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Revision Breast Implants

Surgical Name:

Breast Implants Replacement

Hospital Admission:

1-2 nights

Duration of Operation:

2-3 hours

Anesthetic:

General Anesthesia

Recommended stay in Bangkok:

7 days

Introduction

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:

  • Desire for Implant Exchange – Size Change, Ruptured Implant, Asymmetry
  • If you want to change your implant/breast size
  • If your breast tissue has changed as a result of skin stretching or weight loss/gain
  • Mal-Positioned Implants – Breast implants that are incorrectly positioned: too low, too far to the side or center
  • Desire for Explantation
  • Bottoming Out
  • Double Bubble
  • Wrinkled or Rippled Implants
  • Symmastia
  • Ptosis or sagging breast implants and tissues
  • If you have tightening of the scar tissue around the implant (capsular contracture)
  • If your breasts look unnatural or undesirable due to subglandular placement of the implants, and you wish to convert the placement to a submuscular position for a more natural look.

Preparation For Your Operation

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

The Procedure

Step 1 – Anesthesia
Medications are administered. The choices include intravenous sedation or general anesthesia.
Step 2 – Treatment
The exact procedure plan will vary depending on the reason for your breast revision. These includes:

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.

Step 3 – Closing the Incisions
The incision is then closed with stitches. Your surgeon may place temporary drains in the incision prior to closing it to prevent fluid or blood accumulation. Catheters to deliver pain medicine at the site of the incision may also be placed prior to closing the incision. The drains or catheters would be removed during a follow-up visit after surgery.

Recovery

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.

FAQ

How Long Will the Results Last?
Breast implant revision results are long-lasting. Unless you gain or lose a significant amount of weight or become pregnant, your new breast shape should remain fairly stable. However, gravity and the effects of aging eventually alter breast size. The weight of the implant used will also affect how your breasts appear as time goes on.
Should I have my breast implants removed or replaced?
Depending on your current condition. Most surgeons recommend breast implant replacement rather than breast implant removal. Implant removal surgery is more complicated than a replacement procedure, with heightened potential for bleeding and infection.
How is breast revision surgery different from other breast enhancements?
Breast revision surgery is often more complicated and requires a more advanced skillset than an initial breast augmentation or other enhancement procedure. Your surgeon will be dealing with factors such as scar tissue, changes in the skin and breast following an earlier surgery and other challenges. Meticulous attention to detail and advanced techniques are critical in surgical revision procedures.
Will breast implant revision surgery give me more scars?
Minimizing scarring is an important goal with breast implant revision. In the instances where some additional incisions are necessary, most women feel that the benefits of the revision procedure far outweigh concerns over scarring.
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Revision Breast Implants Prices

Prices include all hospital, operating room, anaesthetists' and doctors' fees, a single private room, standard meals, medications and medical supplies. Generally patients will only pay an additional amount for telephone calls and additional meals extra to the standard hospital supplied meals.

Procedure Price  
Breast Correction Less than 400 CC (GA)
Op. Time: 2-3 hours, Hospital: 2 nights, Stay: 7 – 10 days
THB150,000 Free Quote
Breast Correction 400 – 525 CC (GA)
Op. Time: 2-3 hours, Hospital: 2 nights, Stay: 7 – 10 days
THB165,000 Free Quote
Breast Correction 550 – 800 CC (GA)
Op. Time: 2-3 hours, Hospital: 2 nights, Stay: 7 – 10 days
THB180,000 Free Quote
Breast Correction 1,000 CC (GA)
Op. Time: 2-3 hours, Hospital: 2 nights, Stay: 7 – 10 days
THB220,000 Free Quote

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