Looking for a Re-lift? We Have You Covered

Breast revision can help those who are dissatisfied with their primary surgery

Are you unhappy with your primary breast augmentation surgery or do you feel your breast implants have deteriorated over the years? Breast revision is an option you can consider.
“Breast augmentation surgery has a high success rate which usually lasts up to 15 years. However, in the instance that there are complications from the primary surgery, or the patient is unhappy with the results of the surgery, or the surgery was done several years ago and needs a touch-up, the patient can opt for a breast revision surgery,” says Dr. Trelles, plastic and laser surgeon at state-of-the-art dentistry, plastic and aesthetic laser surgery clinic Vilafortuny.

So are you a candidate?

You might want to consider a breast revision treatment if you:

  • Have implants that are too big or too small.
  • Have stretched breasts caused by weight-gain.
  • Are having problems with the implant due to hardening, leakage, deflation or rupture.
  • Have implants that have lost volume.
  • Had your breast augmentation surgery over 15 years ago and are looking for a re-lift.

The initial consultation

If you’re considering a breast revision, whether you’re a returning patient or a first-time visitor, a consultation will help answer any questions or concerns you have regarding the surgery. Your questions and concerns will be addressed during this consultation and you should be prepared to discuss: reasons for treatment, expectations, existing medical conditions including allergies, current medication and use of alcohol, tobacco and drugs, personal and family history and results of previous mammograms or biopsies.
“Additionally, your doctor may also need to evaluate your overall health and risk factors, discuss potential complications, examine and measure your breasts and photograph them for medical records, discuss options for incision location, anaesthesia and outcomes,” says Dr Trelles.

Preparing for the procedure

Prior to your surgery, the Vilafortuny team will give you instructions on what you will need to do before your breast revision surgery. There are several steps you may need to take before your surgery including:

  • Lab testing and/or medical evaluation.
  • Mammogram before surgery to help detect any future changes in your breast tissue.
  • Begin taking certain medications or adjust your current medications
  • Stop smoking.
  • Avoid taking any anti-­inflammatory drugs, such as aspirin.
  • Arrange for transportation home after the procedure.

What to expect

“At Vilafortuny, we perform breast revision on an outpatient basis,” notes Dr Trelles. “Our plastic surgeons are board certified by the American Board of Plastic surgery. As a requirement of ABPS certification, surgeons need to undertake advanced fellowship training and should be able to demonstrate expertise in plastic surgery.”

Dr Trelles further advises to expect the following:


Anaesthesia will be administered immediately prior to and during your procedure. Choices of anaesthesia include intravenous sedation and general anaesthesia – your plastic surgeon will recommend the best choice for you.

Surgical incision

Two types of surgical incisions can be used during breast revision, depending on factors such as the current size and shape of your breasts, breast implant size, type of breast implant, your preference and your surgeon’s preference.

Inframammary Incision

Inframammary incisions are horizontal and are made in the fold where the lower part of the breast meets the chest wall. From there, a saline or silicone implant can be inserted below or above the muscle.

Periareolar Incision

Periareolar incisions are recommended when you want to replace your old implants with new ones. The incisions are made around the areolas after which the scar tissue is exercised and the old saline or silicone implants are replaced with new ones of your choice.

What to expect after

Your plastic surgeon will be available to address concerns and questions after the procedure and will provide written instructions regarding:

  • Post-surgery care to follow at home.
  • Prescriptions for medication.
  • Follow­-up appointments.
  • Post-surgery mammogram.

“After the procedure, your breasts will be bandaged to reduce swelling. You may experience some soreness during the first few days after surgery – pain medication can be prescribed to help ease these symptoms. Recovery time, meanwhile, varies: most women can return to work after one week, but strenuous physical activity is discouraged for the first two to three weeks following surgery. Even though scarring is inevitable, the incision lines will diminish over the next few months,” says Dr Trelles on what to expect after the procedure.

He adds: “There are risks associated with any type of surgery: bleeding, infection, adverse reaction to anaesthesia are rare, but they can happen. Following pre- and post-surgery instructions will help you to avoid any risks or complications.”


Breast revision results are noticeable immediately after surgery, and appearance will improve as you recover from your surgery. Once healed, most women experience improved confidence after revision. Breast revision surgeries have long-lasting results if you maintain a healthy lifestyle and steady body weight.