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.

  • Is it right for me?

    As a highly qualified Plastic & Cosmetic Surgeon, Dr Vlad will determine whether you are a good candidate for Revisional Breast surgery. However, if you have implant deflation, breast implants that have shifted position, a silicone implant shell leak, Symmastia, rippling, Capsular Contraction, 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, you’re a non-smoker (or you’re prepared to give up smoking at least 6 weeks prior to and after your surgery), you’re mentally and physically healthy and you understand the Revisional Breast  surgical procedure, you should qualify. Dr Vlad will discuss all options available with you prior to your decision to have Revisional Breast surgery.

  • Will I need anaesthesia?

    Revisional Breast surgery is generally done under general anaesthesia.

    Modern anaesthesia is safe and effective, but does have some risks.   Ask Dr Vlad and your Anaesthetist for more information.  You can be assured that Dr Vlad 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 Vlad and/or 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 the scars are typically reddish in colour but these will fade in time to a light pink and 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 Vlad 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, infection risk is virtually eliminated and little to no pain is felt.

  • 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 Vlad will only perform your Revisional Breast surgery in safe, accredited operating facilities. You can read more here.

  • 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 Vlad 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 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 in Revisional Breast surgery does take a little longer than that of your original breast surgery. You will be given post-surgery instructions to follow and if you have any doubts please speak to Dr Vlad 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 fall 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.

    Dr Vlad will discuss with you these limitations and your goals and expectations prior to your Revisional Breast surgery.

  • Can my nipples lose sensitivity?

    There is the possibility that there will be some loss of sensitivity to the nipples although this is usually temporary. You should understand and discuss these limitations with Dr Vlad, 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 and 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:

    • Dr Vlad’s surgical  fee
    • Accredited hospital or surgical facility costs
    • Anaesthesia fees
    • Prescriptions for medication
    • Post-surgery garments

    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 Vlad, 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 Practice Nurse who will take your pre-operative photos and measurements for your compression bra/s.

    We welcome any questions you may have regarding fees.