Breast Revision
All about revision surgery
Breast implant technology and surgery is constantly evolving and improving, however it is likely that all breast implants will need to be revised during the course of a patients life, particularly young patients. Breast revision surgery can mean removing the breast implant without replacement or removing and replacing the implant.
Reasons why a patient may consider breast implant revision surgery:
- Improvement in appearance of the initial augmentation
- Desired change in breast size
- Replacement of a ruptured breast implant
- The desire to switch to a different breast implant style
- Address long-term changes in the augmented breast
- Correction factors associated with your initial procedure such as scar tissue development or unsatisfactory implant position
| Surgery Time | 1-3 hours |
|---|---|
| Off-Work | 10 days |
| Limited Exercise | 6 weeks |
During your consultation, Dr Wessels and our breast Nurse will evaluate your breasts and body type to develop the best treatment plan for you. Utilizing our revolutionary VECTRA® 3D imaging and assessment technology, you will be able to visualize the outcome of your breast procedure and determine which augmentation approach can meet your expectations. Anatomical factors such as the amount of natural breast tissue you have, the size of your frame, and the width of your chest are considered to achieve your objective. The Vectra system allows patients to see what their results will look like post surgery. This also helps to determine what implant is best for you.
Our goal has always been to offer high quality plastic surgery at an affordable price. We never want patients to feel as though they need to visit under-qualified surgeons or travel for destination surgery.
Our breast revision surgery includes:
- Specialist plastic surgeons fee
- Private Hospital fee,
- General anaesthetic costs
- Compression garments
- Follow up care
Breast Implants
At One Cosmetic we use the highest quality breast implants available on the Australian market being Motiva and Mentor. Breast Implants come in either a textured or smooth surface shell and are available in a wide range of sizes and profiles to fit the patient’s body. Each silicone implant is filled with a cohesive gel that holds together uniformly and retains a natural give that better resembles breast tissue. All procedures aims to strike a unique balance between selecting an implant most appropriate to body type while addressing patient expectations. At One, we use Mentor and Motiva breast implants due to their high safety rating and patient satisfaction. These brands have a high safety rating due to their nano-textured (Motiva) or micro-textured (Mentor) surface.
Mentor breast implants come in either a round or teardrop shape. Round breast implants are available in low and high profile whilst the tear-drop shaped breast implants are available in various widths, heights, projections and sizes. Generally, round implants are more suited to patients that are happy with the breast shape and are looking only to increase in the size of their breasts. Round implants give more upper-pole fullness to the woman’s breast.
On the other hand, tear-drop implants give a much more natural shape to the breast. The more projected lower half of the breast lifts the nipple and may suit those patients with slightly droopy breasts, such as post-pregnancy, breastfeeding or with weight loss.
Motiva breast implants are available in a round or ergonomic shape. Round Motiva breast implants are devices composed of a shell, a patch, and a cohesive silicone gel fill. They have balanced gel elasticity and firmness, upper pole fullness, and provide a younger active look
With the ergonomic breast implant, patients get the look, feel and movement of a natural breast. It maintains its softness over time and has proven its efficacy after years in the market. The ergonomic implants is designed to mimic a natural breast, when laying down the implant will give a fuller round appearance, when standing the lower pole of the breast will be fuller as this implant has more movement.
The Surgery & Recovery
Before your procedure, Dr Wessels and our surgery team will make sure that you are comfortable and well before going ahead. Dr Wessels will draw on your breast to plan the ideal placement of the breast implant, as well as the intended incision used to place the breast implant.
The breast augmentation is performed under general anaesthesia in a fully accredited private hospital with the assistance of a qualified anaesthetist. Breast augmentation takes 90 minutes in total, a small incision is placed under the fold of the breast and the implant is then carefully inserted under the breast tissue or under the pectoral muscles.
Once the implant is correctly in place, the incision is carefully closed in layers with a concealed absorbable stitch. The incision is then covered with a waterproof dressing. Patients are then taken to recovery for 2-4 hours with our recovery care specialists. You will be allowed to travel home that evening, as a breast augmentation is a day surgery only.
After surgery our recovery specialists will given post-op instructions. It is important to follow carefully. You will be provided with a script for medication, which you will need to purchase after surgery and instructions on when to take the medication over the days ahead. You will be discharged from hospital when your companion picks you up from the hospital. All patients must have a companion to stay with them for 72hours following surgery.
The first week after surgery you should stick to gentle day-to-day activities. This includes minimal house duties, no lifting, staying home as much as possible and sleeping in an elevated position. Commence postoperative exercise (instructions given post surgery).
In the second week of recovery try not to raise your blood pressure too much and still sleep in an upright position. Patients will also be required to attend a postoperative appointment at our office in week 2. this will be scheduled prior to surgery.
In week 2 patients may:
Commence a light walk
Return to work in week 2 if you have an office job with little physical activity
Avoid sexual intercourse
Start driving provided they are not taking any pain medication. We also recommend waiting 3 days for the medication to be out of your system.
Weeks 3 – 5 patients with more physical jobs can return to work.
In weeks 3-5 patients may:
Start getting into a light exercise routine, using lower body
Start doing more physical household duties
In weeks 6-8 patients may:
Commence normal exercise routine and duties. Please note, do not push yourself into being back into your pre surgery routines.
Swimming, bathing running, yoga, stretching, spin class and Pilates
Stop wearing compression bra (Textured Mentor implants)
At this stage patients are mostly fully recovered and sutures are absorbed. Patients should always wear a supportive bra when exercising or performing physical activity. For all patients with teardrop breast implants we recommend that you do not ever go back to using or exercising chest muscles heavily as teardrop implants can rotate.
In weeks 9-12 patients may:
Contact sport
Boxing and upper body exercise
Stop wearing compression bra (smooth Motiva implants)
Risks
Breast augmentation is not a perfect procedure and like any surgery, it does carry risks. We want all our patients to make an informed decision about their healthcare and chosen procedures, which is why we are upfront and honest about all aspects of this procedure including risks.
Capsular contraction is a capsule of scar tissue. This can become thickened and result in breast firmness. The exact cause is unknown but factors that may lead to this complication include seroma (development of extra fluid around the implant), haematoma, infection and smoking. Most cases will need further surgery.
The breast implant can interfere during a mammogram as it can hide suspicious-looking breast tissue, making it difficult to interpret results. At ONE we have a breast implant check clinic that is free to our patient’s post-procedure. Our clinic specialises in breast implant checks post procedure.
Sensation in the nipple can increase or decrease post procedure, it can also be temporary or permanent.
The implant can shift from its initial placement resulting in further surgery required. Breast implants can also rupture, this may result from natural ageing of the implant or excessive compression or trauma. Saline can be absorbed by the body. Silicon implant leaks are either intracapsular or extracapsular (into the breast tissue). As the gel is now the consistency of thick sticky toothpaste, it often remains in the implant even with a rupture.
Surgical risks such as bleeding or infection
Fluid accumulation around the implant after surgery
Allergic reaction to suture materials, tape adhesive or other medical materials and lotions
Changes in breast and nipple sensation
Temporary or permanent areas of numbness
Wrinkling of the skin over the implant
Keloid, or lumpy scar tissue, which is pink, raised and irregularly shaped. These scars may be inflamed and itchy. There are several possible sites for the incision. Discuss this with your surgeon
Inappropriate implant size
Asymmetry (unevenness) of the breasts
Calcium deposits in the scar capsule around the implant
Granulomas, or lumps in local lymph node tissue formed by leaking silicone
Breastfeeding difficulties, including reduced milk supply
Reduced effectiveness of breast cancer screening, since an implant may hide breast tissue (and tumours) during a mammogram
Movement of the implants from their original position
Further surgery to treat complications
Risks of anaesthesia including allergic reaction or potentially fatal cardiovascular complications such as heart attack
A blood clot in the deep veins of the legs (deep vein thrombosis), which can move to the lungs (pulmonary embolus) or to the brain and may be life threatening
Monitoring your safety for Life
With any surgery, follow-up care is essential. So, we provide patients with ongoing support through our Lifelong follow up. All patient who have breast surgery with us will receive regular post-operative check-ups to avoid any potential complications in the medium to long term. It is important to understand that a medical device has been used and must be monitored throughout the time the patient has the implant.
Motiva
All Motiva implants are covered against rupture by the Always Confident Warranty, for the lifetime of the device, and by Product Replacement Policy against capsular contracture, Baker grades III and IV for a period of 10 years. Furthermore, Motiva offer Extended Warranty Programs, which you may decide to participate according to your personal case:- For Motiva Implants®without Q Inside Safety Technology™ our 2Y Motiva Program™
- For Motiva Implants®with Q Inside Safety Technology™ our 5Y Motiva Program™
Mentor
All recipients of MENTOR® Breast Implants are automatically enrolled in the MENTOR® Promise Protection Plan. Should a confirmed rupture or deflation occur, the patient will receive up to two replacement breast implants of the same style or like style at no additional charge for the lifetime of the patient. If a rupture occurs within 10 years of surgery, the patient may also be eligible for financial assistance for surgical costs not covered by insurance. Additional complications are also covered for 10 years with free product replacement. Implantation of the MENTOR® Breast Implants, as well as any subsequent procedures, must be in accordance with current Mentor Product literature and accepted plastic surgical procedures by appropriately qualified licensed physicians for product to qualify for replacement under the Mentor Product Replacement Policy.Frequently Asked Questions
We regularly get asked about our procedures, so we have put together a couple of questions we get asked on a regular basis. If there is something else you would like to know, please get in touch!
Individual cases may vary but generally, mothers can breastfeed after having breast augmentation. However, some women do experience reduced nipple sensation following breast augmentation surgery making it difficult to trigger the milk let down reflex. Some women may also experience reduced milk supply.
Unfortunately, breast implants will not last forever. Life expectancy is estimated at 10-15 years.
As this is a cosmetic procedure, there is no Medicare rebate or health insurance cover available.
Scars are apart of this procedure. The scar is about 3-4cm under each breast fold. With care and diligence the scar will fade over time.
Before & After
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