DR G DE AGUIAR

PLASTIC, RECONSTRUCTIVE & COSMETIC SURGEON

Procedures - BREAST REVISION (BREAST AUGMENT REVISION)


Introduction:
Breast implant revision surgery, which commonly involves removal and / or replacement of breast implants and capsule removal, is performed in order to change the size or type of implants and to correct any deformities or complications from breast augmentation. In some instances, breast augment revision (“re-do breast enlargement”) may need to be combined with other procedures, such as a breast lift, liposuction or lipo-filling. Even if your breast implant surgery was perfectly planned and executed, changes often occur over time, which may necessitate breast revision. The overall goal is to restore a natural appearance and feel to the breasts.

When to consider Breast Revisionary Surgery:

  • If your breast implants have deflated (leaked or ruptured), either clinically or noted on radiological investigation (ultrasound, mammogram or MRI)
  • If you want a change in breast size, shape or symmetry
  • If you have developed tightening of the scar tissue around the implant (capsule contracture) or your breast implants are uncomfortable
  • If your breasts have begun to sag
  • If you have developed other complications e.g. breast implant rippling


The Procedure:
The exact procedure/s that will be used for breast revision, the duration of surgery, post-surgical recovery and anticipated costs depend on the reason for your surgery, focused on correcting your specific problem.The various options, including details regarding the procedure, potential risks and complications and post-operative care will be discussed during the consultation. Good communication is the key to achieving the results you want and you should be able to have a clear idea as to your goals and expectations so that we can suggest the right options. Please have available at the consultation as much information as possible regarding the previous procedure, including implant details and available radiological studies.

Benefits:
  • You should regain a more natural breast shape and symmetry with softer, more natural feel to your breasts
  • Older implants may be replaced by latest generation low-leak / low-bleed cohesive gel implants
  • It is often possible to return to work within a week, depending on the nature of your work.
  • There is no scientific evidence that breast augmentation increases the risk of breast cancer, autoimmune disease, or any systemic illness.
  • There is no evidence that breast implants affect pregnancy or ability to breast-feed.
  • Breast screening including ultrasound and mammograms, if performed by an experienced radiologist, can be conducted as normal.


Risks and Considerations:
  • Every surgical procedure carries some risk. Although uncommon, potential complications may include reactions to anaesthesia, blood and serous fluid accumulation that may need to be drained surgically, infection, implant extrusion, asymmetry, palpability or rippling of the implant.
  • Changes in nipple or breast sensation may result from breast augmentation surgery, although they are usually temporary.
  • When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. If the capsular contracture is severe, it may cause discomfort or changes in the breast’s appearance. Additional surgery may be needed to modify or remove scar tissue, or perhaps remove and replace the implant.
  • As with other surgical implants, breast implants cannot be expected to last forever. Implant replacement may be required at a future date.
  • Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of breast augmentation.
  • In some instances, particularly if large implants are used or there is a tendency to breast droop, a breast lift procedure may be required in the future.
  • Regular examinations for breast health and to evaluate the condition of your implants are important whether you have chosen saline or silicone breast implants.

Procedures by Dr De Aguiar

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Body

Just as the facial muscles may sag or wrinkle with age, so can the skin on the torso, breasts, thighs and upper arms.

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Breast

Loss of skin elasticity, the force of gravity and other factors such as weight loss, pregnancy and breast-feeding ultimately affect the shape and firmness of a woman’s breasts.

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Face

As part of the natural aging process, our skin progressively loses its elasticity and our muscles tend to slacken.

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Reconstructive

From the top of the head to the tip of the toe, and from newborn babies to the very elderly, reconstructive surgery is used to treat a wide range of conditions.

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Non Surgical

Apart from the cosmetic uses of Botox, the drug has been used to treat more than 70 medical conditions.

Commitment

Choosing to have plastic surgery requires thorough research and educated decision-making. This website is designed to help guide you get to know a little bit more about my practice and understanding of the procedures and treatments available to you. I look forward to meeting you which will allow you to make a better informed decision around treatments or surgery best suited to you.

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TEL: 011 304 6642
FAX: 011 304 6800
CELL: 072 144 9901

ADDRESS: Room GF07, Netcare Waterfall City Hospital