Many women choose to have breast revision surgery to either increase or decrease the size of their breasts. Elective reasons for revision surgery can include changing the type of implant (from saline to silicone, rarely the opposite), the shape or profile of the implant, or the location of the implant (usually from sub mammary – above the muscle – to sub muscular).
These are all common reasons to choose breast revision but they are all done by choice and not by necessity. The indications for non-elective breast revision are not rare, although most of these are not of the acute or emergency type (e.g., for bleeding [hematoma], fluid collection [seroma], infection, or wound dehiscence).
Breast Revision In Dubai
Breast Revision in Dubai is a corrective surgery to correct complications, implant issues or changes that may occur after a previous breast augmentation or reconstruction surgery. Breast revision is often a medically or functionally necessary procedure to restore comfort, improve the appearance of the breast and to enhance overall breast health long term. One of the most common non-elective reasons for breast revision is capsular contracture, when scar tissue hardens and tightens around the implant, causing discomfort, distortion or pain. Patients may also require revision surgery if the implant ruptures or leaks. Breast revision may also be recommended to correct changes in breast shape, implant displacement, asymmetry, rippling or complications from aging, weight changes or pregnancy. Sometimes patients are dissatisfied with the outcome because of changes over time that happen naturally, and not because there was something wrong with the original procedure. Dubai hosts sophisticated cosmetic surgery centers and skilled specialists, providing personalized breast revision procedures to address each patient’s individual concerns. During a consultation, the surgeon will examine the implants, the tissue around them and the breasts as a whole to determine the best course of treatment. Revision breast surgery has the potential to improve aesthetics, restore comfort and help patients regain their confidence by fixing problems that cannot be fixed without surgery.
Some of the most common reasons for breast revision surgery are:
Loss of Implant Integrity
Breast implants are very robust and durable, as they are made with the advanced technologies resulting from decades of research and scrupulous manufacturing in anti-septic environments. However, they are still medical devices and should not be expected to be permanent or last a lifetime. Implants will eventually lose their integrity as they degrade over time. This may be five years, or fifteen years, or thirty years or more. Silicone breast implants have a longer average lifespan than saline implants.
It should also be understood that there is no 12-year rule, as so many women believe, that the implants have to be replaced every 12 years. That is not true at all.
“Accidental” rupture of the implant can also occur during the breast augmentation surgery, but it is not very frequent. This is more common when done by poorly trained or unscrupulous physicians who are not board certified plastic surgeons. Damage to the implant may also occur during diagnostic procedures of the breast in which sharp objects are inserted and accidentally perforate the implant.
Capsular Contracture
The most common true complication that occurs with implants is probably capsular contracture. This is where scar tissue forms around the implants and slowly squeezes and tightens causing the implants and thus the breast to be hard. It often leads to obvious breast deformities and can be accompanied by pain and discomfort. It can occur in any patient, regardless of age, size of implant, type of implant, placement of implant or incision site. It can occur at any point in time after surgery, from weeks to many years later. The risk is increased with implants placed in a submammary pocket (above the muscle) and with the periareolar incision.
There are a few non-surgical treatments that may be somewhat or even completely effective in some cases, but that is not the case much of the time. In these cases, we recommend breast revision surgery to remove the scar tissue and the affected breast implant, and to place a new breast implant.
Asymmetry
Hardly any woman’s breasts are perfectly symmetrical, whether they are their natural ones or augmented. This can be size, shape, location, nipple-areolar complex position, etc. By and large, this asymmetry is either barely noticeable at a glance or not considered a significant issue. However, if there is more asymmetry after surgery or if the pre-existing asymmetry was not corrected sufficiently to the patient’s satisfaction or expectations then breast revision surgery may be indicated.
It is important to remember that perfect symmetry is usually very difficult to achieve when the two breasts were not similar before surgery.
Implant Malposition
This may lead to deformities and asymmetries in breast shape, height and even nipple-areola position. Having implants placed at visibly different levels on the chest wall can be quite a problem. It can also be due to a tearing or stretching of breast or chest wall tissues over time for various reasons. In these cases, breast revision surgery needs to be tailored to address all the pertinent issues, place the breast implants in the most appropriate position and repair the underlying problems as indicated.
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Chronic Pain or Discomfort
If you experience continuing breast pain, pressure or soreness after augmentation surgery, it may be a sign of an underlying problem that needs to be evaluated by medical professionals. Persistent symptoms interfering with daily activities and quality of life may result from complications associated with the implant, such as severe capsular contracture, malposition of the implant, nerve irritation, or other complications. If conservative treatment doesn’t resolve the problem, then breast revision surgery is recommended to fix the cause. Correcting tissue irregularities and re-establishing proper implant placement can greatly improve patient comfort and long term satisfaction.
Changes Following Pregnancy, Weight Loss, or Aging
The breast implants will not change shape, but the breast tissue around the implants will continue to change over the years. Pregnancy, nursing a baby, large changes in weight and the aging process can all change the way breasts look and feel and the position of implants. These changes can cause sagging, loss of breast support, asymmetry or distortion of previous augmentation results. In some cases, a breast revision surgery combined with a breast lift may be recommended to restore youthful contours, improve breast position and maintain balanced proportions. Addressing these changes allows patients to preserve the aesthetic and functional benefits of their breast augmentation results.
Double Bubble Deformity
Double bubble deformity is a complication that can happen with breast implants when the implant falls below the natural breast crease or the original breast tissue and implant make two separate contours. This causes the breast to appear uneven, with a visible dent or secondary fold beneath the breast. The double bubble deformity may be due to an anatomic factor, the manner of placement of the implant, or a change in the breast tissue over time. The condition can also change the shape and symmetry of the breast in many cases, requiring breast revision surgery to reposition the implant, alter the breast crease and restore a more natural, smooth breast contour.
Bottoming Out of Breast Implants
Bottoming out occurs when the breast implant is too low on the chest wall, resulting in the nipple being too high on the breast. This complication can arise due to decreased tissue support, large implants and change in the pocket of the implant over time. Hitting bottom can greatly affect the look of your breasts and can also be uncomfortable. Breast revision surgery is frequently required to restore normal breast proportions, reposition the implant and reinforce the internal support structures. Fixing this issue helps achieve a more balanced and natural-looking result.
Symmastia (Implants Too Close Together)
Symmastia is a rare but severe complication that occurs when breast implants migrate too close together toward the center of the chest. In extreme cases, the implants can cause the appearance of a single breast with no distinct separation of cleavage. This can occur if the implant pocket was over-dissected in the original surgery or if the implants are large and exert too much pressure. Reconstructing the breast implant pockets and restoring natural breast spacing often requires breast revision surgery. Proper correction improves the appearance and the stability of the implant.
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Implant Rippling and Visible Wrinkling
Some patients will experience visible rippling or wrinkling of their breast implants, especially if they have thin breast tissue or limited natural breast coverage. You might notice rippling in the sides or bottom of the breasts that may be more visible with bending forward or certain clothing. Severe rippling is not always a medical emergency, but it can negatively affect aesthetic results and patient confidence. Breast revision surgery may include replacing implants, repositioning the implants, or adding supportive tissue techniques to improve breast contours and decrease visibility.
If you are wondering whether you are a candidate for breast revision surgery, whether it is for elective or non-elective reasons, contact Dr. Perfect Celebrity today to set up your consultation.
Best Plastic Surgeon In Dubai For Breast Revision
Best Plastic Surgeon in Dubai for breast revision is one of the most crucial decisions that you will make when you are facing implant complications, aesthetic concerns or functional problems after previous breast surgery. Breast revision procedures tend to be more complex than primary breast augmentation because the surgeon is working with existing implants, scar tissue, altered anatomy and sometimes multiple corrective concerns at the same time. It is therefore essential to choose a highly experienced and well-trained plastic surgeon. Patients who come in for breast revision may require treatment for capsular contracture, implant rupture, implant malposition, asymmetry, rippling or dissatisfaction with prior results. During a thorough examination, your experienced plastic surgeon will review your surgical history, the current condition of your implants, the anatomy of your breasts, and your personal objectives. From this assessment, a tailored treatment plan is developed to address the problem at its source and improve function and aesthetics. When breast revision surgery is performed by a trained and experienced specialist, it can correct complications, restore breast symmetry, improve comfort and produce natural-looking results that enhance confidence and quality of life.