Breast Implant Revision is a surgical procedure tailored for individuals who have previously undergone Breast Enlargement/Augmentation but now seek changes due to various reasons. This operation isn’t only about replacing old implants with new ones; it’s a complex approach to addressing any dissatisfaction with the current implants or complications that might have arisen over time. The essence of this surgery lies in its ability to fine-tune, correct, or completely overhaul the appearance of breast implants to better suit the individual’s current desires or needs.
There are numerous reasons you may be considering Breast Implant Revision. For some, it’s a matter of cosmetic preference, such as wanting a different size or shape to better match their body image or lifestyle. For others, it may be due to physical discomfort or medical issues related to their existing implants, like capsular contracture, implant rupture, or displacement.
Breast Implant Revision can range from a straightforward implant exchange to a more complex procedure involving adjustments to the breast tissue or the pocket that holds the implant, sometimes accompanied by a Breast Lift. The procedure is highly individualised, taking into account your unique anatomy, your previous surgery results, and your current aesthetic goals or health concerns.
Consultant Plastic Surgeon Anthony MacQuillan performs Breast Implant Revision surgery for his patients to help them achieve the results they want.
1 to 2 hours
General
Day case typically
4 to 6 weeks
Your breasts may feel different than expected at first but after 6 months your implants will settle into position.
Who Needs Breast Implant Revision?
Identifying whether you’re a candidate for this surgery involves understanding both the physical and psychological factors that might prompt the need for revision. Here are several scenarios and considerations that could make you a potential candidate for Breast Implant Revision surgery:
- Unsatisfactory Results after the Initial Breast Enlargement: The results achieved after your Breast Augmentation surgery don’t align with your current taste or lifestyle. If you find that your current breast size, shape, or type doesn’t suit your preference, you might consider revision surgery to achieve a look that reflects your desires.
- Physical Complications: Complications from the initial Breast Augmentation, such as capsular contracture (hardening of the scar tissue around the implant), implant rupture, or displacement, can cause discomfort, pain, or an undesirable appearance, necessitating revision surgery.
The ideal candidates for Breast Implant Revision are generally those in good overall health, non-smokers (or willing to quit) who have realistic expectations about what the surgery can achieve. It’s also important for candidates to be fully informed about the potential risks and benefits of undergoing a second surgery, as well as the recovery process.
Benefits of the Breast Implant Revision Procedure
Breast Implant Revision surgery offers a range of benefits, aimed at addressing the unique concerns and desires of each individual. Some of the advantages of undergoing a Breast Implant Revision procedure, include:
- Improved Aesthetic Appearance: One of the primary benefits of Breast Implant Revision is the ability to enhance the appearance of your breasts according to your desires. Whether it’s changing the size, shape, or type of implants, this procedure can help you achieve a more desirable and satisfying breast contour. For some, it’s about correcting asymmetry or adjusting the position of the implants for a more natural look.
- Correction of Physical Complications: For individuals experiencing discomfort or health issues due to capsular contracture, implant rupture, or displacement, revision surgery can alleviate these symptoms. By addressing these complications, the procedure can improve your physical comfort and reduce any pain or discomfort associated with problematic implants.
- Enhanced Self-Perception and Confidence: Achieving a breast appearance that aligns with your self-image can have a profound impact on your confidence and how you present yourself to the world. By addressing any concerns or dissatisfaction with your current implants, Breast Implant Revision can boost your self-esteem and comfort in your skin.
- Customised Solutions: Breast Implant Revision procedures are highly personalised, taking into account your specific circumstances, goals, and body type. This tailored approach ensures that the outcomes closely match your expectations, providing a solution that is uniquely suited to you.
- Opportunity for Comprehensive Breast Rejuvenation: Often, Breast Implant Revision can be combined with other procedures such as a Breast Lift to address sagging, providing an opportunity for a more comprehensive breast rejuvenation.
Implant Exchange
This involves removing the current implants and replacing them with new ones. You may choose to change the size, shape, or type of implant (for example, switching from saline to silicone or vice versa) to better suit your current preferences or to upgrade to newer implant technology.
Capsulectomy
In cases where capsular contracture (scar tissue that hardens around the implant) is present, a capsulectomy may be performed to remove the scar tissue. This can alleviate discomfort and improve the appearance and feel of the breasts.
Implant Removal
Some individuals may decide to have their implants removed without replacement. This could be due to personal preference, lifestyle changes, or health concerns. Depending on the breast tissue’s condition after removal, a Breast Lift might be recommended to improve the breasts’ shape and position.
Breast Lift (Mastopexy)
A Breast Uplift can be performed in conjunction with implant revision to address sagging and improve breast contour. This is particularly beneficial if you have experienced changes in breast volume or skin elasticity due to ageing, pregnancy, or weight loss.
Pocket Modification
For implants that have shifted position (either laterally or downwards), pocket modification techniques can adjust the implant pocket’s size or location. This ensures that the implants are properly aligned and positioned for a more natural appearance.
Implant Repositioning
This procedure corrects the placement of implants that may have migrated from their original position, resulting in asymmetry or an unnatural look. Repositioning can help achieve a more balanced and aesthetically pleasing outcome.
Revision with Fat Grafting
Some revisions may incorporate fat grafting to improve the breasts’ contour and softness. Fat from another area of the body is harvested and injected around the implants to smooth out contours, fill in irregularities, or enhance cleavage.
How is the Breast Implant Revision Procedure Performed?
The process of Breast Implant Revision is tailored to your specific needs, but there are general steps that Anthony typically follows. Below is a walkthrough of the common phases of a Breast Implant Revision surgery:
- Preoperative Planning: This critical phase involves detailed discussions between you and Anthony about your goals, the reasons for your revision, and the best surgical approach to achieve your desired outcome. It may include imaging tests to assess the condition of your implants and surrounding breast tissue.
- Anaesthesia: Breast Implant Revision surgery is usually performed under general anaesthesia, ensuring you’re comfortable and pain-free throughout the procedure.
- Incision: Anthony often uses the same incision sites from your previous Breast Augmentation to minimise additional scarring. The location of these incisions can vary depending on the specific technique being used and the extent of the revision required. Common incision sites include around the areola (periareolar), under the breast fold (inframammary), or in the armpit (transaxillary).
- Implant Removal and/or Replacement: Once the incisions are made, Anthony will proceed with the planned revision. This could involve removing the old implants, treating any scar tissue or complications, and inserting new implants. If you’re having your implants exchanged, Anthony will place the new ones, which could be of a different size, shape, or type than your original implants.
- Adjustments to Breast Tissue and Pocket: Depending on the reasons for your revision, Anthony may also make adjustments to the breast tissue or the pocket that holds the implant. This could include tightening the pocket to correct implant displacement or performing a capsulectomy to remove scar tissue.
- Closing the Incisions: Once the implants are in place and any adjustments are made, Anthony will close the incisions with sutures, skin adhesive, or surgical tape. This step is done carefully to ensure the best possible healing and minimal scarring.
- Recovery: Immediately after the surgery, you’ll be taken to a recovery area where you will be closely monitored as you wake up from anaesthesia. You can usually go home the same day, although some may need to stay in the hospital or surgical facility for a short period.
The duration of the surgery varies depending on the complexity of the revision needed but generally takes several hours. Anthony’s skill and experience, along with the use of advanced surgical techniques, play a crucial role in the success of the procedure and the quality of the outcomes.
The approach to Breast Implant Revision surgery is highly personalised, taking into account your anatomy, previous surgery outcomes, and specific goals. A thorough consultation with Anthony is essential to determine the most appropriate type of revision procedure.
Recovery after Breast Implant Revision Procedure
The recovery period following Breast Implant Revision surgery is an essential phase, where careful management can impact the quality of the results and your overall comfort. While the recovery process shares similarities with that of the initial Breast Augmentation, there can be variations based on the extent of the revision performed. Here’s what you can generally expect during the recovery from Breast Implant Revision:
- Immediate Post-Operative Phase: In the first few days after surgery, it’s common to experience swelling, bruising, and discomfort around the chest area. Anthony will likely prescribe medication to manage pain and reduce the risk of infection. It’s important to rest during this period, keeping your upper body elevated to help reduce swelling.
- Wearing a Support Garment: You will be instructed to wear a surgical bra or compression garment. This helps support the breasts during healing, reduces swelling, and keeps the implants in the best position as you recover.
- Activity Restrictions: To ensure proper healing, you’ll need to avoid strenuous activities, heavy lifting, and certain exercises for several weeks. Anthony will provide guidance on when it’s safe to resume different types of activities based on your individual recovery progress.
- Follow-up Appointments: Attending follow-up appointments with Anthony is vital to monitor your healing and address any concerns. During these visits, Anthony can assess the healing of incisions, the positioning of the implants, and overall progress towards your desired outcome.
- Managing Expectations: Swelling and changes in breast appearance are normal in the first few weeks to months. It may take some time for your implants to settle into their final position, and for the swelling to fully subside, revealing the final results of your revision surgery.
- Scar Care: Anthony might recommend specific treatments or products to help minimise the appearance of scars. Following his advice can lead to better healing and less noticeable scarring over time.
You can usually return to work and light activities within a week or two, provided your work is not physically intensive. However, complete healing and final results can take several months to fully manifest.
How Much Is Breast Implant Revision Surgery in the UK?
The cost of Breast Implant Revision surgery in the UK can vary depending on several factors, including the type of implants chosen, the complexity of the procedure, the surgeon’s experience, the facility where the surgery is performed, and any additional services or procedures required. On average, Breast Implant Revision surgery in the UK may range from £5,000 to £25,000.
To obtain an accurate price quote for Breast Implant Revision surgery tailored to your needs, it’s recommended to schedule a consultation with a qualified plastic surgeon. During the consultation, the surgeon will assess your medical history, discuss your goals and expectations, and provide you with a personalized treatment plan, including a detailed cost breakdown.
FAQs
Find out more about your surgical journey
How long do I need to wait before considering a Breast Implant Revision after my initial augmentation?
It’s generally recommended to wait at least 6-12 months after your initial Breast Augmentation surgery before considering a revision. This waiting period allows your body time to heal and for the implants to settle into their final position. In some cases, issues that seem concerning early on may resolve naturally as your body adjusts to the implants.
Can I switch from saline to silicone implants (or vice versa) during Breast Implant Revision Surgery?
Yes, during a Breast Implant Revision, you can switch the type of implants from saline to silicone or from silicone to saline. Many people choose to switch to silicone for a more natural feel or to saline for peace of mind regarding leakage. Anthony can discuss the benefits and considerations of each type to help you make an informed decision.
Will Breast Implant Revision correct sagging breasts?
Breast Implant Revision itself primarily focuses on replacing or removing the implants. If sagging is a concern, a Breast Lift (Mastopexy) can be performed in conjunction with the revision to raise and firm the breasts. Anthony can evaluate your needs and recommend the best approach to achieve your desired look.
What is the average cost of a Breast Implant Revision surgery?
The cost of Breast Implant Revision surgery can vary widely based on several factors, including the complexity of the surgery, geographic location, Anthony’s fees, and the type of implants used. Generally, revision surgeries can be more expensive than the initial augmentation due to their complexity. It’s important to consult with Anthony for a detailed estimate and check what might be covered by insurance, especially if the revision is medically necessary.
How can I ensure the best possible outcome from my Breast Implant Revision surgery?
To ensure the best outcome, choose a plastic surgeon with experience in Breast Implant Revision surgeries.
Be open and honest about your medical history, current health, and aesthetic goals during your consultation. Follow all pre- and post-operative care instructions closely, including activity restrictions and follow-up appointments. Lastly, maintain realistic expectations and communicate clearly with Anthony throughout the process.
What are the risks of Breast Implant Revision surgery?
Like all surgical procedures, Breast Implant Revision is associated with certain risks and potential complications. Being aware of these risks is crucial for anyone considering the procedure, as it allows for informed decision-making and preparation. Here’s an overview of the potential risks associated with Breast Implant Revision surgery:
- Anaesthesia Risks: As with any surgery requiring general anaesthesia, there’s a small risk of complications related to the anaesthesia itself, including allergic reactions, blood clots, and cardiovascular issues.
- Infection: Although rare, there’s a risk of infection at the incision sites or around the implant. Infections can usually be treated with antibiotics, but in severe cases, additional surgery may be required to remove the implant until the infection clears.
- Bleeding and Haematoma: Some bleeding is expected after surgery, but excessive bleeding can lead to haematoma formation (a collection of blood outside of blood vessels), requiring further intervention to drain and stop the bleeding.
- Changes in Nipple or Breast Sensation: Temporary or permanent changes in nipple or breast sensation can occur after Breast Implant Revision. While many patients experience a return to normal sensation over time, some may have lasting sensitivity issues or numbness.
- Scarring: Surgical incisions will result in scars, but their visibility can vary based on the incision location, individual healing characteristics, and adherence to post-operative scar care recommendations.
- Implant-Related Complications: Similar to the initial Breast Augmentation, there’s a risk of implant rupture, leakage (especially with silicone implants), and capsular contracture. These issues may necessitate additional surgeries.
- Asymmetry: While the goal of revision surgery is to improve symmetry and appearance, there’s always a risk that the breasts may not be perfectly symmetrical in size, shape, or position after healing.
- Dissatisfaction with Results: Even with careful planning and execution, there’s a chance you may not be completely satisfied with the outcome of your revision surgery. Expectations need to be realistic, and open communication with Anthony is key to achieving the best possible results.
- Need for Additional Surgeries: In some cases, achieving the desired outcome may require more than one revision surgery, especially if there are complications or if the initial results do not meet your expectations.
Choosing a qualified and experienced plastic surgeon can significantly reduce these risks. Anthony will evaluate your health, discuss potential risks and benefits, and tailor the surgery to meet your specific needs and goals. He will also provide detailed pre- and post-operative care instructions to minimise complications and support a smooth recovery.
Medical References about Breast Implant Revision
- Revisions in Breast Augmentation – Oxford Academic
- What You Need to Know About Breast Augmentation Revision – American Society of Plastic Surgeons
- Revision Breast Augmentation – PubMed
- Seven Signs You Need a Breast Implant Revision – American Society of Plastic Surgeons
- Implant Replacement or Removal – PubMed
Reviews
Patient satisfaction is the top priority for Anthony. You can find how patients feel about his work below.
27 Year Old Implants Removed and Replaced and Both Breasts Reconstructed!
The original implants had hardened and ruptured and were causing a lot of pain and discomfort, I could no longer cuddle my grandchildren without pain! Even pursuing normal everyday activities such as driving would be uncomfortable and sometimes unbearable! Added to that the left breast tissue had been damaged beyond saving and was continuing to bleed out causing swelling and bruising and incredible pain!
I had my breast implants replaced and an uplift five weeks ago by Anthony at the spire hospital in Bristol. Both Anthony and the staff at the spire hospital have been excellent. The care has been exceptional and I am extremely happy with every aspect of the care given from my original meeting with Anthony, through to the Anesthetist and staff at the hospital. The after care given by both the hospital and Anthony has been brilliant. Anthony gave lots of time in his consultations going through the procedure and what he felt would create the best results for me. I am so pleased with the result he has truly done a fantastic job and is obviously a perfectionist. I chose Anthony and the spire as I felt very safe in the knowledge that I would receive the very best treatment and care and I would highly recommend Anthony to any body considering surgery in the future.
Much Needed Breast Replacement – Sorted by a Fabulous Surgeon. Bristol, GB
Having researched and visited some cosmetic surgery providers in my area, I made an appointment with Anthony MacQuillan from The Spire’s team of experienced plastic surgeons. From my first consultation, I realised that he was a perfectly sound choice.
He carefully read the report from Southmead Hospital’s MRI scan of my breasts, which demonstrated a left and possibly right breast intracapsular rupture. My lymph nodes also contained silicone from the gel implant leak. With a kind, unrushed and approachable manner, he addressed all my concerns (no matter how daft). He asked me about the look I wanted to achieve and addressed the different options I was considering. I’m 54 and was hoping for a more natural look so was asking about different more natural shapes, maybe a smaller size etc. He offered great advice and gave me all me the pros and cons about these options. He gave me clear information about the procedure, about the implants he uses, and was completely transparent about the risks involved. He even addressed the fact that my breasts were asymmetrical (a problem I was told could not be addressed by another company) and he felt something could be done about that too.
I left the appointment feeling like a weight had been lifted from my shoulders. Mr MacQuillan had taken my problem on board like a true professional and made it HIS problem! I felt supported, encouraged, answered and confident. Any mysticisms surrounding the procedure had been expelled.
We met twice prior to the operation, the second so that I would have had time to absorb the information from the first, address any further questions I had etc. I was offered further pre-op appointments if needed however, and was totally unhurried – how refreshing!
I was worried about the operation as I had only been under once before (for the first implants). I knew Mr MacQuillan only had sketchy information from my MRI scan results about what he would be dealing with. Again, he gave me courage and completely reassured me.
Everything went well. I cannot rate Mr MacQuillan and his abilities highly enough – he is amazing. It was a longer procedure than predicted as my gel implants were in rather a bad state and Anthony took a great deal of care in removing them, cleaning out the pockets of any silicone, and replacing them with new Natrelle 410 implants under the muscle as before. It was considerably less painful than the first augmentation as Anthony had indicated – and my recovery has been without complications.
I am delighted with the results – my breasts are softer, look more natural and – yes – now pretty much aligned! Since my op, I’ve had 2 follow ups so far. I also feel completely confident that I can contact him easily through his efficient secretary Margaret at any point should any issues arise because of their unique aftercare programme.
Utterly Flawless Throughout!
After 12 years and 2 children I wanted my breast implants removed (& was aware I would need an uplift!). I saw 3 surgeons: 2 just told me to replace the implants and really didn’t understand that I did not want to do that but wanted to remove them-both told me I would be left with barely any size if I did that and didn’t give me another option. I didn’t feel either were particularly concerned with MY desires and were very dismissive. Then I met Anthony-after a lot of careful research on the internet. What a charming, caring, lovely man. I had 2 lengthy consultations where I asked so many questions and not once did I feel rushed or silly for asking anything that seemed obvious. He clearly outlined all risks anddusnt sugar coat anything. He told me it was completely possible to remove the old implants and uplift but gave me the added option of a fat transfer from tummy (great!) to breasts. He said he couldn’t guarantee the size would stay but it really has. They look better than before I had implants initially and they look better than with implants even. They are perky, full and I couldn’t be happier! The scars are barely noticeable and it’s only been 6 months. The care straight after the operation by all nursing staff was flawless as was the aftercare from Anthony. I haven’t had any complications and all my questions have been attentively answered. I couldn’t be happier and he is the only, only surgeon I would choose to return to in the future should I want to have more surgery one day. Price wise I felt the costs were very reasonable considering the multiple skills required in this surgery. I would not hesitate to recommend this amazing surgeon. So happy thank you!
Why Choose Anthony?
Anthony’s expertise in breast surgery is complemented by an all-inclusive approach to patient care. We understand the importance of listening to your concerns, desires, and expectations, ensuring a journey that is as comfortable and reassuring as possible. From the initial consultation through recovery, our team is dedicated to supporting you every step of the way.
State-of-the-Art Techniques and Facilities: We use the latest surgical techniques and technologies to ensure optimal outcomes and minimal downtime.
Personalised Care: Each procedure is tailored to meet the individual needs and goals of our patients, ensuring results that are both beautiful and natural-looking.
Comprehensive Support: Our team provides comprehensive care, from pre-operative education to post-operative support, ensuring your experience is positive and fulfilling.
Getting Started
Your journey toward confidence and well-being begins with a consultation. During this meeting, Anthony will discuss your aesthetic goals, evaluate your health, and recommend the best treatment options for you. Together, we will craft a personalised plan that aligns with your vision and lifestyle.
To learn more about our procedures or to schedule your consultation, please contact us today.
Further Reading about Breast Surgery with Consultant Plastic Surgeon Anthony MacQuillan
Learn more about surgeries Anthony performs, including;
