Breast Augmentation: Q&A

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Is a Breast Revision Inevitable After a Maxopexy with Augmentation?

My husband has been doing some additional research for me and seems to think that a revision is inevitable any where from 5-9 years. Is this the majority?

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7 Doctor Answers | Asked by Ms. D in florida in Pinellas park, FL
+1

Not inevitable, but certainly possible.

Augmentation mastopexy is perhaps the most difficult cosmetic breast procedure to perform. The complexity comes from competing goals -> increase the size of the breast while decreasing the skin envelope of the breast. In an augmentation mastopexy, we are typically dealing with breast tissue that has proven to have poor tone, poor skin quality, and a tendency to droop. Placing an implant, lifting the nipple, and removing excess skin has significant impacts on the blood supply to the nipple... more
+1

Breast lift and implants

Yes, this combination does have more revisions than the two operations considered separately. Is it "inevitable"? That's a little bit of a strong term.... Really, the mastopexy and the augmentation are working at cross-purposes. The mastopexy is trying to tighten the breast skin. The breast implant fills out and often stretches the breast skin. Droopy breasts have shown that the skin and support tissue isn't very good - and has drooped... more
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Breast augmentation together with breast lift

It is a good question. Breast augmentation is not like other plastic surgery. One facelift, rhinoplasty, abdominoplasty etc most often does the job and lasts years as long as you take care of yourself except of course for the continuing aging process. Breast augmentation is quite different in that a patient can look great a month or 2 after surgery and then look quite the opposite a short time later due to capsular contracture, implant rupture etc. Therefore even in skilled hands breast... more

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Is a revision inevitable after augmentation and breast lift?

First of all, having implants means that you will most probably need to replace them at some point...it may be 20 years from now, but it is likely. Revisions for capsular contracture are in less than 10% of patients, but a risk. Patients who need lifts are much more complex situations than patients who do not. The interaction between implants and the overlying loose tissues that are tightened in a lift are not always favorable or completely predictable, and since the... more
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Inevitable Revision

Gravity will effect your breast no matter what you do. So yes a revision will most likely be necessary over time. But when is dependent on you to some degree physically and what size implant you have. A good bra is so important. Gravity wants to push your implants down and out. Remember the chest is a curved surface with a round implant on it. It will naturally want to be pushed down and out laterally by gravity and the muscle with function (submuscular implants). So, having a... more
+1

Revision rates after lift with breast implants

If you look at just breast implants alone, the revision rate within five years is as high as 25% in some practices including revision for size changes, though can be lower in others. When we look out to five to ten years, we start to see rates climb as implants begin to leak at about eight years, and most will need replacement (revision) within ten to fifteen. If we consider a lift as well, the revision rates, perhaps small scar or even recurrent droop, the revision rate may creep higher.... more
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Mastopexy with augmentation

Inevitable is probably too strong a word...but revision surgery is certainly not uncommon with this combination of procedures.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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