What is a Breast Revision

The most common reason for a breast revision is capsular contracture, when breast tissue has reacted to an implant in a way that distorts its shape. It’s most commonly presents with a hard breast, breast distortion or asymmetry, or feeling the “knuckles” of the implant. If the breast capsular contracture is caught within three months of occurrence, it can possibly be treated with medication. Only 30% of patients respond to this medication. The majority of patients require a surgery to remove the scar tissue around the breast.

Breast revision encompasses a wide array of procedures. Breast revision includes removal or implants or replacement. During your consultation, Dr. Sweeney will thoroughly examine you and listen to your concerns and priorities. All of the incisions will be outlined and shown to you. At this time, you can discuss your sizing options and the goals that you have with regard to breast shape.

The Procedure

Dr. Sweeney will review the procedure with you and discuss any remaining questions to ensure total comfort and ease. This is the opportunity for you to review everything with Dr. Sweeney. At this time, Dr. Sweeney may mark the surgical site with a surgical marking pen to prepare for the procedure.

Step 1: Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2: The Incision

Incisions are made in the appropriate place to minimize scarring and achieve your desired outcome, as discussed in your consultations. However, almost all breast revision surgery is performed using an incision through the nipple or breast crease. The transaxillary incision is rarely used for a revision procedure and only in specific cases.
breast revision lp image
Step 3: Inserting and Placing the Implant

After Dr. Sweeney makes the incisions, he will either remove or replace the implants depending on your goals. The incision will be made as you and Dr. Sweeney decided is best for you: under the pectoral muscle (submuscular placement), over the muscle (submammary placement), or a combination of both.

Step 4: Closing the Incisions

Once the implants are removed or replaced, the incision will be closed. Sutures are layered deep within the breast tissue to support the breasts. Sutures, skin adhesives and surgical tape may be used to close the skin.

Some incision lines resulting from breast revision are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Many women desire the smallest scar possible. However, Dr. Sweeney will recommend the incisions which best suit your anatomy.

Recovery

After the procedure the patient is sent to the recovery room for several hours. Then the patient is typically discharged home with a soft bra and soft pads to protect the patient’s breast.

As the patient, you will be asked to do a couple of things while recovering to ensure your result is optimal:

After the procedure, the patient is sent to the recovery room for several hours. Then the patient is typically discharged home with a soft bra and soft pads to protect the patient’s breast.

As the patient, you will be asked to do a couple of things while recovering to ensure your result is optimal:

1 – Refrain from raising your arms above shoulder height for 10-14 days.
2 – Do not sleep on your stomach for four to six weeks as this can worsen your scar.
3 – You may return to a desk job or a job without physical demands within a week, for all other jobs please discuss with Dr. Sweeney.
4 – Keep your heart rate low with any activity, exercise, sex, for four weeks.
5 – After four weeks you can begin cardio exercise.
6 – No heavy lifting for six weeks.
7 – Return to the office for suture removal on the fifth day after surgery and the tenth day after surgery.
8 – On the post-operative day, the patient will be instructed to start massaging her breast. The patient will be shown how in the office.

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