WHAT ARE MY BREAST IMPLANT REVISION OPTIONS?
There are various surgical options for breast revision, and the most appropriate technique will depend on the specific needs and goals of the patient. Below, we have highlighted the typical approach to breast implant revision based on several common reasons for seeking surgery.
Breast Capsular Contracture
Patients with breast implant capsular contracture usually have the scar tissue and implant removed and replaced. The replacement of the implants may be with the same size, larger, or smaller breast implants. En-bloc implant removal is the best approach for this situation.
Breast Implant Rupture or Deflation
A damaged implant needs to be removed. If it is a silicone implant, the silicone gel needs to be meticulously cleaned out. If it is deflation of a saline implant, there is no issue but to remove the empty silicone shell. The implant is most commonly replaced in this situation, but another option is not replacing the implant. If the decision is not to replace the implants, then a breast lift may be an option if the breasts have moderate to severe laxity.
Desire to Be Larger or Smaller, or to Exchange Implants
This is not an uncommon scenario. This is a very simple procedure as long as there are no other complicating factors. The procedure is simple if one wants implant exchange from normal saline to silicone and vice versa.
Breast Asymmetry or Malposition
This is when the breast has an altered shape due to a change in the implant position. It could be one or both implants which require correction. This usually requires an alteration in the breast capsule to hold the breast in the proper place. Acellular Dermal Matrix (ADM) is sometimes used as an internal bra to hold the breast position.
Breast Implant Rippling or Wrinkles Around the Edges
This is a widespread problem with standard saline breast implants. It is a product issue and not a complication of surgery. The problem is compounded in patients with thin breast tissue, the implants being placed on top of the muscle, and if the implants are under-inflated. The easiest and most common solution is replacement with silicone implants.
Desire to No Longer Have Implants
This is not uncommon when a woman reaches an age where the implants are becoming a burden. They may become too large and heavy for her body, interfering with activities, or an issue has occurred, and taking them out is the best option. In addition, Dr. Delgado is seeing more patients who complain of “breast implant illness” symptoms and want the implants removed.