Breast Revision
Breast implant technology and surgery is constantly evolving and improving, however it is likely that all breast implants will need to be revised during the course of a patients life, particularly young patients. Breast revision surgery can mean removing the breast implant without replacement or removing and replacing the implant.
Reasons why a patient may consider breast implant revision surgery:
- Improvement in appearance of the initial augmentation
- Desired change in breast size
- Replacement of a ruptured breast implant
- The desire to switch to a different breast implant style
- Address long-term changes in the augmented breast
- Correction factors associated with your initial procedure such as scar tissue development or unsatisfactory implant position
| Surgery Time | 1-3 hours |
|---|---|
| Off-Work | 10 days |
| Limited Exercise | 6 weeks |
| Results | 10 - 15 years |
During your consultation, your surgeon and our breast Nurse will evaluate your breasts and body type to develop the best treatment plan for you. Utilizing our revolutionary VECTRA® 3D imaging and assessment technology, you will be able to visualise the outcome of your breast procedure and determine which augmentation approach can meet your expectations. Anatomical factors such as the amount of natural breast tissue you have, the size of your frame, and the width of your chest are considered to achieve your objective. The Vectra system allows patients to see what their results will look like post surgery. This also helps to determine what implant is best for you.
Our breast revision surgery includes surgeons fee, hospital fee, general anaesthetic costs, compression garments and lifetime follow up care.
Types of breast implants
At One Cosmetic we use the highest quality breast implants available on the Australian market being Motiva and Mentor. Breast Implants come in either a textured or smooth surface shell and are available in a wide range of sizes and profiles to fit the patient’s body. Each silicone implant is filled with a cohesive gel that holds together uniformly and retains a natural give that better resembles breast tissue. All procedures aims to strike a unique balance between selecting an implant most appropriate to body type while addressing patient expectations. At One, we use Mentor and Motiva breast implants due to their high safety rating and patient satisfaction. These brands have a high safety rating due to their nano-textured (Motiva) or micro-textured (Mentor) surface.
Mentor breast implants come in either a round or teardrop shape. Round breast implants are available in low and high profile whilst the tear-drop shaped breast implants are available in various widths, heights, projections and sizes. Generally, round implants are more suited to patients that are happy with the breast shape and are looking only to increase in the size of their breasts. Round implants give more upper-pole fullness to the woman’s breast.
On the other hand, tear-drop implants give a much more natural shape to the breast. The more projected lower half of the breast lifts the nipple and may suit those patients with slightly droopy breasts, such as post-pregnancy, breastfeeding or with weight loss.
Motiva breast implants are available in a round or ergonomic shape. Round Motiva breast implants are devices composed of a shell, a patch, and a cohesive silicone gel fill. They have balanced gel elasticity and firmness, upper pole fullness, and provide a younger active look
With the ergonomic breast implant, patients get the look, feel and movement of a natural breast. It maintains its softness over time and has proven its efficacy after years in the market. The ergonomic implants is designed to mimic a natural breast, when laying down the implant will give a fuller round appearance, when standing the lower pole of the breast will be fuller as this implant has more movement.
Before deciding whether to pursue breast augmentation surgery, you may be a good candidate for surgery if:
- You want to alter the appearance of your breasts
- You have a minimal amount of breast tissue and wish to have more
- You are well-supported and have realistic expectations of the surgery
- You’re able to take sufficient recovery time off of work
- You are a non–smoker or are willing to abstain from smoking at least 8 weeks before surgery and 8 weeks post-surgery
- You are 18 years or older
- You understand there are risks involved and we cannot guarantee outcomes.
Double Bay Day Hospital
Macquarie University Hospital
The Surgery Process
The decision to undertake any type of elective surgery should be a well thought and long process. We do not recommend rushing into any procedures. Below is a guide on the surgery process and the risks involved.
The first step in finding out more about breast augmentation surgery is to schedule a private consultation. In this consultation, you will meet directly with your specialist plastic surgeon. This gives you an opportunity to discuss your concerns and get all of your questions answered. Before you go into your consultation, you will have our Vectra 3D imaging completed with our breast nurse. The Vectra system allows you to visualise what your post surgery results will look like.
To book a surgery date you can contact our team after a face to face consultation has been completed. You must wait 7 days from the consultation to book a procedure.
During the consultation, your surgeon will delve into your medical background, inquiring about your medical history and any history of substance abuse, tobacco, or alcohol use. It’s essential to bring along a comprehensive list of all medications and supplements you are currently taking. The consultation includes a thorough examination of your complete and accurate medical history, where you’ll disclose any past surgeries, procedures, or complications you’ve encountered.
This detailed information equips your surgeon to make an informed decision about your general health and assess whether you are an ideal candidate for the procedure—fortunately, the majority of individuals meet the criteria for the intended procedure.
At the end of your consultation, your surgeon will make recommendations about the best course of action to take for your breast surgery to achieve the result you are after. Every patient is different, and results always vary. While we can look at your inspiration images, we cannot ever guarantee your post surgery results. You must take this into consideration before proceeding with breast augmentation surgery.
Breast implant sizing one of the hardest decisions when it comes to breast augmentations. Your surgeon will take measurements during your consultation to determine what breast implants will be appropriate. He will also examine your breast tissue and shape as these factors can effect what type of implant may be suitable.
While we give you a guide of what breast implant is suitable for your breast type, the decision is ultimately yours.
Once you’ve booked your surgery date, a pre surgery appointment will be scheduled 4 weeks prior to your date. This is your chance to meet with your surgeon again, ask any further questions, go over the surgery plan and take some images. This appointment ensures you’re well prepared for the upcoming surgery date.
The night before and the morning of your breast surgery, you’ll need to adhere to certain guidelines. Typically, you should refrain from eating and drinking fluids after midnight, as is common with many surgical procedures.
Depending on your surgeons advice, you may be allowed to take specific medications with a small sip of water, such as beta-blockers or cholesterol medications. To minimise the risk of infection, it is recommended to shower with an antimicrobial soap both the evening before and on the morning of your surgery. Be gentle, during the cleansing process to avoid irritation.
For hygiene reasons, it’s advised not to wear nasal, nipple or facial piercings to the hospital to prevent loss and potential bacterial contamination.
Upon arrival at the hospital, nursing staff will conduct necessary checks, and you’ll have an opportunity to meet with your surgeon just before the procedure to ensure you feel prepared. In the operating room, you’ll be administered the appropriate anaesthesia.
To minimise visible scars, incisions are typically made in the fold of the breast. Your surgeon will carefully prepare the breast pocket for the implant. Once ready the breast implant will be placed inside the breast space. Breast augmentation surgery usually take 1-2 hours. Once completed the breast pocket will be closed and a dressing will be applied to the area, you will be moved to the recovery room.
All sutures are dissolvable, therefore you will not need to have sutures removed post surgery.
Surgical risks such as bleeding or infection
Fluid accumulation around the implant after surgery
Allergic reaction to suture materials, tape adhesive or other medical materials and lotions
Changes in breast and nipple sensation
Temporary or permanent areas of numbness
Wrinkling of the skin over the implant
Keloid, or lumpy scar tissue, which is pink, raised and irregularly shaped. These scars may be inflamed and itchy. There are several possible sites for the incision. Discuss this with your surgeon
Inappropriate implant size
Asymmetry (unevenness) of the breasts
Calcium deposits in the scar capsule around the implant
Granulomas, or lumps in local lymph node tissue formed by leaking silicone
Breastfeeding difficulties, including reduced milk supply
Reduced effectiveness of breast cancer screening, since an implant may hide breast tissue (and tumours) during a mammogram
Movement of the implants from their original position
Further surgery to treat complications
Risks of anaesthesia including allergic reaction or potentially fatal cardiovascular complications such as heart attack
A blood clot in the deep veins of the legs (deep vein thrombosis), which can move to the lungs (pulmonary embolus) or to the brain and may be life threatening
- unsatisfied with surgery outcome
- Breast implant illness
- Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL)
- Reduced effectiveness of breast cancer screening, as an implant may hide breast tissue (and tumours) during a mammogram
- Movement of the implants from their original position
- Further surgery to treat complications
After surgery our recovery specialists will given post-op instructions. It is important to follow carefully. You will be provided with a script for medication, which you will need to purchase after surgery and instructions on when to take the medication over the days ahead. You will be discharged from hospital when your companion picks you up from the hospital. All patients must have a companion to stay with them for 72hours following surgery.
The first week after surgery you should stick to gentle day-to-day activities. This includes minimal house duties, no lifting, staying home as much as possible and sleeping in an elevated position. Commence postoperative exercise (instructions given post surgery).
In the second week of recovery try not to raise your blood pressure too much and still sleep in an upright position. Patients will also be required to attend a postoperative appointment at our office in week 2. this will be scheduled prior to surgery.
In week 2 patients may:
Commence a light walk
Return to work in week 2 if you have an office job with little physical activity
Avoid sexual intercourse
Start driving provided they are not taking any pain medication. We also recommend waiting 3 days for the medication to be out of your system.
Weeks 3 – 5 patients with more physical jobs can return to work.
In weeks 3-5 patients may:
Start getting into a light exercise routine, using lower body
Start doing more physical household duties
In weeks 6-8 patients may:
Commence normal exercise routine and duties. Please note, do not push yourself into being back into your pre surgery routines.
Swimming, bathing running, yoga, stretching, spin class and Pilates
Stop wearing compression bra (Textured Mentor implants)
At this stage patients are mostly fully recovered and sutures are absorbed. Patients should always wear a supportive bra when exercising or performing physical activity. For all patients with teardrop breast implants we recommend that you do not ever go back to using or exercising chest muscles heavily as teardrop implants can rotate.
In weeks 9-12 patients may:
Contact sport
Boxing and upper body exercise
Stop wearing compression bra (smooth Motiva implants)
Monitoring your safety for Life
With any surgery, follow-up care is essential. So, we provide patients with ongoing support through our lifelong follow up. All patient who have breast surgery with us will receive regular post-operative check-ups to avoid any potential complications in the medium to long term. It is important to understand that a medical device has been used and must be monitored throughout the time the patient has the implant.
Breast implant checks are carried out in clinic by a One Cosmetic Specialist. You must bring a GP referral. The fee is $185 and carries a Medicare rebate.
Motiva
All Motiva implants are covered against rupture by the Always Confident Warranty, for the lifetime of the device, and by Product Replacement Policy against capsular contracture, Baker grades III and IV for a period of 10 years. Furthermore, Motiva offer Extended Warranty Programs, which you may decide to participate according to your personal case:- For Motiva Implants®without Q Inside Safety Technology™ our 2Y Motiva Program™
- For Motiva Implants®with Q Inside Safety Technology™ our 5Y Motiva Program™
Mentor
All recipients of MENTOR® Breast Implants are automatically enrolled in the MENTOR® Promise Protection Plan. Should a confirmed rupture or deflation occur, the patient will receive up to two replacement breast implants of the same style or like style at no additional charge for the lifetime of the patient. If a rupture occurs within 10 years of surgery, the patient may also be eligible for financial assistance for surgical costs not covered by insurance. Additional complications are also covered for 10 years with free product replacement. Implantation of the MENTOR® Breast Implants, as well as any subsequent procedures, must be in accordance with current Mentor Product literature and accepted plastic surgical procedures by appropriately qualified licensed physicians for product to qualify for replacement under the Mentor Product Replacement Policy.Frequently Asked Questions
We regularly get asked about our procedures, so we have put together a couple of questions we get asked on a regular basis. If there is something else you would like to know, please get in touch!
Individual cases may vary but generally, mothers can breastfeed after having breast augmentation. However, some women do experience reduced nipple sensation following breast augmentation surgery making it difficult to trigger the milk let down reflex. Some women may also experience reduced milk supply.
Unfortunately, breast implants will not last forever. Life expectancy is estimated at 10-15 years.
Yes, for breast revision surgery some health funds may cover you for this surgery. You may also be eligable for a Medicare rebate.
Item number that applies to this surgery: 45554
Scars are apart of this procedure. The scar is about 3-4cm under each breast fold. With care and diligence the scar will fade over time.
Before & After
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