Most breast augmentation results are excellent, and patients are very satisfied with the results. However, as with any surgical procedure, there are potential problems that can require revision after surgery. As technology progresses and plastic surgeons get more education on the new techniques they can use, studies have shown that when proper patient selection and proper surgical technique is used, revision breast augmentation is required only in 6% of cases. That means out of thirty women only one may need revision breast augmentation. Statistics emphasize the importance of choosing an experienced Board Certified plastic surgeon when you decide to undergo any cosmetic surgery procedure. In this article, we will help you understand which breast implant problems require revision.

Breast Implant Problems that Require Revision

Implants are too high: it is not uncommon that women immediately after surgery think their breasts look too high. Most often it takes around 1.5 to 3 months for mammary prostheses to settle and deliver the desired look. Unfortunately, in some patients, the implants don’t settle properly, often if the implants were adopted through a sub muscular or subpectoral placement. This problem can be easily handled by performing "pocket revision" or muscle release.

Rippling or having visible folds: visible rippling mostly occurs with saline implants, but it is also possible with silicone. If the implant is placed subglandular, the risk of rippling is increased. However, the risk can be reduced if the implants are placed under the muscle. Visible rippling can also occur in thin women who don’t have a lot of glandular tissue. This problem can be solved by replacing the saline implants with silicone ones or replacing the implants sub muscularly. In rare cases, it may be necessary to cover the Implant with a biologic material in order to increase the coverage of the visible deformity. Sometimes, fat injections are be used to hide rippling.

Snoopy deformity or mammary ptosis: if augmentation is performed on sagging breast without a concurrent lift, the gland may hang down over the implant. This condition requires revision breast augmentation in the form of dermal mastopexy.

The inframammary fold: if your skin folds under the breast you have an inframammary fold.  The glands are normal hold on the chest wall, but during plastic surgery, this structure can be violated, causing it to descend or drop down the chest wall. The problem can easily be solved by reconstructing the fold and performing a pocket revision. Similar to this condition is the so-called double bubble problem which refers to the appearance of two rounded swellings on the chest wall. Revision goes the same way as for inframammary fold.

Choose an Expert

Patients who have chosen Dr. Steven Goldman for their breast augmentation procedure are happy with their result and do not need a second procedure for any of the problems listed above. The most important factor for you or anyone considering cosmetic surgery is not the risk of the procedure, but the skill, training, and experience of your surgeon. As we said, proper patient selection, as well as the right surgical technique, reduces the rate of subsequent surgery from 20% to 6%. So, if you want to ensure you are in the right hands, choose a board certified plastic surgeon who specializes in breast augmentation.