Hello, thank you for taking my question...I had BA about 2 months ago, 300cc L, 315cc R. subpec. I am 5'4" and about 130lb. My Ps stated that this size was appropriate for my chest and breast diameter. At first I was happy with my size, shape and fullness. Now after 2 months out, my breasts look like they have shrunk, are wide spaced, and lack the upper pole fullness that I had at first. If I decide for a revision, is it going to be easier than the first BA as far as recovery?
Is Revision Breast Augmentation Easier to Recover from Than Initial Ba?
Doctor Answers (10)
Revision Breast Augmentation
Revision breast augmentation, if just to change the size of the implants to larger implants, is easier than primary augmentation. I would recommend that you wait at least 6 months to allow the capsule to fully form and for the breasts to fully settle.
A couple of things to keep in mind. First, upper pole fullness is often better treated with Allergan low profile, or Mentor moderate profile implants (both are analogous). These implants have a larger diameter and thus fill the upper pole better. Second, be very careful about the distance between the breasts. Violating the medial boarders of the breasts often results in a monobreast and thus the need to then fix this problem.
You may find that by 6 months you're happy with your new breasts. Good luck.
By in large revisions should be less painful
Generally Breast Implant Revision is less painful and less traumatic than the original Breast Augmentation surgery. This does vary on a case by case basis because revisions can still be complicated.
Implant Exchange Easier Recovery than Breast Augmentation
Yes, for the majority of patients an implant exchange for a larger one has less discomfort than the original surgery with a faster recovery. I have my patients wait a minimum of 6-9 months or longer prior to doing a repeat procedure.
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SEcondary breast augmentation tends to be easier than first
In most cases revision breast augmentation is easier with a less painful recovery when compared to the initial breast augmentation.
Revision breast augmentation recovery
I would agree with the comment that more time should pass to be sure the breasts are fully settled to consider a revision. I require a minimum of 3 months but longer may be reasonable if they are still changing. It is also important to be certain that the revision can or will achieve what you are expecting as this didn't apparently happen in the original surgery.
If the incision is in the inframammary crease and the only thing done is to open it and replace the implant within the size range that the capsule will accommodate, there is little healing and recovery to undergo. I would agree with the comment that all revisions are different and it depends on what is being done as to the recovery from a revision, but in general, revisions should be an easier recovery than the initial procedure.
Secondary breast augmentation surgery
Usually secondary breast augmentation surgery is less painful than the primary procedure because the tissue has already gone through an expansion.
revision breast augmentation easier to recover
Yes in most cases but there are always exceptions. Discuss in an in person evaluation after an examination. There you can determine what type of revision you need.
Revision augmentation is generally less painful
The main pain following breast augmentation is from the muscle tightness. After the muscle has time to relax and settle into place over the implant the tight discomfort goes away. If you go back to surgery and change the implants in the same pocket, the recovery is much less painful. It sounds like your pockets have stretched out to the side so this may require some tightening and this may be the main source of discomfort after the procedure.
Overall the revision surgery is less painful and a quicker recovery.
Breast implant revision surgery can be simple or complicated
There is such a wide range of things that can be involved in revisions that there is no single answer to what the recovery will be like. A simple size change can be a very easy recovery, but if part of the issue is wide spacing it may involve some muscle work which would add to the recovery time. (The muscle may be pushing the implants apart.) Other things like animation deformities or capsular contracture are more involved.
Recovery following Revision of Augmentation
If your revision involves only a change in the size of implants, which seems to be the case, it should certainly be an easier recovery than your original procedure. The pocket for your implant has already been dissected for the most part, so your recovery is primarily related to incisional pain and healing.