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Implant Volume Revision Breast augmentation can be a very rewarding procedure, but sometimes revision surgery may be necessary after the primary procedure. Breast implant revision surgery may be undergone for a variety of reasons, including changing the volume of the original implants. Some women are not satisfied with the resulting size of their breasts after breast augmentation surgery and desire to exchange their implants for implants of a different size, and the requested size is usually larger. Although about 37 percent of all types of breast revision procedures in the United States are undergone to obtain a larger breast size, implant volume revision can also be performed to decrease the size of the breasts.

The Surgery

vectra3d_bannerThe implant volume revision procedure is typically performed using general anesthesia, and the implant is surgically removed and replaced with an implant of a different size. A breast lift, release of scar tissue, and a change in the location of the implant pocket may also be needed. Based on your individual circumstances and desires, Dr. Chin will help you decide the best implant replacement size and type, and he will determine a surgical plan to suit your needs.

Replacing with Larger Implants

Depending on the initial implant type and shape, the choice of implant replacement type may be limited if the breast pocket has conformed to a particular shape, or a new implant pocket may need to be created. The surgery may require more breast tissue to be expanded in order to fit the larger implants.

Replacing with Smaller Implants

If a smaller breast size is desired, a breast lift may be required if there is skin and tissue laxity from stretching to accommodate the larger implant. If the breast implant pocket needs to be tightened to conform to the size of the smaller implant, internal sutures may be used to hold the tissues together.

After Surgery

Skin discoloration and some swelling may occur initially but should resolve over time. Prescription pain medication will help provide comfort. Recovery time with revisional surgery will be longer than the initial breast augmentation surgery, but most patients are able to return to work within 7 to 10 days. Heavy physical activity should be avoided for a minimum of one month.

Health Concerns

As with any surgical procedure, there are some risks associated with implant volume revision surgery. These include, but are not limited to the following: reactions to anesthesia, blood accumulation, infection, changes in nipple or breast sensation, capsular contracture, and implant deflation. Carefully following Dr. Chin’s instructions both before and after surgery will help reduce your risk of developing complications.


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