Implants don’t change with time. Unfortunately, breast tissue does. As we age, the effects of gravity combined with the loss of collagen and dermal support of the skin, softening of the breast fat and loss of firmness of the glandular component of the breast results in overall sagging of the breast with loss of firmness. Now, couple this with some weight gain, which results in an increase in breast tissue now sitting in front of the implant. This results in sagging of the breast in front of the implant, called a “waterfall deformity” and a breast lift is now needed. To achieve ideal breast aesthetics, it may also be worthwhile to replace with a larger or smaller sized implant. Maybe several years have passed and there are better types of silicone gel implants available now that better suit your breast tissues. All these concerns can be addressed in a single surgical procedure! A mastopexy is associated with surprisingly little post-operative discomfort in most cases. Sometimes, Galaflex mesh is also used to provide additional support (like an “internal bra”). Remember, this mesh will dissolve in a couple of years, and be replaced with a layer of new living scar tissue that will provide continued support to your breasts.
Sections – Revision of Breast Augmentation
- Capsule contracture
- Explantation (Removal of implants)
- Implant malposition/bottoming out of the breast
- Bio-materials Used in Revision of Breast Augmentation – Strattice, GalaFLEX and GalaFORM
- Implant size change
- Change from textured to smooth implants
- Changing from saline to silicone gel filled implants
- Adding a breast lift later
Chapters – Breast Augmentation Guide
- Intro to Breast Augmentation
- Five key decisions you need to make
- One-Day Recovery Breast Augmentation
- Anesthesia – General, Sedation or Local?
- Will I need a breast lift (Mastopexy)?
- What else should I know about breast augmentation?
- Important Things to Consider When You Decide to Move Forward With Breast Augmentation
- Revision of breast augmentation
- ALCL and Breast Implant Illness
- Motiva Breast Implant Clinical Trial