I think one of the greatest causes of breast implant revision, outside of capsular contracture, which I think we're doing a much better job with throughout the country. I think capsular contracture rates have really come down significantly from the core studies that were done for the implant manufacturers. Those studies quoted capsular contracture rates in the neighborhood of 20 to 25%. I think capsular contracture rates have come down to about the 4% range. People who do a lot of disserting my personal capsular contracture rates less than 2%. I think we're doing a much better job, but I think that's still a big part of revision. The second, and really I think terribly important factor that goes along with breast revision is putting an implant that's too big for the woman's chest. Many women come in and they have the idea in their head that they can just pick whatever size, you know, I have a wall that has all the implants on the wall, and they think they can just come in and look at all those implants and I'll take that one. That's not true. The correct size for a woman's breast has to do with the size of her chest, the size of her breast, the skin envelope of her breast, her height, her weight, her proportions, and all of those things need to be taken into consideration. If you try to put three gallons of water in a one gallon hat, some of it's going to spill out. Right? Same thing is going on in a woman's breast. If you're trying to put an implant in that's bigger than the skin envelope or the tissues will accept, you're asking for problems. And many of those problems end up requiring breast revision surgery.
What Situations Require Breast Implant Revision?
There are many situations that may require a breast implant revision. Dr. Paul Vitenas discusses what a patient can do to avoid it.