Breast Implants Replacement
Breast Revision also known as breast implant replacement. Breast implant revision surgery typically involves removing or replacing the original saline or silicone implants.
The overall goal of this procedure is to restore a youthful breast contour and appearance. A breast implant revision may be performed for numerous reasons, both medical and cosmetic and these are the following:
You will usually have your breast implants revision under a general anaesthetic. This means you will be asleep during the procedure. No food is allowed atleast 8 hours prior to any surgery, this includes any sweet like chewing gum. If there is no fasting instructions given, you must not consume any food or drink from midnight before your scheduled surgery. Clients who do not comply with this requirement risk having their surgery delayed or risk being denied surgery.
DO NOT take any Aspirin and NSAIDS drugs for at least 2 weeks prior to surgery. (Aspirin may be re commenced after 48hrs post op.) If you take Aspirin or any other form of blood thinning medication for a medical condition, please discuss this with Dr. Thanakom.
Smoking must be stopped atleast 3-4 weeks. If you cannot quit, cut back as much as possible. Smoking constrict the blood vessels, which can delay wound healing. While drinking alcohol must be stopped atleast a day or two prior to surgery.
The procedure usually takes 2-3 hours and you are required to stay in hospital overnight.
Do not wear contact lenses, makeup, nail polish, jewelry, including any body piercings, hair accessories containing metal (such as barrettes or clips with metal springs, etc.) on the day of your surgery
Implant removal: If your implants are large and your skin has stretched, Dr. Thanakom may recommend a breast lift in addition to implant removal, but implant removal alone may suffice. The original incision created to insert the implant will almost always be the same one used to remove it. The lining around the implant, or “capsule,” is often surgically removed at the same time to facilitate rapid healing.
Change in implants size: Dr. Thanakom may use the original incision for implant removal and replacement. If you want a bigger implant, Dr. Thanakom will surgically widen the “pocket,” or space in the breast, surrounding your implant to accommodate a larger implant. If you want smaller implants, Dr. Thanakom may surgically reduce the size of the pocket with sutures to properly fit smaller sized implants. A breast lift may be done at the same time.
Implant rippling: When the edges of breast implants are visible and palpable (able to be felt), Dr. Thanakom may use the same incision to remove or reposition the implants as was used to originally insert them. Other options include using a different type of implant or placing the new implant into a different breast pocket that either has thicker muscle coverage or uses other tissues to cover the implant edge.
Capsular contracture (hardening of the capsule and implant): Dr. Thanakom will probably use the same incision used to insert the original implants to remove the hardened capsule and implant. Dr. Thanakom will then insert a new implant.
Implant malposition: Sometimes implant pockets are created too far apart or too close together, resulting in poorly positioned breasts. To correct this, using the prior incision, Dr. Thanakom will manipulate the scar tissue from the capsule surrounding the implant and reconstruct the pocket in the appropriate position using suturing techniques.
Breast augmentation recovery is typical the same with your first time breast implants. It requires you to minimize physical activity for 3 to 7 days before slowly resuming more strenuous tasks.
Dr Thanakom will provide set of medications such as pain killers, antibiotics, anti-inflammatory etc. These will be provided following breast surgery.
You may be instructed to wear a support bra around the clock for the first week or two. It will be important to keep your incision clean and dry at all times. Be sure to follow all instructions carefully.
The stitches are taken out after about a week. If you have dissolvable stitches, the amount of time they will take to disappear depends on the type of stitches. However, for this procedure, they should usually disappear in about six weeks.
Physical activity is limited for the first several weeks, with most patients able to return to work and their normal activities within two to three weeks.
You should contact the clinic where the operation was carried out as soon as possible if you have severe pain or any unexpected symptoms, such as redness of your breast skin, a burning sensation or unusual swelling.