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Updated: Nov 2, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Revision Breast Augmentation.

Brad D Denney1,2, Alvin B Cohn1,3, Jeremy W Bosworth1

  • 1Department of Surgery, Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

Seminars in Plastic Surgery
|June 14, 2021
PubMed
Summary
This summary is machine-generated.

Revision breast augmentation is common due to capsular contracture, malposition, and ptosis. Understanding causes during primary surgery can reduce revision rates for better aesthetic outcomes.

Keywords:
breast ptosiscapsular contractureimplant malpositionrevision breast augmentationsecondary breast augmentation

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Reconstructive Surgery

Background:

  • Breast augmentation is a frequent aesthetic procedure with high revision rates, up to 36%.
  • Common reasons for revision include capsular contracture, implant malposition, and age-related breast ptosis.
  • Effective management necessitates addressing implants, capsules, and soft tissues concurrently.

Purpose of the Study:

  • To review current literature on the clinical evaluation and surgical management of revision breast augmentation.
  • To highlight pathological causes of common revision issues during primary augmentation.
  • To provide insights for reducing revision rates in breast augmentation procedures.

Main Methods:

  • Comprehensive literature review utilizing up-to-date scientific articles.
  • Analysis of clinical evaluation techniques for revision breast augmentation.
  • Examination of surgical management strategies for complex revision cases.

Main Results:

  • Revision rates remain significant, driven by specific complications.
  • Understanding etiology is crucial for preventing revision.
  • Integrated management of implant, capsule, and soft tissue is key.

Conclusions:

  • Revision breast augmentation addresses common issues like capsular contracture, malposition, and ptosis.
  • Preventative strategies during primary augmentation can lower revision necessity.
  • Optimal surgical planning and execution are vital for long-term success.