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The 5 Most Common Reasons for Breast Revision Surgery

Breast Size
Dr. Phillip Chang

Dr. Phillip Chang

Board Certified By The American Board of Plastic Surgeons.
Voted Top Plastic Surgeon in Loudoun, Virginia
Offices in Leesburg, Virginia.

Best of Loudoun 2019
real self top doctor virginia

There are several misconceptions about breast implant revision, one of the most common being that breast implants need to be replaced every 10 years. The truth is, there is no hard shelf life for breast implants and the reasons women choose to get breast implant revision can vary from a malposition issue to simply updating their look. 

Here are the five most common reasons for getting breast implant revision

1. Capsular Contracture

When a foreign object, like a breast implant, is placed inside the body, our natural defense system forms a capsule of scar tissue surrounding the object. This is a normal and healthy part of the healing process after getting breast augmentation.

Capsular contracture is a complication that can develop when the pocket of scar tissue becomes overly hardened and contracts, resulting in breasts that may appear abnormal or feel sore to the touch. Capsular contracture can be remedied with breast implant revision, during which your surgeon can simply remove the excess scar tissue for a softer, more natural looking result.

2. Implant Malposition

Occasionally, breast implants may move away from their intended position in the breast pocket. This can result in implant malposition, which is normally easy to detect based on the appearance of the breasts.

Synmastia is when the breast implants move closer to the center of the chest, resulting in breasts that are too close together, sometimes lifting the skin off of the central breastbone. Lateral disposition, on the other hand, occurs when implants move toward the outer edge of the chest. Finally, bottoming out is the term used to describe implants that have slipped below the breast pocket.

During implant revision, your surgeon can return the implants to their original placement before tightening the breast pocket to ensure stability.

3. Asymmetry

If you had some degree of breast asymmetry prior to your augmentation, it’s possible that your breast augmentation could make the asymmetry appear more pronounced. In this case, your implant revision surgeon can use a customized approach to create a more even result. Often, this involves swapping out one or both implants for a different size or type and possibly including a breast lift on one or both breasts.

On the other hand, many women who originally had beautiful breast implant results may find that age and weight fluctuations affect their breasts in different ways. Again, this can be remedied with a customized approach to implant revision.

4. Implant Size

Breast implant revision isn’t only for improving results that have gone awry. In fact, one of the most common reasons that women choose to have implant revision is simply to update their look.

Women who previously opted for large implants may find that as they age, a more modest size would better suit their figure. Conversely, some women who originally erred on the side of subtlety may decide that they’re ready for a more eye-catching figure.

5. Implant Type

Finally, as new breast implant types are constantly being developed, women with breast augmentation may decide to update their implants to a newer option. Gummy bear implants, for instance, entered the breast implant market in recent years, and offer women the option of a form stable implant that is shaped to mimic the fall of the natural breast. Alternatively, women who originally chose saline implants may decide to switch to silicone or vice versa.

With the right breast implant revision surgeon, you can improve upon your breast augmentation results to achieve your desired outcome.


Most frequent questions and answers

Acne is the most common skin condition in the U.S. affecting nearly 50 million Americans at any time. Acne is caused when hair follicles become clogged with oil and dead skin cells. It can often be persistent and unsightly.

The Acne Clear BBL is a cutting-edge acne treatment that uses the power of light to comfortably and effectively clear acne without expensive creams or toxic medicines…

Brown sun and age spots are some of the first signs of aging and sun damage.

Treatment options include

  1. Creams such as hydroquinone and retin A.  Hydroquinone is a bleaching agent while Retin A increases cellular turnover.  Over-the-counter creams will generally not have high enough concentrations to be effective.
  2. Forever Young BBL – Cutting edge technology providing the most powerful and effective IPL option.

The Forever Young BBL uses Broad Band Light to alter skin melanin and rejuvenate cellular DNA.  Instead of spending time and money on ineffective skin care products many of our patients have turned to the Forever Young BBL to make their skin more vibrant and youthful; reducing brown and red pigmentation problems, promoting collagen, and rejuvenating cellular DNA. It is the most popular laser treatment in our clinic.

What to expect from the Forever Young BBL:

  • Treatments take 20-30 minutes
  • Up to 80% improvement after a single treatment.
  • Most patients will benefit from adding a Micro Laser Peel and a Profractional Laser Peel ( Triple Laser Package )
  • Fine facial lines and wrinkles are a result of UV sun damage, the breakdown of collagen, and a decrease in skin hydration. The Micro Laser Peel and the Profractional Laser are ablative lasers designed to reverse these changes.

    • The Micro Laser Peel precisely ablates the surface skin in order to remove UV damaged skin
    • The Profractional Laser ablates deep columns of skin that can reach to the deep dermis. This allows for skin contraction but it also encourages new cell grown and organizes new collagen

    Results depend on the depth of treatment. Recovery from a maintenance treatment can be as little as a day; but recovery from aggressive treatments can be as much as 7 days. Many patients will benefit from the addition of the Forever Young BBL ( Triple Laser Package ).

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