What Are the Reasons for Implant Revision?
- Posted on: Sep 15 2019
Dr. Perron has many patients come to our Calgary practice seeking a revision procedure for their breast augmentation. There are various reasons why a patient may seek revision surgery. Some are caused by problems with an implant, such as rupture. Others can be due to issues with a prior surgery done elsewhere.
Here are the main issues to be addressed with Dr. Perron’s breast implant revision procedures.
Capsular contracture
This is the main complication after augmentation. When an implant is placed into the body, there is a reaction, as you would assume. This reaction is called the “capsule” and it is made up of calcified cells and scar tissue. If this capsule becomes very thick and causes the implant to shift or the breast to feel very firm, or if there is pain from the constricting scar tissue, this is called capsular contracture. If the capsule is very calcified, Dr. Perron will remove it along with the implant. If it isn’t, he usually will leave it in place. If there is a rupture of a silicone implant, the capsule may contain silicone shell fragments, silicone gel, and inflammatory cells that all need to be removed prior to placing new implants. This is especially the case with silicone implants older than 15 years.
Changing the implant size
Sometimes a patient comes to Dr. Perron unhappy with her choice of implant size. The first thing he advises is to wait one full year before opting to make a change. This allows for any swelling to fully subside and for the implants to settle. If the patient still wants to change her implant size, Dr. Perron will enter through the original incision. If a larger implant is desired, he will increase the size of the pocket, the space in the breast to hold the implant. If the patient seeks smaller implants, he will reduce the size of the pocket with sutures to fit the smaller implants. In cases of reduction, a breast lift may be done in conjunction with the implant revision to remove any sagging tissue and possibly relocate the nipples.
Implant position
Sometimes a less experienced surgeon will place the implant pockets either too far away or too close together and the patient is not happy with the placement. In these cases, Dr. Perron will use scar tissue from the capsule and will reconstruct new pockets for the implants in better positions.
Implant rippling
Implant rippling is usually only a problem that occurs with saline implants. It happens when the implants are placed atop the chest muscle and they show rippling or even the edges of the implants can be felt. In these cases, Dr. Perron enters through the original incisions and replaces the implants with better muscle coverage. This may involve switching implant types and/or placing them in new breast pockets.
Implant removal
When a patient decides she no longer wants to have her implants, they are removed through the same incisions. Dr. Perron will also remove the capsule if it is calcified and thick. In most cases, a breast lift will be recommended because the skin has stretched with the implant size. A lift will remove this excess skin and breast tissue and bring the smaller breasts back up higher on the chest.
While breast augmentation is a life-changing procedure, the results may not be what the patient had hoped for. Of course, expectations need to be realistic. But this is another reason to opt for a surgeon with extensive experience, such as Dr. Perron, to perform the surgery. Do your research beforehand and the odds are you’ll be happy with your results.
Do you have problems with your implants or do you have questions to ask Dr. Perron? Please call us at (403) 228-7076.
Posted in: Breast Procedures