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Secondary (Revisional) Breast Augmentation

Sep 2, 2007
Breast augmentation is one of the most common cosmetic operations performed today. There are many reasons a woman would seek out breast augmentation. Some women who seek breast augmentation have small breasts and want to balance out their figures.

Breast Augmentation is one of the most frequently performed operations in Plastic Surgery. It is an outpatient procedure that takes about an hour and a half. Return to activities of daily living is within 3 to 5 days, and most women can return to an active life within 3 weeks.

There are a variety of sizes and styles of implants available to suit different body types and desired results. The majority of patients who seek breast augmentation are women who have had children and want to restore shape and balance to their appearance.

Breast implants are manufactured to very exacting standards. They are as safe as any medical implant device. At present we are only allowed to use saline filled implants for cosmetic augmentation. Silicone implants are for reconstructive surgery only, or to replace previously implanted silicone implants. We have included some photos of patients who have had cosmetic breast enhancement.

Others have lost breast tissue simply through aging or childbirth, and some would like to correct breast asymmetry which may be congenital. In some cases if a woman has lost a lot of breast tissue and does not like the appearance of her breasts she may require a lift in addition to breast implants.

Breast enhancement has long been one of the most commonly performed plastic surgery procedures. In spite of the very high overall satisfaction rate, it is not unusual that secondary or revisional operations maybe required.

In some cases these operations may be elective (for instance to change to a larger or smaller implant). The body recognizes a breast implant as a foreign material and will therefore attempt to form a fibrous capsule around the foreign body. This occurs with all surgical implants such as hip replacement, knee replacement, etc.

In breast augmentation surgery, this process may result in a breast, which appears or feels unnaturally firm. In the worst cases, this may result in a distorted appearance or significant discomfort.

In the past many patients have accepted these problems as a trade-off for a larger breast size, but today this is no longer necessary. Modern implants are much improved, as are the techniques of surgery. Scar tissue can be removed and the implants replaced or repositioned to create a much more natural appearance. The present generation of silicone implants can offer significant improvement versus implants placed many years prior.

These secondary surgeries are more difficult than "virgin augmentations" and require an experienced surgeon dedicated to an excellent result. Problems such as firmness, abnormal nipple-areolar position, or shape, excessively wide breasts, uni-breasts, palpable or visible skin rippling, etc., should no longer be accepted.
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