Breast Implant Revision in Iran: All You Need to Know
Breast implant revision surgery is mainly done to replace old breast implants with new implants. However, in many cases, patients undergo breast implant revision surgery to change or improve the appearance of the breasts while updating the implant material.
What is breast implant revision surgery?
Breast implant revision, also known as breast augmentation revision, is a surgical procedure that involves the replacement and/or the removal of breast implants to correct complications that have occurred after an initial breast augmentation surgery. Moreover, breast implant revision can be performed to correct an unsatisfactory result from an initial breast augmentation surgery.
Who Is a Good Candidate for Breast Revision Surgery?
Any healthy woman who feels dissatisfied with her breast augmentation results is a good candidate for breast implant revision surgery. However, there are other common reasons for which patients have breast implant revision. The reasons for breast augmentation revision include:
- To change the breast implant size, type or profile.
- To fix Implant displacements.
- To fix “bottomed out” implants.
- To heal Patients suffering from Capsular contracture.
- To fix implants leak or rupture.
- To fix breast deformities caused by weight fluctuations or pregnancy after having breast augmentation surgery.
- To completely remove breast implants.
Does the surgeon have to make a new incision during the surgery?
The surgical incision depends on how your initial breast augmentation was performed. Breast implant revision surgeons may be able to use the same incision location to minimize any additional scarring. However, in some cases, the surgeon may need to create a new one.
What is breast implant pocket revision surgery?
When placing a breast implant into your body, your plastic surgeon creates a “pocket” inside the breast by making an incision in the skin with surgical tools. This incision can either be in the fold under the breast, in the armpit, or around the nipple.
Next, the surgeon cuts through tissue and/or muscle (depending on placement) inside the breast. This newly-created space is called “the pocket” where the breast implant will be placed. However, in rare cases, problems might occur after surgery in the pocket where the breast implant is sitting inside the breast. This problem is known as breast implant ‘displacement’, which makes pocket revision needed.
How many types of displacement are there, and how can they be fixed?
The types of breast implant revision will depend mainly on the condition of the patient and the type of breast implant displacement. These conditions include:
- Lateral Displacement: In case of lateral displacement, breast implant could be displaced too far out to the side, which would require a revision to the side of the pocket so that the breast implant moves away from the side of the chest back towards the middle of the body.
- Double Bubble: In this case, a displaced breast implant could be too low in the breast, which requires a revision to tighten the bottom part of the pocket so that the breast implant sits higher up on the breast.
- Symmastia: This type of displacement occurs when the breast implants are too large for the frame and/or the breast pocket is cut too wide. This displacement requires a revision with stitches to reinforce the pocket so that the implants move further apart.
What is capsular contracture?
Once a breast implant is in place, fibrous scar tissue forms around it, creating a tissue capsule as a normal protective reaction towards any object recognized as foreign to the body. The tissue capsule is usually soft or slightly firm, not noticeable, and helps to keep the implant in place.
In rare cases, a tissue capsule is formed to be unusually hard and dense, which causes pressure around the implant and causes chronic pain and distortion in the shape of the breast. This can cause deformities, such as making the breast rise higher on the chest. This condition is called capsular contracture.
Who is at risk of capsular contracture?
Patients who underwent radiation therapy anytime in the past or after the initial breast implant are at high risk of developing capsular contracture. However, some of the other factors that may raise the risk of capsular contracture include the rupture of an implant, hematoma, developing an infection on an implant, and a genetic predisposition to forming scars.
What are the signs and symptoms of capsular contracture?
There are common signs that appear early on the patients, such as increasing firmness or tightness in the breast.
How can capsular contracture be healed?
Some of the surgical options for correcting capsular contracture include:
- Capsulectomy: During this procedure, the surgeon will remove all the tissue surrounding the implant, as well as the implant itself, and insert a new implant that is wrapped in a sheet of dermal matrix material that provides an extra protective layer. The body will then form a new capsule of scar tissue around it.
- Open Capsulotomy: During an open capsulotomy, the plastic surgeon makes a small incision in order to cut open the tissue capsule around the implant. The surgeon may also remove some of the capsule in order to make it pop open, which gives the implant more room to move around.
- Autologous reconstruction: During this procedure, the plastic surgeon uses a flap of your body to reconstruct your breast after the removal of the implant. This flap of tissue is transplanted from another area of your body, such as your belly or buttocks. Despite the complexity of this surgical procedure, it is preferred because it eliminates the risk of capsular contracture recurrence since a tissue capsule will not form around a flap.
Breast implant revision surgery recovery stages
The patient will wake up from anesthesia after the operation feeling foggy and sore, as the breasts will be covered in gauze and elastic foamy bandage to give them the support needed. There will also be thin tubes (drains) from each breast.
Hospital stay can range from 1-5 days. These days are known to be the most uncomfortable, and the doctor may prescribe pain medication. Once the drains are removed, the patient will be able to go home.
After the first week, patients are encouraged to ease back into light exercise and a normal daily routine slowly. However, during this period, doctors advise women to refrain from jarring activity like running, rigorous workouts or heavy lifting.
Finally, depending on the condition and the type of surgery, the patient may need to wear a special garment for 2-4 week.
What can I do to speed up the healing process?
To help reduce the common swelling and pain and speed up healing, patients are advised to wear a recovery bra. These bras are specially designed to maximize post-op comfort, but they also provide implant stability, increased circulation and mild compression to ensure proper lymph drainage.
In general cases, patients are advised to ask a friend or partner to assist them following surgery, especially if they have children, as they will not be able to pick up small children or heavy objects for a few weeks while recovering.
Patients are also advised to get plenty of rest, and consume only healthy products to help speed up the healing process.
What are the risks of breast implant revision?
Like any other plastic surgery, breast implant revision may cause potential complications and risks. These risks and complications include:
- Unfavorable scarring
- Bleeding (hematoma)
- Poor healing of incisions
- Temporary or permanent changes in nipple or breast sensation
- Capsular contracture
- Implant leakage or rupture
- Wrinkling of the skin over the implant
- Anesthesia-related risks
- Seromas (Fluid accumulation under skin or around implant)
- Blood clots
- Deep vein thrombosis, cardiac and pulmonary complications
Most of these risks are very uncommon, and some people with particular health problems or specific breast features may be at higher risk for specific complications. These complications and risks are minimized by carefully choosing an experienced board-certified plastic surgeon.
How can I arrange my trip to have breast implant revision in Iran?
Nothing is more easy than having a breast implant revision in Iran with AriaMedTour, because we make it really easy for the patients to arrange their medical trip. All it takes for you to arrange the trip is to visit the website and hit the “Get a Free Consultation” button or to contact AriaMedtour’s team directly through WhatsApp by using the number provided on the website. Our specialists will come back to you as soon as possible to provide you with all you need.