Breast lift and implants revision is inherently a tricky combo procedure. First and foremost, patients seeking it have breast and skin tissue that is susceptible to the effects of gravity and stretching.
Nonetheless, breast lift and implants revision can still provide good results, provided that proper implant selection, strict patient selection, and correct surgical maneuvers are all present.
Depending on the patient’s goal and cosmetic concern, the revision surgery may involve replacing the implants with something smaller or bigger.
While large implants can give additional fullness in the upper breast pole, the added weight to the breast increases the stress on skin thus reversing the effects of breast lift. For this reason the underlying anatomies, particularly their limitations, must always be respected and recognized.
Tissue-based planning system is one way to lower the complication and revision rate in breast implant surgery, with or without simultaneous breast lift, according to a study published by journal Plastic and Reconstructive Surgery.
Tissue-based planning system involves careful evaluation of the underlying anatomies of the breast, particularly its soft tissue thickness, dimension, and skin quality, to identify the breast implant size range that will have no or very little detrimental impact on the long-term appearance of the breast.
Simply put, tissue-based planning system aims to prevent or at least minimize implant rippling and palpability and inadvertent shifting.
Aside from proper implant size selection, the breast lift technique will also have a large effect on the surgery’s longevity, as suggested by Los Angeles plastic surgery experts. Internal adjustment of the entire tissue with the use of sutures to support the new contour can lead to a better shape that can withstand the effects of aging for many years.
In any type of breast lift, the fascial layer beneath the skin is closed and sutured in several layers; this technique not only results in additional strength but also promotes better scars as the skin receives no or very little tension.
Despite reshaping the breast tissue, sometimes it remains weak and thus sagging will occur much sooner. For this reason some patients will need reconstructive tissue matrix or surgical mesh (e.g., Strattice), which is used beneath the skin to further reinforce the tissue.
The use of biological tissue matrix helps plastic surgeons address common challenges involved in breast lift and implants revision such as malposition, rippling, and capsular contracture.