The anatomy of revisions after primary breast augmentation: one surgeon's perspective

Although breast augmentation is a procedure with a high patient satisfaction rate, at some point in time, some patients will need a revision. A better understanding of what leads to revisions is desirable to determine whether the frequency of revisions can be reduced. With that in mind, we reviewed all revisions in a consecutive series of primary breast augmentation patients operated over a 3-year period with a minimum follow-up of 2 years. The overall revision rate was 10%. The primary indications for revision included 4% malposition (bottoming out), 2% capsular contracture, 2% size change, and 2% switch from saline to silicone. Specific case reports are presented in detail to examine the nature of these revisions.