There are several aesthetic, emotional, and medical reasons why women may consider breast augmentation revision or secondary breast augmentation. The best candidates for secondary breast augmentation are women who are in good health, not pregnant or nursing, and are dissatisfied with their current breast implants. The need for breast augmentation revisions stem from a number of sources but fall into several broad categories:
Problems with Implant Position or Surgical Dissection
This is a patient who had asymmetrical implants with the right one higher than the left. Dr. Agha performed a revision procedure lowering the right implant, releasing the lowering aspect of the implant capsule and the inframammary fold.
This patient presented to Dr. Agha for corrective breast augmentation. Her primary breast augmentation was performed by a non-plastic surgeon 18 months prior. Both of her breast implants are too low due to excessive dissection of the inframammary fold.
The implants move down onto the upper abdominal region, resulting in distortion of the breast shape and nipple-areola complexes that point up. This complication occurs more often with subglandular implant placement, over-sized implants in relation to the patient size, and inaccurate implant pocket dissection. The implants may hang too low, appearing unattractive, and prevent you from being comfortable when bra-less.
The patient below presented herself to Dr. Agha for corrective breast augmentation. Her primary breast augmentation was performed by a non-plastic surgeon three years prior. Both of her saline breast implants were placed in a subglandular plane and were too low due to excessive dissection of the inframammary fold. Implant positions are asymmetrical. The right implant is lower than the left. She also had rippling of her right implant.
The patient underwent a corrective secondary breast augmentation procedure performed by Dr. Agha as well as a tummy tuck. Her breast revision surgery involved removal of the implants, reconstruction of the lower inframammary fold, and placement of silicone implants in a submuscular plane.
Problems with the Implant Selection
This patient presented to Dr. Agha for corrective breast augmentation. Her primary breast augmentation was performed by non-plastic surgeon four years prior. After the second year of her breast augmentation, she returned to her surgeon for implant drooping. According to the patient, the surgeon placed additional saline in her implants during an office procedure. When presenting to Dr. Agha four years after her primary procedure, the patient had 450 cc saline implants in a subglandular plane, despite weighing 90 Ibs only. Her large saline implants in a subglandular plane had resulted in significant thinning of her breast tissue, skin damage, and stretching of her nipple-areola complex. The patient underwent a corrective breast augmentation procedure that involved removal of her implants, reconstruction of the lower inframammary fold, and placement of silicone implants (275 cc chosen by patient) in a submuscular plane, and peri-areolar mastopexy to remove stretched out skin.
Problems with Neglecting Patient’s Tissue Characteristics
This patient presented to Dr. Agha for Breast augmentation. The patient had tuberous breasts which were corrected appropriately.
This patient presented to Dr. Agha for Breast augmentation. The patient had subtle breast asymmetry with the right breast being smaller and than the left. This was appropriately corrected with use of different size implants.
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