Secondary Breast Augmentation: Is There a Trend for Bigger Implants?

Area of Science:

• Plastic Surgery
• Aesthetic Surgery Outcomes
• Surgical Revision Analysis

Background:

• Patient desire for breast implant size change is a frequent cause of revision surgery.
• Despite advancements in assessment tools, implant size dissatisfaction persists post-augmentation.

Purpose of the Study:

• To analyze outcomes and identify predictive indicators for revision surgeries.
• To investigate patient demographics and reasons for revision augmentation.

Main Methods:

• Retrospective analysis of 110 patients undergoing revision augmentation surgery (2013-2017).
• Subgroup comparison based on revision indications: implant size change, complications, or both.
• Statistical analysis of patient data and surgical outcomes.

Main Results:

• 86% of revisions involved receiving larger implants.
• Primary indications: wish for bigger implants (38%), complications (29%), and combined reasons (32%).
• Patients desiring size changes were younger, had shorter time to revision, and received larger implants than those with complications.

Conclusions:

• Revision breast augmentation is frequently driven by patient desire for larger implants.
• Younger patients seeking size changes undergo revision earlier and with larger volumes than those revising due to complications.