Unfortunately, despite your very best research and extensive consultations prior to surgery, sometimes the results of your surgery are not as you had expected.
In these situations many patients find that they are considering returning to the operating theatre for secondary or revisional breast surgery.
Before embarking upon this surgery it is important to understand the risks of additional surgery and the reasons why your surgery did not achieve the results that you were expecting.
The original choice to undergo a breast lift, or a breast lift and an enlargement can be a difficult and somewhat confusing experience.
Almost invariably patients are looking for perky breasts with an increase in upper pole fullness.
A small amount of lift can be achieved with a slightly larger implant, and/ or by modifying the internal architecture of the breast using a “Dual Plane” 2 or 3 technique.
Further lifting can be obtained by the “Benelli” peri-areolar technique, which can reliably lift the nipple by 1.5 cm.
However, in our experience a lift beyond 1.5 cm is highly variable and is dependent on surgical technique, and is prone to poor scars and a ‘flattened’ breast appearance.
If your ideal new nipple position is greater than 1.5 cm however, the difficult problem you will face is that you will almost certainly need a vertical scar and a circumvertical breast lift.
Most patients don’t accept this scar and will try to avoid it at all costs.
Unfortunately in these situations, you will almost never get the breast shape you desire.
The most important part in the preoperative consultation is for you to be able to clearly articulate and explain the shape and look of your ideal breast that you would like to obtain after surgery.
And as you probably have guessed, the most common reason for poor breast shape in breast lift surgery is an unwillingness to accept a vertical scar.
It may well be that by simply adding the vertical scar, and by using this incision’s ability to control nipple position and breast shape, that you can achieve the result you are seeking.
If you have had a breast lift, with a vertical scar, and you find that you are unhappy with the post operative appearance, the advantage you have is that surgical correction to obtain your ideal breast shape is usually straightforward, and with minimal downtime.
From our experience the group of patients who are most likely to fall into this second vertical scar category are patients who have lost a lot of weight in the past , or whose breasts swelled significantly during breast feeding. This is because the elastic supporting tissues of the breast have been stretched and damaged, and tend to want to stretch once again after surgery.
The good news is that this revisional surgery is usually straightforward, although it still involves re-operation and downtime. (Hopefully your surgeon would have warned you if you fell into this higher risk group!)
Finally and most importantly – don’t smoke. Smoking has been shown across all studies to be the very worst thing you can do in breast lift surgery.