Revisional Surgery

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Revisional breast surgery is always more surgically challenging than primary breast surgery and this is largely due to the presence of scar tissue, tissue stretching and anatomical changes caused by the previous implants, in the case of breast augmentation.

Whatever your reason for pursuing secondary breast revision, the most critical factor in your success is the choice of surgeon. Second breast revision is reconstructive and like all breast surgery, should be performed by a qualified Plastic and Cosmetic Surgeon who is a member of the Australian Society of Plastic Surgeons. Dr Milovic specialises in secondary breast surgery and other cosmetic surgery revision.

For these and other related reasons, the costs of a revisional breast surgery procedure are higher than for primary breast augmentation or other breast surgery.

There are a number of reasons why revisional breast surgery will become necessary and these include implant deflation, breast implants that have shifted position, a silicone implant shell leak, Symmastia, Rippling, Capsular Contraction, Double-Bubble Deformity and changes to breast tissue caused by weight loss or breastfeeding.

There are a several revisional surgical techniques that can be performed and Dr Milovic will discuss these in detail with you prior to any Revisional Breast surgery.

bna-sample Before
bna-sample After
48 year old mum underwent a bilateral breast implant removal and replacement with bilateral breast lift. Original breast augmentation performed by another surgeon. Post op photo taken at 2.5 months after surgery. Scars will continue to refine and lighten over the next 10-12 months.

Frequently Asked Questions

Is it right for me?

As a highly qualified Plastic & Cosmetic Surgeon, Dr Vlad Milovic will determine whether you are a good candidate for revisional breast surgery. If you have implant deflation, breast implants that have shifted position, a silicone implant shell leak, symmastia, rippling, capsular contracture, double-bubble deformity, or changes to breast tissue caused by weight loss or breastfeeding and any of these issues is causing you embarrassment or you are self-conscious about your appearance revisional breast surgery may be right for you. You should be a non-smoker (or prepared to give up smoking at least six weeks prior to and after your surgery), mentally and physically healthy, and understand the revisional breast surgical procedure in order to qualify. Dr Milovic will discuss all options with you prior to making your decision about revisional breast surgery.

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. After surgery, scars are typically reddish in colour but fade in time to a light pink. After one or two years, the scars will have faded significantly. 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 expedite the healing of your scars. There are several treatment options including silicone gel and laser.

We have the Palomar® Artisan laser system, which is proven to give excellent results for scar reduction. Laser offers a non-invasive solution that uses fractional laser technology to deliver rapid, reliable scar removal with minimal healing time, minimal infection risk, and little to no pain.

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 1 to 3 day hospital stay. Dr Milovic will only perform your revisional breast surgery in safe, 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 will 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 – then a period of at least three to four weeks is recommended. Healing after revisional breast surgery does take 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 and/or his Practice nurse.

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, and in time, the effects of ageing and gravity will 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.

What are the costs?

The cost of revisional breast surgery is always higher than with primary breast augmentation. Cost is always a consideration in elective surgery, but it should not be the only consideration. You have the right to be informed about the costs you can expect before you have your surgery – this is called ‘informed financial consent’.

Costs associated with the procedure may include:

Please note that your satisfaction involves more than just a fee. When choosing a surgeon for your cosmetic surgery, remember that factors such as the surgeon’s training, qualifications, experience and your comfort with him or her are just as important as the final cost of the surgery.

After your initial consultation with Dr Milovic, you will receive a written estimate of fees and an information pack to read before your second pre-surgery appointment. The second appointment is free of charge. Once you book your surgery, you will also see our staff who will take your pre-operative photos and measurements for your compression bra(s).

As Dr Milovic personalises each procedure for each patient, we are unable to provide you with a price estimate or “ball park” price range without first meeting Dr Milovic at an initial consultation and after he considers you to be a good surgical candidate.