Breast revision is not a single operation. The plan depends on the specific consequence of prior surgery.
Common revision questions include implant position, capsule changes, asymmetry, implant size, soft-tissue thinning, scar, breast shape, recurrent laxity and the interaction between native tissue and an implant.
Revision framework
- Identify the dominant problem and prior operative history.
- Determine whether implants should be retained, exchanged or removed.
- Assess the breast envelope separately from the implant pocket.
- Discuss whether a lift, reduction, fat grafting or staged approach is relevant.
Revision surgery may have more uncertainty than primary surgery because prior operations alter tissue planes and blood supply.