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Breast Revision

Even under ideal conditions, results of breast augmentation surgery can change over time.  Common problems may include visible rippling or rupture of the implant, loss of the natural architecture of the breast and inframammary fold, or “bottoming-out” of the implant. Common causes of these changes can be related to your surgeon’s original choice of implant, choice of the pocket for the implant or implants too large for a particular body frame. Although unforeseen circumstances can develop, Dr. Prince can assist patients with creating a revision surgical strategy to prevent these deformities in the long term.

Dr. Melanie Prince is a board certified and highly regarded plastic surgeon, with specialized training in cosmetic and reconstructive breast enhancement and revision surgery. She has assisted patients from all over the state of Arkansas.

Common Complications:

  • Capsular contracture: The most common reason for breast revision surgery, capsular contracture refers to a hardening of the breasts, as a result of scar tissue building up around the implant, causing it to ‘contract’ or tighten. The correction of capsular contracture necessitates the removal of the scar tissue through a capsulectomy or capsulotomy procedure.  Implants placed on top of the chest muscle usually have a higher long term rate of capsular contracture.
  • Implant rupture or deflation
  • Aesthetically undesirable breast changes as a result of: age, significant weight loss, breast feeding, or pregnancy.
  • Implant malposition: Occurs when the implants are incorrectly positioned on the chest wall, causing them to shift and move too close together (synmastia), move outward into the axilla (lateral displacement), “bottom out”(inferiorly), or “riding high”(superiorly).
  • After breast reconstruction following mastectomy, the natural architecture of the breast is damaged.  Reconstructive procedures may need breast revision surgery in the long term to correct asymmetry of the breasts, correct thinning of the skin and/or to create a more natural-looking nipple.

Correcting Deformities of Breast Surgery Requires a Strategic Plan…

It is important to realize that when a breast augmentation or reconstruction is not ideal, there is often an underlying reason. Correcting the cause of the deformity requires a specific surgical plan that often is not as simple as the original surgery.  For example, if an implant appears deformed after breast augmentation, the correction is often not as simple as just “changing the implant” .  The implant pocket may be deformed and may require placing the implant in a new pocket.  The skin may be too thin which may require fat transfer or readjustment of internal tissue to prevent contour deformity.  In addition, implants which appear too low or bottomed-out will often require support from the inside with an “internal-bra”.  In these instances, acellular cadaver or pigskin mesh may be required to support the implant.  Finally, if the nipple is out of position, a breast lift or mastopexy may be required.

Contact Dr. Prince

If you would like additional information about breast revision surgery, we encourage you to contact Dr. Prince’s office today. We look forward to scheduling your initial consultation with Dr. Prince, where you will receive a unique treatment plan with comprehensive details about how best to prepare for your breast revision surgery experience. Dr. Prince has earned an exceptional reputation for providing the highest quality of patient care, and she looks forward to helping you achieve the best possible results from your breast revision surgery.