Breast Reconstruction
Revision in Ohio
Breast reconstruction revision helps address changes, complications, or concerns following an earlier breast reconstruction. Whether you are looking to improve symmetry, correct a complication, or explore a different reconstructive approach, our surgeons will work closely with you to develop a personalized plan for your next step.
What Is Breast Reconstruction Revision?
Breast reconstruction revision, also called revisional breast reconstruction, is surgery performed to correct, refine, or rebuild
a previous breast reconstruction.
Changes can occur over time as your body heals, implants age, tissues change, or your needs and preferences evolve. Some patients may experience functional concerns such as pain or capsular contracture, while others may be dissatisfied with the shape, position, size, or symmetry of their reconstruction.
Who Is an Ideal Candidate?
Breast reconstruction revision may be an option for patients who have concerns about a previous reconstruction or whose breasts have changed over time.
Good Candidates for Breast Reconstruction Revision
- You have had a previous breast reconstruction and are experiencing aesthetic or functional concerns.
- You have implant-related complications or discomfort.
- You have noticeable breast asymmetry or changes in breast shape.
- You are experiencing changes after weight fluctuations, aging, pregnancy, or other life events.
- You are considering changing from implant-based to natural tissue reconstruction.
- You are healthy enough to undergo surgery and have realistic expectations for revision.
Reasons for Breast
Reconstruction Revision
Aesthetic
Concerns
- Breast asymmetry or size mismatch
- Implant malposition or shifting
- Deformity, lumping, or irregular volume distribution
- Nipple asymmetry or inframammary fold malposition
- General dissatisfaction with the appearance of a previous reconstruction
Implant - Related
Complications
- Implant deflation, rupture, or infection
- Capsular contracture or hardening caused by scar tissue around the implant
- Animation, muscle-flex, or jumping breast deformity
- Breast implant illness or persistent pain or discomfort
Breast Reconstruction Revision Procedures
Your surgical plan will depend on the type of reconstruction you previously had, the condition of your tissues, your treatment history, and what you hope to achieve.
Implant Revision
Existing implants may be removed, replaced, repositioned, or adjusted to improve breast shape, position, and symmetry. In some cases, your surgeon may recommend changing the type or placement of the implant.
Explant Surgery
For patients who no longer want implants, removal may be performed with or without additional reconstructive procedures. When appropriate, your surgeon may recommend removal of the surrounding scar capsule as part of the procedure.
Fat Grafting
Your own fat can be transferred to areas that need additional volume or contour refinement. Fat grafting may be used on its own or combined with another revision procedure.
Flap-Based Reconstruction
Patients with previous implant reconstruction may be candidates for conversion to natural tissue reconstruction. Techniques such as DIEP flap reconstruction use your own skin and fat to create a new breast without an implant.
Prepectoral Conversion
For selected patients with implants positioned beneath the chest muscle, converting to a prepectoral reconstruction may help address certain concerns related to muscle movement or implant position.
Recovery Timeline
First Few Days
Swelling, bruising, and soreness are expected. Your surgeon will provide instructions for incision care, medications, and activity.
Weeks 1-2
Many patients gradually return to light daily activities, depending on the procedure performed and how healing is progressing.
Weeks 2-6
Activity gradually increases with your surgeon’s approval. Strenuous exercise and heavy lifting may remain restricted during this period.
Following Months
Swelling continues to resolve, scars mature, and the reconstructed breast gradually settles into a more refined shape.
Frequently Asked Questions
Can I undergo breast reconstruction revision after multiple previous surgeries?
In many cases, yes. Even after multiple reconstruction procedures, there may be options to improve an existing reconstruction or create a new one. Your surgeon will evaluate your previous surgeries, available tissue, and overall health to determine what approaches may be appropriate.
How long will I need to be in the hospital?
Hospital stay varies by procedure. Smaller revisions are often performed as outpatient procedures. More extensive operations, such as DIEP flap reconstruction, typically require a hospital stay of approximately three nights. Your surgeon will outline what to expect during your consultation.
Can I change from implant reconstruction to DIEP flap reconstruction?
Some patients with implant-based reconstruction may be candidates for conversion to natural tissue reconstruction, including DIEP flap surgery. Your surgeon will help you determine whether this approach is appropriate.
Will my insurance cover additional surgery?
Many breast reconstruction procedures following mastectomy are protected under the Women’s Health and Cancer Rights Act (WHCRA), including certain procedures needed to achieve symmetry or address complications.
*This page is for educational purposes only and is not a substitute for a consultation with a board-certified surgeon. Every patient is unique, and treatment recommendations and results vary. We encourage you to schedule a consultation with our team to discuss your options.