Revisional breast surgery is generally more complex than primary breast surgery due to factors such as scar tissue, tissue stretching, and anatomical changes from previous procedures, including those involving breast implants. The costs associated with revisional breast surgery are often higher than those for initial breast augmentation or other breast procedures, reflecting the increased surgical complexity and time involved.
There are various reasons why a patient may require revisional breast surgery. These can include implant deflation, implant movement, silicone implant shell leakage, symmastia, visible rippling, capsular contracture, or changes in breast tissue following weight loss, breastfeeding, or the natural ageing process.
A range of surgical techniques may be considered for revision, depending on the individual’s circumstances. Dr Milovic will discuss the options, risks, benefits, and expected outcomes with you in detail during your consultation to help you make an informed decision.
Risks of Surgery
All surgical procedures carry risks and the potential for complications. While Dr Milovic is extensively trained and experienced with a comprehensive array of plastic surgery procedures and utilises advanced techniques to help mitigate those risks, patients considering treatment should always be fully aware of them beforehand. Dr Milovic will go over all risks and potential complications associated with the procedure during the initial consultation, and we are happy to address any questions or concerns you may have.
Risks of this procedure include, but are not limited to:
- Infection
- Scarring
- Excessive bleeding
- Pain/discomfort
- Nerve damage
- Bruising
- Swelling
- Complications relating to anaesthesia
- Seroma (a growth/lump near the surgery site that may become infectious)
- Unsatisfactory cosmetic results
- Death
- Breast asymmetry
- Blood clots
- Long-term changes in breast shape
- Numbness in the breasts and/or nipples that may be temporary or permanent
- The possibility of an additional surgery
- Changes in breast sensation
- Thrombosed veins
- Tissue necrosis
- Skin rippling
- Permanent, irreversible changes in breast appearance
- Inability to breastfeed
- Skin discoloration
- Capsular contracture
- Implant failure
- Poor healing
- A “looseness” of skin that can be recurrent
- BIA-ALCL – Breast Implant-Associated Anaplastic Large Cell Lymphoma or other rare cancers that can affect the capsule surrounding the breast implant
Frequently Asked Questions
Is it right for me?
As a Specialist Plastic Surgeon, Dr Vlad Milovic will assess whether revisional breast surgery may be a suitable option for you based on your individual circumstances and medical history. Generally, candidates for surgery are expected to be non-smokers (or willing to cease smoking for a period before and after surgery), be in good physical and mental health, and have a clear understanding of the procedure and associated risks.
During your consultation, Dr Milovic will discuss all relevant factors, along with potential alternatives, risks, and expected outcomes, to help you make an informed decision.
Will I need anaesthesia?
Revisional breast surgery is generally done under general anaesthesia.
Modern anaesthesia is safe and effective, but it does have some risks. Ask Dr Milovic and your anaesthetist for more information. You can be assured that Dr Milovic will engage the services of a qualified anaesthetist who is a Fellow of the Royal Australian and NZ College of Anaesthetists (ANZCA) to perform your sedation or general anaesthesia.
Dr Milovic and/or your anaesthetist will ask you about your general health, all the medications you are taking or have taken, and any allergies you may have. Please make sure you have an up-to-date list before the surgery.
Will I have scarring?
There will always be scarring after any surgical procedure and there can be no guarantee for a perfect outcome. It is difficult to predict the way that a scar will heal. If scarring is a concern for you after surgery, Dr Milovic will provide you with a scar treatment plan to possibly expedite the healing of your scars. There are several treatment options, including silicone gel and laser.
Where will the surgery take place?
Depending upon your general health and the extent of the procedure, revisional breast surgery is typically performed with a one-to-three day hospital stay. Dr Milovic will only perform revisional breast surgery in accredited operating facilities.
What is the recovery period after revisional breast surgery?
You may be in pain for a few days after surgery. These symptoms are common and pain medication should help to reduce the discomfort. Discolouration and swelling of the breasts are to be expected for a few weeks after surgery. Dr Milovic recommends that you take at least two weeks off post-surgery, and avoid physical activity that requires lifting or raising the arms. Gentle stretching can prove to be beneficial and exercise, such as walking, can commence within seven days. Most patients return to work after two weeks, unless their occupation involves strenuous movements; in this case, a period of at least three to four weeks is usually recommended. Healing after revisional breast surgery typically takes a little longer than that of your original breast surgery. You will be given post-surgery instructions to follow. If you have any doubts, please speak to Dr Milovic.
How long will the results last after revisional breast surgery?
Your new breast size and shape should remain reasonably stable unless you become pregnant or lose a significant amount of weight. Implant deflation can occur as a result of trauma to the chest area, or it can occur for no apparent reason. Also, in time, the effects of ageing and gravity may have an impact on the shape and size of most women’s breasts.
Prior to your revisional breast surgery, Dr Milovic will discuss these limitations along with your goals and expectations.
Can my nipples lose sensitivity?
There is the possibility that there will be some loss of sensitivity to the nipples, although this effect is usually temporary. You should understand and discuss these limitations with Dr Milovic before electing to have revisional breast surgery.
Risk Transparency & Informed Consent
Before proceeding with revisional breast surgery, it is important to have a clear understanding of the potential risks, benefits, alternatives, costs, and expected outcomes. In accordance with AHPRA guidelines, our practice strives to ensure patients receive comprehensive information to support informed decision-making.
We encourage you to carefully review the information provided during your consultation and on our website. Taking the time to ask questions and understand your options is a key part of the informed consent process.
If you require further clarification, we will provide detailed guidance about the consent process and explain how to raise any concerns with AHPRA or other relevant health authorities if needed.