by Salvatore Pacella, MD, FACS
Breast augmentation is a very common procedure that produces very good results with high patient satisfaction. Nonetheless on few instances, there can be issues.
Very rarely, patients are not immediately satisfied with their initial results and may opt for a revision. The implants may be uncomfortable, poorly positioned or asymmetrical. In rare instances, an implant may be under-filled or ruptured. Over time, breast implants are subject to the same forces as all breasts, such as gravity and stretching skin. In some cases, the breast implant may be well-placed to start but migrate over time. Some patients may also require a procedure to repair hardened scar tissue, known as capsular contracture. A revisional breast procedure may be done years after the initial surgery to compensate for these and other factors.
The best way to avoid a revisional breast surgery is to undergo the safest and best breast augmentation at the first instance. Implants that are too large to begin with or placing the implant in a suboptimal position can lead to increased dissatisfaction and the need for a revision. If a breast augmentation is uncomfortable, or unsatisfactory for any reason, consult with a trusted and experienced board-certified plastic surgeon to determine possible next steps.
This Scripps Health and Wellness tip was provided by Salvatore Pacella, MD, FACS, a cosmetic, plastic and reconstructive surgeon at Scripps Clinic in San Diego.