Breast Augmentation Correction
Breast Augmentation Revision/Secondary Surgery
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 and abroad. 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:
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. Another technique often employed by Dr Miroshnik is the use of a ‘neo-pocket’, whereby the old capsule is isolated and the new implant is placed into a completely new pocket.
Capsular hardening rates are quoted at around 10% at 10 years for high cohesive silicone gel implants and 1-5% at 10 years for polyurethane coated (P-URE) 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.
This may be for size issues ie. Upsize or Downsize. Alternatively, may be to change implant type eg. Saline to Cohesive silicone gel.
This is where the implant and the native breast tissue are at different anatomical levels.
Correction is complex and may require implant exchange, pocket adjustments (Capsulorrhaphy) or parenchymal modifications/ breast lifts.
May result from too thin an envelope that is covering the implant. This can be very difficult to correct when the patient is very thin as there is little tissue available to cover the implants surface.
Poor Breast Shape
Can occur from a multitude of different reasons. Often a reshaping/lift procedure is required to correct this.
When poor scars have formed for a multitude of reasons.
When there is residual sagginess/droop in the breast that hasn’t been effectively taken up by the implant.