Breast reconstruction is often divided into separate procedures. The first and most significant procedure is performed to create the breast mound. You can read more about those procedures on our breast reconstruction page.
After breast reconstruction, there are refinements that are typically done to enhance the contour and symmetry of the reconstructed breast. If the first operation did not bring satisfactory results or a complication has subsequently occurred, a revision procedure may be necessary. These revision procedures will vary with each patient, partly depending on what technique was used to reconstruct the breast.
Second-stage operations differ markedly from the initial breast reconstruction; wounds are healed and the patient is typically better prepared to discuss aesthetics aspects of her breast(s).
Breast Reconstruction Revision Techniques and Goals
The following are some of the subsequent procedures performed for breast reconstruction patients.
- Improving breast symmetry with breast reduction or lift
- Restoration of the inframmary crease / breast crease
- Closing of the axilla to prevent migration of the breast implant
- Monitoring and operation on the vascular structures and grafts
- Reconstruction of the nipple and areola
- Cosmetic defects related to lumpectomy
Before any surgery is carried out, Dr. Bogue will evaluate your condition, take measurements, and discuss the possible refinements that can be achieved. The basic goals are to improve symmetry and provide a natural breast appearance. Although perfect symmetry is not a viable goal, improvements can nonetheless be made in breast symmetry after reconstruction.
Several factors need to be considered before any operation is carried out:
- Projection of the reconstructed breast
- Projection of the unaffected breast
- Breast ptosis (sagging) in the unaffected breast
- Volume of the unaffected breast
There are many ways to address each of these factors. Saline or silicone implants as well as surgical techniques utilized in breast lift and breast reduction surgery may be employed to improve symmetry.
Effects of Radiation
It is believed that patients who undergo radiation therapy carry a greater risk for capsular contracture when breast implants are used in reconstruction. Capsular contracture is characterized by hardening of scar tissue around the implant, resulting in a distorted implant shape or implant displacement. Your surgeon may take certain steps to prevent this occurrence, including the placement of a latissimus dorsi flap over the implant. If capsular contracture results despite these efforts, corrective surgery is usually necessary.
Contact the office of David Bogue MD in Boca Raton, Florida to learn more about procedures in breast reconstruction revision.
