Breast reduction

revisional surgery can be performed when you are dissatisfied with the breast size or shape after mammoplasty, or when capsular contracture, breast prostheses movement or rupture, asymmetry occur. Breast re-operation is particularly difficult and requires accurate cause analysis because the operation method depends on the cause of failure of the 1st operation. Therefore, it is very important to have the surgery done by an experienced surgeon.


Causes for breast revision

01When breasts become hardened because of capsular contracture

02When dissatisfied with shape or size

03Breast asymmetry

04When upper breasts are bulging

05Breast prostheses rupture or deformation

06When different type of breast prostheses are wanted


When is the good time for breast revision?

Breast revision is possible about 6 months to 1 year after the first operation because breast tissue and shape generally takes about 6 months to form after surgery. However, revision is performed earlier when side effects are severe, and therefore, the best time for surgery should be discussed with a specialist.

How is breast revision done?

01Capsular contracture

The condition where breast becomes hard and distorted is called capsular contracture. It is a symptom that develops as the membrane surrounding the breast prostheses become thick and the breasts become hardened and deformed. There are many causes of capsular contracture, but the most common reasons are inflammation, hematoma caused by bleeding, and infection. revision method depends on the progression stage.

  • Stages for capsular contracture
    1Stage 1: Soft and natural feeling touch that doesn’t seem problematic
    2Stage 2: Breasts feeling less soft and palpable prostheses but no external problem
    3Stage 3: Firm feeling breasts, palpable prostheses and deformed appearance
    4Stage 4: Externally deformed hardened feeling breasts with pain
  • Operation method
    Treatment for capsular contracture, which is the most common cause for breast re-operation, is as follows: Stage 1-2 is treated first with medication, and stage 3-4 requires re-operation.

02Dissatisfied shape

  • Dissatisfied shape
    Beautiful breasts after surgery are the shape of a water drop, not convexly protruding breasts. Upper breasts look bulgy when breast prostheses are not inserted in the right place.
  • Double crease
    Double creases can appear when another crease forms beneath the breasts where the prostheses are placed. This can happen when simple breast augmentation is performed on sagging breasts or when surgery is performed without correctly predicting the size of the breasts.
  • Operation method
    Shortly after the surgery, partial correction may be possible depending on the condition of the breasts. However, after a certain amount of time, prostheses either have to be moved to an appropriate place or removed before new prostheses are inserted after excoriation.

03Dissatisfied size

Height, body frame, thoracic shape should all be considered before deciding the size of breast prostheses. Otherwise, satisfaction level of breast size after surgery are often low, which leads to re-operation.

  • Surgery method
    Shortly after the surgery, partial correction may be possible depending on the condition of the breasts. However, after a certain amount of time, prostheses either have to be moved to an appropriate place or removed before new prostheses are inserted

04Breast asymmetry

New breast prostheses of appropriate size are replaced into proper place after a thorough medical examination.

  • Operation method
    New breast prostheses of appropriate size are replaced into proper place after a thorough medical examination.

05Damaged prostheses

Cohesive gel prostheses that are recently used have reduced damage rate because of its stronger outer cover compared to former prostheses. But liquid silicon and saline prostheses that were commonly used in the past have high damage rate and can cause deformation when the contents leak.

  • Operation method
    It is not a problem if the existing implant is a saline prostheses because saline can be absorbed. However, in cases of silicon implant, it is important to carefully clean and completely remove the escaped silicon. Re-operation is then performed by removing the capsule and inserting new prostheses.

Breast revision system

  • Pre-operative management
    For safe and customized breast surgery, preoperative examination (blood test, electrocardiogram, chest X-ray, breast ultrasound) is performed to thoroughly analyze the patient's health condition
  • Private and Professional counseling with breast esthetic surgery specialist
    Through pre-operative in-body analysis, (measurement of body type and the size of rib cage), and ultrasonography, (analyzing the distribution of the mammary tissue of the breast, the amount of fat and the thickness of the muscle), the type and size of the optimized implant were determined
  • Use of specialized medical devices for mammaplasty
    When Keller Funnel (sterile disposable funnel) and HD high-resolution endoscope are used, incision is made shorter than the conventional incision, so there is almost no scar after surgery. Gentle insertion of the implant to minimizes tissue and nerve damage.
  • Management for Prevent capsular contracture in breast
    In order to prevent the formation of capsular contracture, which is rare but serious complication after mammaplasty related to implant surgery in breast, iWell provides perfect solutions include that of capsular contracture preventive special solutions, cocktail antibiotics, anti-adhesion agent
  • Diagnostic ultrasonography of Breast without radiation exposure
    Before surgery, iWell provides a specialized medical check with ultrasonography on breast and chest for clear surgery and outcomes.
    Also, post-operative ultrasonography is planned in outpatient clinic regularly
  • Private 1:1 care with Breast esthetic surgery team in Post-operation
    iWell Provides specialized managements in post-operation period with breast surgical team for safe recovery and satisfactory surgical results.