Indications
Breast implant revision is indicated for those who already have a silicone implant and present some change — such as capsular contracture, rippling, a shift in implant position, or a wish to change volume — or, in some cases, simply want the implant removed.
Investigating the cause of the change and planning the surgery are done individually, with the medical team.
Situations that commonly lead to revision
- Capsular contracture — hardening of the tissue around the implant.
- Position change — implant displacement over time.
- Wish to change volume or implant type, assessed individually.
- Implant removal, without replacement, when that is what the person wants.
Assessment
Cause investigated individually
Before a surgical indication, the cause of the change is investigated — the revision plan depends on what led to the need for a change.
How it is performed
Carried out in a hospital setting, under anaesthesia agreed with the team. It usually uses the scar from the previous surgery. The technique — implant replacement, repositioning, capsule treatment or removal — varies according to the identified cause.
Recovery
Recovery is usually similar to that of the original surgery, but may vary according to the revision's complexity. Swelling and discomfort in the first weeks are expected; return to activity is gradual, as advised.
Risks and factors that influence the outcome
Like any surgery, it involves risks — related to anaesthesia, healing, new capsular contracture, among others — discussed individually.
Time since the previous surgery, the condition of the breast tissue and adherence to post-operative care affect the outcome, which varies from person to person.
Breast Implant Revision
Frequently asked questions
How often does an implant need to be replaced?
There is no mandatory fixed schedule — replacement is indicated when some change is identified during assessment, not simply based on how long it has been in place.
Is it possible to remove the implant without replacing it?
Yes. Removal without replacement is an option, assessed individually according to the person's wish and the condition of the breast tissue.
Does implant revision use the same scar as the previous surgery?
In most cases yes, but this depends on individual assessment and the technique needed to address the cause of the revision.
The cause of the revision and the technique are always investigated and defined individually, in consultation.