Breast Revision2017-08-23T18:20:23+09:30

Breast Revision Surgery in Thailand

Patients are typically very satisfied with their breast augmentation procedure, but compromised results occasionally occur. Fortunately, most of these can be significantly improved with revision surgery.

No. 1 reason that women opt for breast revision  surgery is that they wish they went bigger

Breast revision is a surgical procedure performed to remove or replace implants from a previous breast augmentation. Women elect breast augmentation revision for various reasons including a change in personal preference or medical purposes.

Breast revision is often more complicated than the initial breast augmentation. It’s important to choose a board-certified plastic surgeon like ours at Phuket International Hospital, who have had years of training and experience performing breast augmentation revision surgery.

Revision or secondary breast augmentation can range from being a simple procedure to being a very complex one. There is a multitude of factors involved, and some of these we explore in the text below.

Your breast implants may need to be removed or replaced if you are experiencing any of the following problems:

  • Capsular contracture (scar tissue tightens and hardens around one or both implants)
  • Implant rupture or leakage (caused by breast trauma, implant age or implant malfunction)
  • Double Bubble Breast Implants
  • Implant visible, palpable or rippling
  • Poor implant placement or bottoming out
  • Poor outcome of your initial breast augmentation
  • Regret about the size of your breast implants
  • Regret about your decision to get breast implants

When any of the problems listed above occur with breast implants, some choose to take action while others do not. Most issues typically do not pose an imminent danger or health risk, and the cost of breast revision surgery may not be a worthwhile investment if the problem is minimal.

Depending on the individual patient, revision surgery in Thailand may involve one or a combination of the following procedures:

A. Removal of the old implants and replacement with “like-for-like” or different size, type or shape implant.

B. Removal of thickened contracted scar tissue lining the implant pocket (capsulectomy).

C. Modification of the existing implant pocket to allow for the insertion of a much larger implant and/ or reducing the gap between the implants (capsulotomy).

D. Modification of the existing implant pocket to correct bottoming out, descent of the breast crease and lack of support.

E. Breast implant pocket switch from above to below the muscle to address rippling and recurrent capsular contracture.

F. Breast uplift/ reshaping (mastopexy) to correct droopiness.

The process begins with a consultation with a board-certified plastic surgeon either at home or in Thailand who specialises in breast augmentation and revision breast augmentation. Some women return to the surgeon who performed their original breast augmentation for a revision, while others seek out a new surgeon. This decision depends largely on the nature of the cosmetic concern as well as how much time has passed since the first surgery. For example, you may have been pleased with your breast augmentation but your breasts have changed due to pregnancy. Or, perhaps you did not like your original surgeon’s work, or maybe he or she is no longer practicing in a convenient location. If you are going to a different surgeon, take your records. Your new surgeon will need to know what type and size of the breast implant you currently have to enable him to best plan your revision breast augmentation.

During your initial consultation or photographic review with the surgeon, you must discuss your concerns regarding the look and feel of your breasts, as well as your expectations. Be as specific as possible about what you want to change. Tell your surgeon what, if anything, went wrong with your initial breast augmentation surgery. In many cases, nothing went wrong with the surgery per se. Instead, your body and breasts changed over time, and what was once ideal is no longer acceptable.

Your plastic surgeon will examine your breasts and may take “before” breast augmentation photos during this visit. He or she will analyze the size and shape of your breasts, their skin quality and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). Based on the results of this examination, your surgeon will develop and explain a surgical plan of action. He may discuss implant types and size, the location of the new incisions and whether your new breast implants will be placed on top of or underneath the pectoral muscle. Most revision breast augmentation surgeries involve under-the-breast (inframammary) or around-the-nipple (periareolar) incisions.

Women contemplating revisional surgery in Thailand will have some idea of what the procedure is like (having had a previous breast augmentation).

There are many similarities to the original procedure, but there can also be a number of significant differences depending on the complexity of the revision surgery to be performed. Simple exchange of implants for implants of comparable shape/ size can be quite straightforward as no significant work is required on existing implant pockets. The surgical procedure can be relatively quick. On the other hand, if the surgery is complicated, the process will take longer, and the recovery would be more involved. Examples of complex revisional surgery include correction of capsular contracture, implant malposition and breast lift.

If the patient requires a straightforward implant exchange procedure or capsular contracture corrective surgery, the doctor may be able to create the incision through the patient’s original breast augmentation scar. If a breast lift surgery is also desired, new incisions will be made in the nipple and areola areas..

After the operation, your breast is covered with gauze and elastic bandage to give your breasts support. You will have thin tubes (drains) from each breast. Hospital stay can range from 1-2 days dependent on drain output. Once the drains are removed, you will be able to return to your hotel. A compression garment may need to be worn for 2-4 weeks depending on the type of surgery. If implants were replaced, no underwire bra should be worn for a minimum of 3 months.
Although the breast skin and tissue are already accustomed to the presence of implants, recovering from implant revision is very similar to the recovery experienced after the initial implant surgery. Symptoms such as swelling, soreness, and stiffness are to be expected for the first week or two.
Exercise and normal activity can resume at surgeon’s directions and is dependent on the extent of your surgery. Over time, post-surgical swelling will decrease, and incision lines will fade. The breasts will settle into its final shape at around 3-4 months.
The decision to have breast implant revision surgery is extremely personal, and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

After submitting your information and photos to our Thailand Surgeons, your surgeon will explain in detail the options and risks associated with surgery. On the day of surgery, you will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

Although this surgery can be an effective procedure where the benefits significantly outweigh the risks, like everything in the practice of medicine and surgery, it is not an exact science. The degree of surgical success can be altered by how each’s body responds to surgery and healing. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure; revision surgery may be necessary.

The risks include:

  • Unfavourable scarring
  • Bleeding (hematoma)
  • Infection
  • Poor healing of incisions
  • Changes in nipple or breast sensation may be temporary or permanent
  • Anaesthesia risks
  • Seromas (Fluid accumulation under the skin or around the implant)
  • Blood clots
  • Pain, which may persist
  • Deep vein thrombosis, cardiac and pulmonary complications

The cost of having Breast Implant Revision Surgery in Thailand may vary., depending on the type of revision required. 

Some implants may be under a life-time warranty. If you still have the records of your old implants, it may be worth contacting the implant company and ask about any possible reimbursement in regards to removal and replacement of the implants concerned

Our advice to get a clear picture of what is going to work to achieve your results is to submit your images and patient information so our Thailand Surgeons can provide you with recommendations. These recommendations will include what surgery will achieve your results, confirmation of price and duration you require for recovery in Phuket. The more information you can provide on the original surgery and any investigative step you have taken, the easier it will be for the surgeon to determine the best course of treatment.

The pricing below is for standard Breast revision in Phuket at Phuket International Hospital and should be used a  guide only pending having surgical recommendations provided.

Breast Implant Removal  POA  POA  60,000  $2,300
Breast Implant Removal with Capsulectomy  POA  POA  100,000  $3,800
Breast Implant Removal + Replace  145,0000  $5,500 150,000  $5,800
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