Breast Revision Cincinnati
Although breast surgery is generally a highly successful procedure, complications can and do occur. Most complications can be corrected or improved to patient satisfaction. Unfortunately, some complications are permanent. Listed below are some of the most common complications and their treatment.
Ruptured silicone implants
A suspected or proven rupture of silicone implants requires complete removal of the ruptured implant along with removal of abnormal breast tissue. Newer generation silicone breast implants can then be placed back into the breast. These newer implants are cohesive and less likely to cause a problem if ruptured. The implants are usually placed in the sub pectoral position and may be accompanied by a breast lift.
Capsular contracture (hardening of the breasts) in breast augmentation
Capsular contracture of the breast following breast augmentation occurs in less than 5% of patients and in some studies may be as low as 1%. It is generally believed that silicone implants have a higher rate of capsular contracture then saline implants. Capsular contracture can occur anytime during the life of the implant. Etiology (cause) of capsular contracture is unknown. Treatment consists of removal of the capsule (scar tissue) around the implant and replacement of the implant in the sub pectoral (below the muscle) position. In rare cases the implants must be permanently removed.
Infection of breast implants
Minor infections can be treated with antibiotics. Serious infections require removal of the implants and further antibiotic treatment. Generally a wait of 6 months is necessary to let the infection heal up so that new implants can be placed.
Malposition of implants
Following breast augmentation, a capsule develops around the implant which is a normal response to a foreign body. The capsule consists of scar tissue (collagen) which keeps the implant in place. Sometimes incorrect surgical technique can lead to a pocket which is too big or is over dissected in a specific direction. This can lead to implants which are too low, too far medial (near the sternum), or in the armpit. Malposition of the implant can also cause changes in the shape of the breast or in the position of the nipple-areola complex. Correction of this deformity can be complex and can reoccur despite the best surgery. Basically the pocket is sutured together to close off the abnormal space thus positioning the implant in a normal position.
Pectoralis Jump (abnormal movement of the breast during exercise)
One of the few disadvantages of placing implants under the pectoralis muscle is abnormal upward movement or distortion of the breast during use of the pectoralis muscle. This rare problem can lead to quite visible distortion of the breast in a few patients. Treatment requires reoperation with revision of the sub pectoral space or conversion to a sub glandular (above the muscle) implant.
Dissatisfaction of breast size following breast reduction
Further reduction of the breast can be accomplished by liposuction only or a secondary breast reduction. Over resection of breast tissue resulting in too small a breast can only be remedied by placement of breast implants.
Unacceptable scarring following breast surgery
Most scars can be revised with successful improvement in appearance. The quality of the scar is more dependent on the patient’s skin color and genetic predisposition then on the surgeon performing the procedure.
Recurrent laxity following breast lift
Some relaxation of skin is expected, but in certain individuals a secondary lift will be needed due to poor elasticity of the skin. A secondary lift is generally less extensive and will result in a long lasting lift.