Breast Revision Surgery: Types, Diagnosis & Treatment

Who Is The Right Candidate For Breast Revision Surgery?

Determining the right candidate for breast revision surgery is critical for the success of the procedure. This surgery is specifically tailored for individuals who have previously undergone breast augmentation or reconstruction and are experiencing issues or dissatisfaction with their results. Ideal candidates are those seeking to address aesthetic concerns, physical discomfort, or complications from their initial surgery.

Candidates suitable for breast revision surgery include:

• Health Status: Individuals should be in good general health, free from any conditions that impair healing such as active infections or uncontrolled diabetes.
• Previous Surgery Concerns: Patients with issues from a prior breast surgery such as implant leakage, displacement, capsular contracture, or dissatisfaction with the size and shape of the implants.
• Stable Weight: Candidates should have a stable weight as significant fluctuations can affect the surgical outcomes and the appearance of the breasts.
• Non-smokers: Smoking can hinder the healing process; therefore, non-smokers or those who can cease smoking well before and after the surgery are ideal candidates.
• Realistic Expectations: It is crucial for candidates to have realistic expectations regarding the outcomes of the revision surgery, understanding both the possibilities and limitations.
• Emotional Readiness: Undergoing another surgery requires mental and emotional stability to handle the recovery process and any potential stresses related to surgical outcomes.

What Are The Benefits Of Breast Revision Surgery?

Breast revision surgery offers numerous benefits, significantly impacting the patient’s quality of life and satisfaction with their body image. Key benefits include:

• Improved Aesthetics: The surgery can correct asymmetry, update implant size or type, and adjust positioning to enhance the overall appearance of the breasts.
• Increased Comfort: Removing or replacing problematic implants can relieve pain and discomfort associated with previous surgeries.
• Enhanced Confidence: Achieving the desired breast appearance can significantly boost self-esteem and body confidence.
• Resolution of Medical Issues: The procedure can address medical complications from previous surgeries, such as capsular contracture or implant rupture, improving overall breast health.
• Updated Implant Technology: Patients can benefit from advancements in implant technology, opting for newer, safer, and more natural-feeling materials.
• Customised Results: Revision surgery is highly customised to meet the specific needs and goals of the patient, leading to higher satisfaction rates.

How To Prepare For Breast Revision Surgery?

Preparing for breast revision surgery is a crucial step towards ensuring a successful outcome and a smooth recovery. This preparation involves a series of steps initiated well before the day of surgery.

By following these guidelines, patients can optimise their physical health, manage expectations, and reduce the risk of complications. Here are the key steps involved:

1. Medical Evaluation: Undergo a thorough medical assessment to ensure you are fit for surgery. This might include blood tests, imaging studies, and other specialised tests as directed by your surgeon.
2. Medication Review: Discuss all medications and supplements you are currently taking with your surgeon. Some products, especially those that can increase bleeding such as aspirin, NSAIDs, and certain herbal supplements, may need to be temporarily discontinued.
3. Smoking Cessation: Smoking can significantly impair healing and increase the risk of complications. If you smoke, it’s advisable to quit at least a few weeks prior to surgery and throughout the recovery period.
4. Arrange for Assistance: Plan for someone to drive you to and from the surgery centre and stay with you for at least the first night following the surgery.
5. Prepare Your Home: Set up a comfortable recovery area in your home. Keep essential items within easy reach, including medications, a telephone, and items for entertainment.
6. Fasting: Follow your surgeon’s instructions regarding fasting before the surgery. Typically, you may be required to not eat or drink anything after midnight on the day of your surgery.
7. Mental Preparation: Mental and emotional preparation is also important. Understand the scope of the procedure and set realistic expectations for your recovery and results.

What Are The Recovery Tips and Precautions To Follow After Breast Revision Surgery?

Recovery from breast revision surgery varies from person to person but knowing what to expect and how to manage the recovery phase can significantly ease the process. Here are several important recovery tips and precautions:

1. Follow Post-Operative Instructions: Adhere strictly to the care instructions provided by your surgeon. This includes care of the incision site, pain management, and when to resume normal activities.
2. Rest and Mobilization: While rest is important, gentle walks within the home are encouraged to promote circulation. Avoid strenuous activities and heavy lifting for the recommended period.
3. Wear Compression Garments: Use any prescribed compression garments to reduce swelling and support the healing breasts.
4. Manage Pain: Take prescribed pain medications as directed to manage discomfort. If pain persists or worsens, consult your surgeon.
5. Monitor for Signs of Infection: Watch for signs of infection at the incision sites such as increased redness, swelling, or pus. Report any such findings to your surgeon immediately.
6. Attend Follow-Up Appointments: Keep all post-operative appointments so that your surgeon can monitor your recovery and address any concerns.
7. Stay Hydrated and Maintain a Healthy Diet: Proper hydration and a nutritious diet can aid in faster and more efficient healing.

Potential Risks Or Complications Associated With Breast Revision Surgery

Breast revision surgery, like any surgical procedure, carries potential risks and complications. Being aware of these risks can help in early detection and management:

1. Infection: Despite sterile techniques, infections can occur, potentially requiring antibiotics or further surgery.
2. Bleeding and Hematoma Formation: Some patients may experience bleeding post-surgery, which can lead to hematoma formation.
3. Scarring: All surgeries result in some form of scarring, though surgical technique and individual healing response can influence the severity.
4. Changes in Sensation: Temporary or permanent changes in breast or nipple sensation can occur following revision surgery.
5. Implant Issues: Problems such as implant rupture, displacement, or capsular contracture might necessitate further surgeries.
6. Asymmetry: There is always a risk that the breasts may not look perfectly symmetrical even after revision.
7. Anaesthetic Complications: Although rare, complications related to anaesthesia can occur and include reactions to the medication and respiratory problems.

What Is The Cost Of Breast Revision Surgery In India?

The cost of breast revision surgery in India varies significantly depending on a variety of factors. Generally, the breast revision surgery cost can range from INR 1,50,000 to INR 4,00,000. This wide range reflects the complexity and personalised nature of the procedure, as well as the qualifications of the surgeon and the facilities used. Here are the key factors that typically influence the breast revision surgery cost:

1. Surgeon’s Expertise and Reputation: Highly experienced and well-reputed surgeons often charge more due to their expertise, which can lead to better outcomes and lower risks of complications.
2. Geographical Location: The cost of surgery can vary based on the location of the clinic or hospital. Metropolitan cities with higher costs of living, like Mumbai and Delhi, tend to have higher fees than smaller cities.
3. Hospital or Clinic: The choice of hospital or surgical facility also impacts the cost. Private hospitals with state-of-the-art facilities tend to charge more than smaller, less equipped clinics.
4. Type of Surgery Performed: The specific nature of the revision needed (e.g., implant replacement, scar revision, or correction of asymmetry) can affect the cost. More complex surgeries require more time and resources, thus increasing the price.
5. Anaesthesia and Operating Room Charges: Fees for the anaesthetist and the operating room usage also contribute to the overall cost.
6. Post-surgery Care: The need for post-operative visits, medications, and special garments can also affect the total cost.
7. Additional Treatments: Sometimes, additional procedures such as a breast lift are required during the revision, which can further increase the expenses.

Is Breast Revision Surgery Covered Under Insurance?

In India, the coverage of breast revision surgery cost under health insurance depends largely on the purpose of the surgery. Generally, if the surgery is deemed medically necessary—such as in cases of breast implant failure, severe capsular contracture, or infection—many insurance policies may cover part or all of the costs. 

However, if the surgery is performed for purely cosmetic reasons, such as a change in implant size or shape based on personal preference, it is unlikely to be covered by insurance. It’s important for patients to consult their insurance provider to understand the specific terms and conditions of their policy.

Discussing the surgery with their healthcare provider can also help in documenting the medical necessity of the procedure, which is crucial for insurance claims.