Most patients are satisfied with the results of breast augmentation surgery. Preliminary results often last up to 15 years. However, sometimes weight fluctuations, pregnancy and other factors can change the shape of the breast. Breast augmentation surgery can correct these changes and improve the appearance of your breasts years after the initial enlargement .

Breast Implant Revision in Iran: the fact You Need to Know

The goal of breast implant revision surgery is to replace old breast implants with new implants. Often the goal is also to change or improve the appearance of the breasts while updating the implant material, which could include :

• A concurrent breast lift or reduction
• Reshaping the breast implant pocket to reposition the implant on the chest
• Either increasing or decreasing the size, shape or style of the breast implant

Who is a good candidate for breast implant revision surgery?

Breast implant correction surgery is intended for patients who have had a breast prosthesis in the past and are now dissatisfied with their implant or concerned about the condition of their implant. This method can address these concerns by replacing existing implants with new ones .
In general, you may be a good breast implant revision candidate if:

• You are unhappy with size, shape or appearance of your breast implants
• You are concerned about the integrity or condition of your implants
• You are physically healthy and at a stable weight
• You have realistic expectations
• You are a nonsmoker

If you are having surgery, spend some time reviewing photos of breast implant surgery and learning what to expect during recovery. Early preparation helps patients have reasonable expectations and have a smoother recovery .

What is capsular contracture?

The formation of a "capsule" of scar tissue around any implant (medical or cosmetic) is a natural part of the healing process. The body automatically reacts to any foreign object it detects inside and tries to isolate the scar tissue by creating a barrier around it. In the case of a breast prosthesis, this is usually a good thing - the capsule helps hold the breast prosthesis in place and prevents it from slipping. However, in some patients, the capsule abnormally hardens from the scar tissue and begins to contract around the implant. This can lead to cosmetic problems and in severe cases chest pain. Research shows that one in six breast augmentation patients experiences some degree of capsular contraction, although not all cases show obvious symptoms. Capsule contraction intensity is rated using a grading system :

• Grade 1: Capsule contraction is asymptomatic (with the onset or onset of symptoms). The formation of scar tissue around the implant does not interfere with the size, shape or texture of the breasts. Breasts look natural and remain soft to the touch .
• Grade 2: Grade 2 capsule contraction usually appears with only minor cosmetic symptoms. Breasts are usually normal in shape, but are somewhat stiff to the touch.
• Grade 3: Grade 3 capsular contraction manifests itself with obvious aesthetic symptoms. Breasts look stiff and abnormal to the touch, for example, they look too round, hard, and the nipples may become deformed. However, this degree of capsular contraction often does not cause much pain (if any).
• Grade 4: Like grade 3 capsule contraction, grade 4 capsule contraction causes the breasts to tighten and deform. Patients with grade 4 capsular contraction also experience chest pain. Their breasts will often be tender and painful to the touch.

In general, capsular contraction occurs during the healing process. About 75% of all capsular contractions occur within two years of implantation. Capsule contractions sometimes occur years after breast augmentation surgery, but this is an exception to the rule. If this happens, the patient's breast implant should be examined for rupture. Implant rupture is the most common cause of late capsular contraction.

Who is at risk for capsule contraction?

Patients who have received radiation therapy in the past or after an initial breast implant are at high risk for developing capsular contraction. However, some other factors that may increase the risk of capsule contraction include rupture of the implant, hematoma, infection of the implant, and genetic predisposition to scarring.

Symptoms of Capsular Contracture

When breast implants are placed, the body recognizes them as a foreign body. As a natural protective response, the body forms a layer of scar tissue around the implants. This layer of scar tissue is completely normal and its presence alone does not cause any complications for the patient. Unfortunately, in a small number of cases, the scar tissue around the breast implant shrinks. This condition is known as capsular contraction.
Capsule contraction usually occurs within a few months of initial breast implant surgery. However, capsule contraction can occur at any time, even years after breast augmentation. For this reason, it is important for patients to diagnose the symptoms of capsule contraction so that they can seek treatment in a timely manner .
The most common symptoms of capsular contracture include the following:

• Breasts that seem to sit high on the chest
• Misshapen or unnatural looking breasts
• Breasts that feel firm and tight
• A round, ball-like shape of the breasts
• Rippling
• Pain or discomfort, especially when lying on the breasts

How can capsular contracture be healed?

Some of the surgical options for correcting capsular contracture include :

• Capsulectomy: During this procedure, the surgeon removes all the tissue around the implant, as well as the implant itself, and places a new implant wrapped in a sheet of dermal matrix material that creates an extra protective layer. The body then forms a new capsule of scar tissue around it.
• Open capsulotomy: During an open capsulotomy, the plastic surgeon makes a small incision to open the tissue capsule around the implant. The surgeon may also remove some of the capsule to open, giving the implant more space to move.
• Autologous reconstruction: During this procedure, the plastic surgeon uses a flap of your body to reconstruct your breast after the removal of the implant. This flap of tissue is transplanted from another area of your body, such as your belly or buttocks. Despite the complexity of this surgical procedure, it is preferred because it eliminates the risk of capsular contracture recurrence since a tissue capsule will not form around a flap.

Breast implant revision surgery recovery stages

Recovery is a vital component of any cosmetic breast surgery. The breast surgeon talks about all aspects of recovery and informs the patient of the estimated recovery time at the initial consultation. This allows the patient to plan ahead for recovery and request leave from work if necessary . The patient wakes up with a feeling of fog and pain, because the breasts are covered with gauze and insoles to give them the necessary support. There will also be thin tubes (drains) from each breast. The length of stay in the hospital can be between 1 and 5 days. These are the most unpleasant days, and your doctor may prescribe painkillers. After removing the drains, the patient can go home. After a week, patients are encouraged to slowly return to normal daily routine. During this period, however, doctors advise women to refrain from strenuous activities such as running, strenuous exercise, or lifting heavy objects.
depending on the condition and type of surgery, the patient may need to wear special clothing for 2 to 4 weeks.