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© Medi Makeovers 2018. You may not copy, publish or use any of the content on this site without written permission from Medi Makeovers.

Disclaimer: Medi Makeovers is a medical tourism facilitator and in providing any medical information to its clients and prospective clients relies on medical, surgical and other recommendations supplied by the hospitals and clinics in Thailand that Medi Makeovers is accredited with. Medi Makeovers provides this information to its clients and prospective clients on behalf of these hospitals and clinics and in good faith, however, this must not be construed as Medi Makeovers offering or providing medical advice. Regardless of the wording, no information expressed in this website is to be interpreted as Medi Makeovers or its personnel offering or providing medical advice or recommendations. All pricing is in Thai Baht and all other currencies shown are the estimated currency conversion. You must check the currency conversion closer to your procedure date as you will pay for your procedure in Thai Baht.

WHAT IS A CORRECTION MAMMOPLASTY?

Due to the recent recall of Allergan Implants - we have noticed an increase in people asking for this procedures. Our surgeons are highly skilled in this procedure of Implant and or capsule removal - and also implants replaced if this is your choice too.

PLEASE NOTE : None of Medi Makeovers clients have ever received Allergan Implants - all our surgeons only use Mentor or Motiva Implants

Also known as breast implant revision surgery or breast correction surgery, correction mammoplasty commonly involves removal and/or replacement of breast implants, is performed to change the size or type of your implants and to correct any complications from your primary breast augmentation. The overall goal is to restore a youthful breast contour and appearance. Revision procedures may be as simple as exchanging implants through the original incision, to requiring a complete change of incision, pocket and implant.The overlying breast and skin tissues after a second procedure tend to be thinner and less able to bounce back. Due to this additional scars may be necessary to help shape the tissues into a good shape. The overlying factor that will determine the likelihood of a good outcome is how much soft tissue can be manipulated to cover the implant. In some cases a breast lift may also be needed to be done.

 

Breast correction is done to:

  • Correct any complications from breast augmentation surgery

  • Change the type of size of your implants

  • Restore youthful appearance to older breast augmentation cases

  • If you are wanting a breast lift - then the surgeon may also decide to remove and replace your current implants

 

 
 

AM I A GOOD CANDIDATE?

One or more of the following feelings or conditions may indicate that you are a good candidate for Breast Correction Surgery:

 

  • You are bothered by your first breast augmentation surgery - not happy with the results - too big or too small implants

  • You have Allergan or PIP Implants and wish to have them removed

  • Capsular Contraction

  • You hide your breasts and feel self-conscious about them

  • Your implants are not sitting where they once were, or where they are meant to be

  • Your current implants are too big or too small

  • Weight loss has changed the size and shape of your breasts

  • You have complications from your first surgery and are at least 12 months out of your initial surgery.

  • If you now request a breast lift and you already have implants, the surgeon may decide that removal and replacement of implants may be necessary at the same time.

  • You have had an ultrasound or MRI and the results show it is necessary to have this procedure

 

 

PROCEDURE DETAILS

During your initial breast implant revision examination, your surgeon will determine the cause of your problem and advise you on how to proceed. If you are having complications from scar tissue, you may be advised to have an implant revision, rather than removal or replacement, where your doctor will cut away the surrounding scar tissue, physically examine the implants, and leave them in place. If you are having complications from improper positioning or defective implants, you may be advised to have the implants removed, and possibly replaced with new implants.Breast augmentation revision is similar to breast augmentation. General anaesthesia is used during secondary breast augmentation. Implant revision or removal may require less time than implant replacement because there are fewer steps involved, but most secondary breast augmentations take less than an hour to complete.

BREAST REVISION OPTIONS

 

Your breast implant revision options will be dictated by the complications you are having with your implants. Complications may arise from the size, shape, texture, or positioning of the primary implants. Your surgeon will advise you on how to best proceed with your breast augmentation revision. Choosing the correct type of breast implant, the proper shape and texture, and the proper placement technique are all important factors in avoiding the need for breast implant removal surgery.Patients undergoing revision of breast enlargement surgery should be fully aware they will have the same risks or even greater risk of an initial breast surgery (capsular contracture, bleeding, infection and malposition).

It is very important to obtain an Ultrasound or MRI of your breasts and present to our surgeon before your trip. Also please obtain previous surgery notes and implant details of your previous surgery.

Although in the great majority of secondary breast surgery the results are excellent and the problems are solved, some cosmetic patients will require a third or fourth surgery. Problems with breast augmentation may occur as a result of poor planning, poor surgery or simply as a result of the way scarring and healing has occurred in the individual patient.The assessment process and the technical aspects of the corrective surgery itself are usually many times more complicated than primary (or first-time) breast augmentation. For this reason, secondary (or corrective) plastic surgery is more expensive and takes much longer. Some of the issues which lead women to seek corrective (or secondary) breast augmentation surgery include:-

Breast Implant Illness

Breast implant associated cancer, which is also known as breast implant associated anaplastic large cell lymphoma (BIA-ALCL), is a rare cancer of the immune system. It is not breast cancer, which forms from cells in the breast, but instead a cancer that grows in the fluid and scar tissue that forms around a breast implant. Less commonly, BIA-ALCL can take the form of a lump in the breast or a lump in the armpit.

BIA-ALCL has been known to occur as soon as one year after the operation and as late as 37 years after the operation. The average time to diagnosis is within 8 years of the operation. 

If you develop swelling of an implanted breast please see your local doctor, who will send you for an ultrasound scan to see if this is due to a fluid collection. If fluid is present it will be removed and sent to the laboratory for analysis. Most fluid collections are not due to BIA-ALCL, but the laboratory test will be able to tell for sure.

If confirmed, your specialist may also order an MRI scan or CT scan to assess the extent of local growth or distant spread of the cancer. Other tests such as a PET scan may be also used to assess spread. A mammogram will check for breast cancer, but is not useful for detecting BIA-ALCL. In about 80% of cases, the disease is detected in the early stage, with cancer cells found only in the fluid surrounding the implant. Most of these cases are cured by removal of the implant and surrounding capsule. This is called a capsulectomy - our surgeons are specialists in this field.

Capsular Contracture

  • All implants have a capsule around them. These capsules, which are made by the body to wall-off the implant, normally remain soft and pliable. For various reasons however, in some patients, they can become firm over time making the breasts feel harder than they previously were.

  • To correct this problem a surgical capsulectomy is often required in which the old implant capsule is removed prior to the insertion of the new implant.

  • Capsular hardening rates are quoted at around 10% at 10 years for high cohesive silicone gel implants and <1% at 10 years for polyurethane coated implants.

 

Excessively Wide Cleavage

Breasts that are too far apart may be due to poor implant choice and inadequate release of the pectoral muscles.

 

Symmastia or 'kissing implants'

  • This is where the breasts have literally joined together so that there is no cleavage.

  • Will usually require complex pocket readjustments and the use of narrower implants.

 

Implant Exchange

This may be for size issues ie. Upsize or Downsize. Alternatively, may be to change implant type eg. Saline to Cohesive silicone gel.

 

Double-Bubble Deformity

  • This is where the implant and the native breast tissue are at different anatomical levels.

  • Correction is complex and may require implant exchange, pocket readjustments (Capsulorrhaphy) or parenchymal modifications/ breast lifts.

 

Implant Rippling

May result from too thin an envelope that is covering the implant. Skin can become thin after weight loss or pregnancy and therefore you are now experiencing rippling. Or previous implants may be too large and you want to now have smaller implants.

 

Poor Breast Shape

You may be unhappy with the shape of your breasts.

 

Scar Revision

Your scar may be in an unsavoury place, or it has not healed properly.

 

Breast Lift

Gravity cannot be controlled, you may find as you age - your implants will also fall. A breast lift can correct this. Implants are heavy and over time can cause your breast skin to stretch and you now also need a breast lift.

IMPLANT PLACEMENT

 

Implant placement is dependant on you, your body and your individual needs. This is something that is different for everyone and should be discussed with your surgeon to determine to most successful placement for you. There are three ways an implant can be placed in the body:

 

Sub-Glandular Placement

This is the location between your chest muscle and your breast tissue (under the glands).

 

Sub-Muscular Placement

This is when the implant is placed completely under the chest muscle.

 

Dual Plane Placement

This is when the top half of your implant is placed above the chest muscle (under the breast tissue) and the bottom half of the implant is placed under the chest muscle.

IMPLANTS OUR SURGEONS USE

 

Our surgeons only use FDA approved implants, smooth cohesive gel silicone implants. The brands that are available are:

Click on the logo for more details.

 

 

 
motiva implants logo 1.jpg

YOUR RECOVERY + AFTER CARE

 

For a standard Breast Revision case, you are required to spend a minimum of 10 nights in Thailand. You will spend two-three nights in hospital, in a private hospital ward room. If you are bringing a travel buddy, they can stay in your ward room with you for free.

 

Tips from our surgeons:

  • Sleep in an upright position and try not to sleep on your side for at least a week post surgery. You can request more pillows at your hotel to prop you up.

  • To avoid unnecessary swelling or bleeding, do not bend over, strain, exercise or do any other activities that could increase pressure in your chest during the first week.

  • You must wear your compression bra day and night for min 8-12 weeks post surgery 

  • Stitches are removed usually 7 days post op

 

Pain Level

Above the muscle: Mild to moderate discomfort.

Below the muscle: Moderate to severe discomfort following placement under the muscle.

1 - 2 weeks of pain medication is included.

 

Swelling

4 - 12 weeks.

Your body will swell directly after surgery, so do not be alarmed if your breasts look 'wonky' or 'misshaped' - this is very normal, especially if you chose not to replace your implants - over the following months, your breasts will settle and produce breast fluid, so your breasts can change and final shape will be in approx 12 months. If you chose to replace your implants, they can also appear to sit quite high on your chest as your body has swelled around them (e.g. cone-like or torpedo-shaped), do not worry - they will 'drop' and go back to the placement that the surgeon has created for you. This is sometimes referred to as 'fluffing' and the time it takes for your breasts to look 'normal' will depend on several factors. These factors include implant size, what size you were pre-operatively, whether you have massaged your breasts, skin elasticity, muscle tone and of course your normal body healing - which is different for everyone. 

You skin may also be red and feel sunburnt - though this is normal as the skin is being stretched. Feeling itchy is also very common as the body heals. Follow your surgeons instructions and do not put anything on or near your incisions unless they have told you it is okay to do so. 

 

Bruising

Most patients experience no bruising, but if you have some - it will subside over 2 weeks.

 

Numbness

2-4 weeks.

 

Going back to Work

1-2 weeks from your fly home date.

*If your job is strenuous or requires lifting, wait a month.

 

Exercise

This must be confirmed by your surgeon, though typically you must wait 8-12 weeks. No chest wall exercises during this time. You may be able to do lower body exercises earlier than this time. No jogging or running during this time.

Your recovery after breast revision surgery

Depending on how long you have had their breast implants in, how much overlying breast tissue and skin you have, as well as how much of their breast mound was made up of breast implant, will dictate how many complexities your 'customized' cosmetic plastic surgery operation will have. Some women after their breast implants have been removed will need no other breast surgeries, while others may require a breast lift. Some breast lift plastic surgeries may be extensive while others may be very limited. The women that require breast lifts will be left with scars on the outside of their breasts.

 

Small VS Large Implants

Size matters with breast augmentation revision, and choosing the wrong size the first time around is often the cause for breast implant revision or replacement. Your doctor can advise you regarding the size that would be anatomically proportional to the rest of your body, which is usually the best choice.Choosing more conservatively sized breast implants usually results in fewer complications and less chance of needing breast implant revision, though some women may choose to undergo breast implant replacement if they still feel that their breasts are too small. Choosing large sized breast implants creates a higher risk of complications, which may result in the need for breast implant revision or replacement. Some women may also find their new large breasts to be obtrusive in their daily activities, or unnatural looking, which may also prompt a secondary breast augmentation.

 

Women having breast implant revision surgery to replace their implants can expect their post-operative discomfort and recovery time to be similar to that of their primary breast augmentation. The extent and duration of discomfort depends largely on the size and placement of the implants, and may include:

  • Pain

  • Stiffness

  • Swelling

  • Bruising

  • Itching

 

If larger implants were placed, the skin around the breasts may feel tight as the body adjusts to accommodate the increase in size. It may take several weeks for new implants to "settle" into their final position. Altered sensation, such as numbness or tingling, may be present around the incision site, but this should decrease over the following weeks or months. We suggest you purchase the Libellula Anti-Oxidant Complex Oil for your skin and scars daily. This can be purchased direct from Medi Makeovers.It is extremely important to wear a compression bra for 8-12 weeks post-surgery day and night.

 

Bleeding and Infection after breast implants removal surgery

These risks are similar to the risks associated and described in detail for breast augmentation surgery risks.

 

Skin scarring after breast implants removal surgery

Although good wound healing after a surgery procedure is expected, abnormal scars may occur both within the skin and the deeper tissues. Excessive scarring is uncommon. Additional treatments including surgery may be necessary to treat abnormal scarring.

 

Firmness after breast implants removal surgery

Excessive firmness of the breasts can occur after breast implants removal surgery due to internal scarring. The occurrence of this is not predictable but very rare.

 

Seroma after breast implants removal surgery

Tissue fluid may accumulate in the space where the breast implant was located. Additional treatment or further surgery may be necessary to remove this fluid or any scar tissue that forms because the fluid.

 

As with any man-made object implanted in the human body, implant failure can occur. It is possible that a breast implant can rupture causing silicone gel to be released from the breast implant. Breast implants also can rupture during the removal process. If implants rupture have occurred, it may not be possible to completely remove all of the silicone gel that has escaped. Implants shell material of textured breast implants may be impossible to completely remove. Calcification around implants can occur and may require removal of the scar tissue surrounding the breast implant. It may not be possible to completely remove the scar tissue or calcium deposits that may have formed around breast implants or rupture silicone gel implants.

 

Mammography after breast implants removal surgery

It is important to continue to have regular mammography examinations and to perform periodic breast self-examination. Should a breast lump be detected with either mammography or self-examination, please contact your regular physician.

 

Psychological/appearance changes after breast implants removal surgery

It is possible that after breast implants removal surgery you may experience a strong negative effect on your physical appearance, including significant loss of breast volume, distortion, and wrinkling of the skin. Your appearance may be worse than prior to your cosmetic surgery for the placement of the breast implants. But please be patient so you can allow your body to heal - natural breast fluid can be produced by your body over time and you may regain some fullness over the following 6 months  of healing. You final shape can take up to 12 months post surgery.

 

Other

Breast asymmetry may occur after breast implant removal surgery. You may be disappointed with the results of breast implant removal surgery. Additional surgery may be necessary to reshape breasts after implant removal. Please be patient in your recovery and it may be advisable for you to wait up to 12 months before doing addtional surgery.

 

Breast disease after breast implants removal surgery

Current medical information does not demonstrate an increased risk of breast disease or breast cancer in women who have breast implant surgery for either cosmetic or reconstructive purposes. Breast disease can occur independently of breast implants. It is recommended that all women perform periodic self-examination of their breasts, have mammography, and to seek professional care should they notice a breast lump.

 

Surgery anaesthesia, Allergic reactions, and other risks after breast implants removal surgery are similar to other surgeries required during the breast implants removal surgery.

 
 

PRICING - CLICK HERE

 

Our surgeons usually recommend round, smooth cohesive silicone gel implants. They are available in high, moderate or low profile and are included in the prices below unless stated otherwise. Teardrop implants are also available.

 

Included in prices:

  • Hospital stay in a single, private room

  • Breast augmentation surgery

  • Plastic + reconstructive surgeon

  • Anaesthetist

  • Nursing fees

  • Private hospital fees

  • Bandages, dressings and prescribed medications for 7 days

  • Pre and post operative consultations with a leading surgeon