Breast Augmentation
Correction

Problems with breast augmentation may occur as a result of poor planning, poor surgery or simply as a result of the way scarring and healing has occurred in the individual patient.

Dr Miroshnik treats many patients who have had their breast augmentation surgery performed elsewhere around the country. The assessment process and the technical aspects of the corrective surgery itself are usually many times more complicated than primary (or first-time) breast augmentation. For this reason, secondary (or corrective) plastic surgery is usually more expensive and takes much longer. It is usually, however, at least partially health fund rebatable.

Some of the issues which lead women to seek corrective (or secondary) breast augmentation surgery include:-

• Capsular Contracture
  • All implants have a capsule around them. These capsules, which are made by the body to wall-off the implant, normally remain soft and pliable. For various reasons however, in some patients, they can become firm over time making the breasts feel harder than they previously were.
  • To correct this problem a surgical capsulectomy is often required in which the old implant capsule is removed prior to the insertion of the new implant.
  • Capsular hardening rates are quoted at around 10% at 10 years for high cohesive silicone gel implants and <1% at 10 years for polyurethane coated implants.
• Excessively Wide Cleavage
  • Breasts that are too far apart may be due to poor implant choice and inadequate release of the pectoral muscles.
• Symmastia or 'kissing implants'
  • This is where the breasts have literally joined together so that there is no cleavage.
  • Will usually require complex pocket readjustments and the use of narrower implants.
• Implant Exchange
  • This may be for size issues ie. Upsize or Downsize. Alternatively, may be to change implant type eg. Saline to Cohesive silicone gel.
• Double-Bubble Deformity
  • This is where the implant and the native breast tissue are at different anatomical levels.
  • Correction is complex and may require implant exchange, pocket readjustments (Capsulorrhaphy) or parenchymal modifications/ breast lifts.
• Implant Rippling
  • May result from too thin an envelope that is covering the implant
• Poor Breast Shape
• Scar Revision
• Breast Lift