breast implant Capsular contracture
4. Upward position Implant
The prior breast implant is too high when compared with the nipple. The patient needs to move the implant downward to balance the chest. The revision for the upward breast implant is provided by cutting( Capsulotomy) or removing( Capsulectomy) the capsule implant and creating a new pocket lower than the prior positioning, which concerns the nipple center insert the new implant, then adjusting to balance for the nipple center.
Picture 2. Shows Breast Upward position Implant
5. Lateral displacement of the implant.
The prior breast implant seems to be too far apart to produce the desired appearance of cleavage. The implant sits behind the natural breasts, making the breasts look too wide to provide the cleavage that patients want.
The surgical procedure to correct this condition will be operated by internal incision and stitches to minimize the side of the previous pocket and toward the body's midline. The new implants will shift them toward the midline.
6. Bottoming out of breast implants
Bottoming out of breast implants is a result of breast augmentation surgery that may occur. This condition can result from loss of skin elasticity, weak internal muscle, or a less trained surgeon, making the breast implant look too low, and the nipple seems too high. The bottoming out can be fixed by changing the implant and then making the pocket upward, elevating the implant, and suturing the lower border pocket.
Picture 3. Shows Bottoming out of breast implants
7. Rippling
Rippling will occur in particularly thin individuals; ripples from a breast implant can be visible on the skin surface. One option to treat ripples is fat grafting to increase soft tissue volume underneath the skin. Another option is to use the AcellularDermal Matrix ( ADM ) to lay the soft tissue. Both techniques can increase the capacity to camouflage the ripples.
8. Symmastia or Uniboob Correction
Symmastia is a result that may occur from breast implant surgery. The implants may be inserted too close to each other. It may be an effect of an implant that is too large to be inserted in a thin woman with a small rib circumference. Symmastia can be fixed by extending laterally outward from the midline breastbone to create more space between the implants. This procedure will involve incisions under the breasts and expanding the previous pocket to the lateral side. Sutures fix the midline of the chest. The breast results will be separated.
Picture 4. Shows Breast implant Symmastia or Uniboob correction
9. Concerning about BIA- ALCL(Breast Implant-Associated Anaplastic Large Cell Lymphoma)
BIA-ALCL is a rare and highly treatable type of lymphoma that can develop around the breast implants and may occur in patients who have breast implants with textured surfaces. BIA-ALCL is a cancer of the immune system, not a type of breast cancer.
Common symptoms include breast enlargement, pain, asymmetry, a lump in the breast or armpit, skin rash, breast hardening, or extensive fluid collection. The symptoms will occur from 1 year to 8-10 years. If you have any symptoms, see the doctor for evaluation. You need to remove the implant, and the tissue scar around the breast implant includes a lump. You need to remove the implant and tissue scar around the breast implant, including lumps and treatment.
A good candidate for breast implant revision
- Cosmetic concerns with the result of previous surgery due to poor implant or other problem
- Capsular contracture requires the release of scar tissue through Capsulectomy or Capsulotomy
- Good physical health
- Realistic in their expectation
- Psychologically stable
- Not currently pregnant or nursing
Preparation of Breast Implant Revision
- Consult with the surgeon for your unsatisfying and expected results. The surgeon and patient will discuss and evaluate how to solve the needs together. Breast implant revision is complicated. There are many techniques to revise the breast implant, depending on the causes and the patient's needs. The surgeon will explain, including incision scar location, shape, size, and positioning.
- A physical examination, blood test, and chest x-ray are required.
- Stop smoking at least two weeks before and after surgery
- Stop taking anti-inflammatory medications such as Aspirin or ibuprofen for at least two weeks. Also, avoid herbal supplements and vitamins, which may increase bleeding during and after surgery.
Procedure for Breast Implant Revision
Please keep in mind that the second surgery is more complicated than the prior breast augmentation. Several reasons, such as the presence of scar tissue, make it more difficult to predict a good result, in addition to the stretching of muscles or anatomical changes caused by the prior implant. That is the challenge for the surgeon.
- The operation is done during general anesthesia.
- The procedure is done as surgery, depending on the reasons; breast revision usually swaps out the old implant for the new one. It can include a breast lift, release of scar tissue, and change the size, shape, and location of the pocket(space for the implant sits)
- The surgeon will close the incision and bandage it with adhesive and surgical tape.
The operation time is 1-4 hours, depending on a complicated breast implant from the previous.
Post-operative Care for Breast Implant Revision
The post-operative care for breast implant revision is similar to their previous breast augmentation to minimize any post-operative discomfort after surgery, which can be done as follows;
- Keep clean and dry the incision wound 2-3 days after surgery.
- Apply a cold compress to control bruising and swelling
- Sleeping with torso slightly elevated to control bruising and swelling
- Take medicine for pain relief.
- Take stitches off seven days after surgery.
- You will need a follow-up with every appointment.
- You should wear a compression bra for extra support and positioning to prevent fluid accumulation and control swelling.
- Please don't lift more than 2-3 kilograms within six weeks. The lifting will cause the implants to move up.
- Avoid strenuous activities for at least two weeks.
Risks and Complications for Breast Implant Revision
Any operation might have complications, including.
- Keloid from the incision scar
- Bleeding
- Bruising
- Itching
- Soreness
- Poor healing
- Asymmetry
- Infection: if you notice warmth and redness in your breast due to fever, you might have an infection; contact the surgeon as soon as possible
- Shortness breathe, or chest pain
- Decreased or Lost Sensation
- Capsular contracture might need a second surgery
- Skin waves and sagging
- Implant Failure
- Risk from anesthesia
Recovery for Breast Implants Revision
The recovery is similar to the previous breast implant, with minimal discomfort. In most cases, recovery time for breast implant revision is short, and one can return to work within a few days with a modulated discomfort. However, The length of breast implant revision recovery will depend on the type of surgery performed.
- Placement: The recovery time is the same as the primary breast augmentation. If the implant is bigger, it will take more time, maybe 4-5 days. The discomfort symptoms include pain, stiffness, swelling, and bruising. New implants may take several weeks or months to settle the final result, such as numbness and tingling around the incision.
- Recovery after breast implant replacement with lifting, the recovery time will take more time for discomfort, can return to work, maybe one week: healing process, sensation around the incision area, swelling, pain, or seroma. The patients need to take a compression bra to improve swelling, excrete seroma, and keep the positioning.
- During the breast implant revision recovery, patients should avoid moderate to strenuous exercise and heavy lifting for at least six weeks.
Video : Testimonials of Breast Implant Revision
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Getting to Know for Breast Implant Revision
Leakage and rupture refer to the breaking or leaking of a breast implant. Leakage occurs when the implant's outer shell...
Capsular contracture is a common complication that may occur after breast augmentation surgery.
Symmastia is a rare condition where the breast tissue and skin of the chest wall merge...
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Before and After for Breast Implant Revision
Before and After Down size from 350cc to be 300cc
Before and After Down size from 350cc to be 300cc
Before and After Down size from 350cc to be 300cc
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Top Reasons for Breast Implant Revision
There are several reasons why a woman may choose to have breast implant revision surgery, including:
- Capsular contracture: This occurs when the scar tissue that naturally forms around the implant begins to tighten and squeeze the implant, causing pain and distorting the shape of the breast.
- Implant rupture: Saline or silicone implants can rupture over time, causing a loss of volume and potential leakage of the implant contents.
- Implant malposition: The implant may shift out of place over time, causing asymmetry or an unnatural appearance.
- Change in size or shape preferences: A woman may choose to have her implants removed or replaced with a different size or shape.
- Rippling or wrinkling: Some women may develop rippling or wrinkling of the skin over their implants, which can be visible through the skin and be unsightly.
- Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL): In rare cases, women may develop a type of non-Hodgkin's lymphoma (cancer) associated with breast implants, called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
- Medical conditions: Some conditions, such as autoimmune disease, infection, or pregnancy, may require implant removal or replacement.
It's important to remember that breast implants are not lifetime devices and may need to be replaced or removed at some point.
Why is Kamol Cosmetic Hospital an expert in Breast Revision Surgery?
Kamol Hospital is a leading medical facility in Thailand specializing in plastic and reconstructive surgery, including breast implant revision. The hospital is known for its state-of-the-art facilities, advanced technology, and highly trained and experienced surgeons.
The surgeons at Kamol Cosmetic Hospital have extensive experience performing breast implant revision procedures. They are skilled in various revision techniques, such as replacing and removing old implants and correcting implant-related problems such as capsular contracture and symmastia. They use the latest surgical techniques, including endoscope-assisted surgery, which allows for smaller incisions and minimal scarring.
The hospital is also equipped with the latest technology, including 3D imaging and simulation software, to plan and perform the procedures. This technology allows the surgeons to achieve the best possible outcomes for their patients.
Kamol Cosmetic Hospital is known for its commitment to high-quality care and excellent customer service. The hospital staff is dedicated to ensuring that patients feel comfortable and well-informed throughout the process, from consultation to recovery. The hospital also provides comprehensive aftercare services to ensure the best possible results and to help patients recover quickly and comfortably.
All these factors contribute to Kamol Hospital's reputation as a leading expert in breast implant revision. Patients worldwide travel to Kamol Cosmetic Hospital for breast implant revision surgery because the hospital is known for providing high-quality care and excellent results.
