Types of Breast Revision After Reconstruction

Breast revision is designed to recreate balance and improve the shape and symmetry of the breasts. This procedure is often performed after breast cancer treatment and implant reconstruction to correct breasts that have developed a complication or appear distorted.

Common Reasons for Breast Revision Surgery

Patients may have several reasons for undergoing breast revision after undergoing cancer surgery (mastectomy) and breast reconstruction. Below are some of the most common complications and reasons for breast revision:

  • Hardening of the scar tissue capsule around an implant, which may lead to capsular contracture and a painful and/or visibly distorted breast
  • A patient desires their implant size to be altered, either larger or smaller in volume
  • A saline implant deflation results in visible breast distortion, or an MRI detects a ruptured silicone implant
  • Unsatisfactory nipple size, location, or appearance

Common Breast Revision Techniques:

Many types of breast revision procedures are available for patients, and the technique(s) used will depend on the patient’s goals and reasons for undergoing revisional surgery. One or more of the following techniques may be used to achieve the patient’s desired results:

  • Open Capsulectomy: This technique corrects capsular contracture by completely removing the scar tissue capsule around the breast implant.
  • Circumferential Capsulotomy: This procedure releases the scar tissue capsule around the implant to relieve contraction and pressure on the implant. It may also involve partial removal of the capsule.
  • Implant Replacement On One or Both Sides: This technique involves removing one or both of the current implants and replacing them with new ones to correct rupture or breast distortion and create symmetry.
  • Acellular Dermal Matrix (ADM) Grafts: ADM grafts provide support to the breasts to improve common aesthetic problems after reconstruction, such as lower pole breast shape, inframammary fold, capsular contracture, implant position, and “rippling.”
  • Fish Tail Flap: This technique removes redundant skin at the lateral end of a mastectomy scar.
  • Nipple Reconstruction/Nipple Tattooing: This procedure corrects the absence of a nipple or adds volume and/or shape to one or both nipples.

It is important that patients considering breast revision surgery choose a surgeon who specializes in both cosmetic and reconstructive breast surgery. A board-certified plastic surgeon that is a diplomate of The American Board of Plastic Surgery (ABPS) will have the experience and skills necessary to perform a safe, effective surgery.

To learn more about your options for breast revision surgery, feel free to contact the office of Dr. Stuart Linder by calling (310) 275-4513 or by filling out our online contact form. Dr. Linder is an experienced cosmetic and reconstructive surgeon who is ABPS board-certified in plastic surgery.