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Breast Implant Removal and Revision

After electing breast augmentation surgery, sometimes patients decide to have revision surgery, or removal. It is highly recommended that individuals undergoing breast augmentation seriously consider the procedure before undergoing it, so as to avoid additional surgeries later, if they decide they do not like the look of implants. However, it is always good to know that the option for revision or removal exists in case you need to correct a problem or experience complications with the breast augmentation surgery.

If an implant has been placed too high, too low, or too laterally, a skilled surgeon can alter the capsule, or pocket surrounding the implant, so that the breasts sit appropriately on the chest wall. Typically, women notice a displacement of the nipple when the breasts are misplaced, and this alteration also re-centers the nipple on the breast.

Sometimes an implant can rupture or leak. The appearance of the breast reveals a major rupture almost immediately, as the ruptured breast deflates, but a slow leak can be more difficult to detect. In the case of saline implants, the saline becomes absorbed by the body. Your surgeon can replace the implant, but must do so in a timely manner, as the shape of the capsule can change if the patient waits too long before undergoing revision surgery.

Revision surgery may involve general anesthesia, sedation, or sometimes only local anesthesia. The doctor will typically enter the breast area through the old incision. Many times revision surgery involves little more than implant replacement.

There are varied motivations for selecting to remove implants altogether. Sometimes a capsular contraction (in which the pocket around the implant closes in and mis-shapes the implant), other health issues or complications, or a desire to return to pre-augmentation shape, can motivate a woman to remove her implants. The implant removal is usually a quick procedure and requires minimal recovery time, except in cases where another health issue makes the surgery more complicated. If the reason for removal is entirely aesthetic, patients will likely need only local anesthetic. Skilled surgeons make the post-removal breast appear very natural.

If you have noticed any problems with your implants, it is important to schedule an appointment with a skilled, board-certified surgeon who can evaluate your problem, determine whether your health is at risk, and discuss revision or removal options for you.



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