REVISION BILATERAL BREAST AUGMENTATION (COMPLEX)
Breast Mastopexy/Augmentation






39yr old with a disastrous history of breast augmentation performed overseas, having a 4th revision operation. Significant chest wall (outwardly projecting left breast/chest wall) and breast abnormalities including severe scarring/retraction around the left nipple make a perfect result impossible!
Procedure involved removing old implants, changing tissue plane, closing the hole between the breast implant pockets, and inserting a smaller volumes conical shaped implant 260cc low profile.
Please note that revision breast augmentation surgery is often not easy as there are a number of factors to consider including:
- 1. The previous anatomical factors as mentioned above for primary augmentation.
- 2. Placement of implant i.e. above or below the muscle
- 3. The implant capsule – scarring that occurs around the implant
- 4. Type of implant
- 5. Changes of the breast tissue since previous augmentation i.e. thinning of the breast tissue and or drop of the breast tissue off the implant.
- 6. Trying to compromise by using bigger volumes and not having an Uplift, may result in a visible implant (to touch and feel), increased risks of rippling and further surgery such as an uplift.
Complex revision breast augmentation
Pre op


Post 1st op


Final


28yr old with breast augmentation disaster – everything wrong.
Staged surgery planned for initial removal of 345cc round high profile implants allow tissues to settle, then re-assess anatomy. Then return to replace implants with 280cc medium profile anatomical shaped polyurethane coated implants.