Reconstruction methods
Reconstruction often involves more than one operation.
Breast reconstruction is usually a process rather than a single procedure. Revision surgery refers to the additional operations that refine or maintain a reconstruction over time.
Planning for the possibility of revision helps set realistic expectations.
Why revisions happen
- Changes after radiotherapy
- Capsular contracture around an implant
- Asymmetry between the breasts
- Implant problems, such as displacement or the need for exchange
- Refinement of shape, volume or the scar
- Changes over time as tissue settles
Common types of revision
- Exchange or replacement of an implant
- Fat grafting to improve contour
- A balancing procedure on the opposite breast
- Scar revision
- Nipple reconstruction, when it is planned as a later stage
What revision surgery cannot guarantee
Planning revisions across borders
Because revisions may be needed months or years later, patients treated abroad should understand in advance who will assess and perform any future revision after they return home.
Questions for your reconstructive surgeon
- How many stages or revisions are likely in my case?
- What revisions are commonly needed with this reconstruction?
- How would radiotherapy change the likelihood of revision?
- Who will perform revisions if I am back in my home country?