breast implants scotland/ breast augmentation

Corrective Breast Surgery in Edinburgh

Implants that have hardened, moved, or no longer suit you; a result from elsewhere that never felt right; or a decision to remove implants altogether – corrective breast surgery covers all of these. Quaba Plastic Surgery draws on more than 30 years of breast surgery in Edinburgh, and its consultant plastic surgeons, all on the GMC Specialist Register, carry out revision and implant-removal surgery at Waterfront Private Hospital, including correction of surgery performed elsewhere.

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Life-changing experience and I certainly felt in the most professional and safest of hands. Explanations, guidance and treatment were second to none. Recovery was straightforward with support when needed 24/7. Mr Awf Quaba is an exceptional surgeon, a real gentleman and the results are even better than I could ever have expected. My results are perfect in my eyes: I could not be happier with the whole process and would not hesitate to recommend.

Claire

Trustpilot Aug 2024

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Contents

Corrective breast surgery overview

TYPE OF ANAESTHETIC

  • General

LENGTH OF SURGERY

  • 1-2 hours, longer for complex revisions

HOSPITAL STAY

  • Day case at Waterfront Private Hospital, or overnight at our partner facility in Edinburgh

RECOVERY

  • 1-2 weeks off work, 6 weeks before strenuous exercise

What corrective breast surgery involves

Corrective (revision) breast surgery puts right a problem with previous breast implant surgery, or removes implants altogether. Surgery takes place at Waterfront Private Hospital under general anaesthesia, usually as a day case or with a one-night stay. Depending on your case, it may involve one or a combination of these procedures:

  • Removal of the old implants and replacement with “like-for-like” or a different size, type, or shape of implant.
  • Removal of thickened, contracted scar tissue lining the implant pocket (capsulectomy).
  • Adjustment of the existing implant pocket to allow a larger implant or to reduce the gap between the implants (capsulotomy).
  • Correction of “bottoming out”, where the breast crease has descended and lost support.
  • A pocket switch from above to below the muscle, to address rippling or recurrent capsular contracture.
  • Breast uplift and reshaping (mastopexy) to correct droopiness.

The combination appropriate to your case is planned at consultation by the consultant who will perform your surgery.

breast implant removal

What corrective breast surgery can address

Corrective breast surgery addresses problems ranging from the relatively simple to the highly complex — whether the original surgery was performed at Quaba or elsewhere. Common reasons for revision include:

  • Upsizing or downsizing: a wish for larger implants as preferences change, or for smaller breasts.
  • Capsular contracture: abnormal scar tissue forming around an implant, causing hardening, discomfort, and changes in breast shape.
  • Implant visibility: feeling or seeing the edges of an implant, or visible ripples, folds, and creases.
  • Implant malposition: implants that have shifted, causing a wide gap, poor cleavage, high-riding implants, or bottoming out.
  • Tissue changes: droopiness of the natural breast tissue over the implant (sometimes a “double-bubble” appearance) or developing asymmetry.
  • Implant removal: a decision to remove implants altogether, for personal or medical reasons.

Breast implant illness (BII) refers to a range of symptoms — including joint and muscle pain, fatigue, brain fog, and skin or autoimmune-type symptoms — that some patients associate with their implants. The cause remains unclear and diagnosis involves ruling out other conditions. Studies show that many patients experience an improvement in symptoms after implant removal, although not all do.

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Benefits of corrective breast surgery

The benefit of corrective breast surgery is resolution of the specific problem that brought you back: a hardened capsule released, a displaced implant repositioned, or an implant removed or exchanged for one that suits you better.

  • Relief of discomfort: hardness and tenderness from capsular contracture can be corrected.
  • Improved appearance: rippling, malposition, asymmetry, and double-bubble deformity can be addressed.
  • A size and shape that suit you now: implants can be exchanged for a different size, shape, or type.
  • Resolution after removal: many women who have implants removed for breast implant illness symptoms report improvement afterwards, although improvement is not guaranteed.

The result is judged at around six months once swelling has settled. Where an uplift is combined with removal or exchange, the breast shape continues to refine for up to 18 months.

View before and after gallery

Who is an ideal candidate for corrective breast surgery?

Corrective breast surgery suits women with a specific implant-related problem — hardness, movement, rippling, suspected rupture, or discomfort — and women whose preferences have changed since their original surgery, including those who want their implants removed entirely. Surgery originally performed at other clinics is regularly assessed and corrected.

  • You have a clear concern with your existing implants or with the result of previous breast surgery.
  • You are in good general health, with any suspected implant problem (such as rupture) investigated by scan where needed.
  • Your expectations are realistic: revision surgery carries a degree of unpredictability, and no outcome can be guaranteed.
  • You are a non-smoker, or willing to stop smoking well before surgery.

Where a problem is mild and not troubling you, the right advice can be monitoring rather than surgery. Making that judgement honestly is the core of the consultation.

Risks and considerations of corrective breast surgery

Unpredictability and the possibility of further surgery

Revision breast implant surgery is an operation of varying complexity and has a degree of unpredictability. There is no guarantee of a satisfactory outcome, and further surgery may sometimes be necessary.

General surgical risks

All operations carry risks, including those of general anaesthesia, bleeding, and infection.

Risks shared with primary breast surgery

Every complication associated with primary breast implant surgery — capsular contracture, implant rupture, changes in sensation, and visible rippling — can also occur after revision surgery. These are set out in detail on the breast augmentation and breast uplift pages.

Assessing your individual risk

Your individual risk depends on the complexity of your revision and is assessed at consultation by the consultant who will perform your surgery.

Aftercare and recovery after corrective breast surgery

Recovery after corrective breast surgery depends on the complexity of the operation. A straightforward implant exchange feels similar to — often easier than — the original surgery; more complex revisions involving capsule work or an uplift take longer to settle. You may be up and about in 2 days, but it will be a few weeks before you are entirely up to speed.

A nurse reviews you at one week, and more often if needed in the early healing period. Your consultant sees you again at around six months once the result has settled. Between then, your consultant is always available — if anything concerns you, they will respond directly and arrange to see you as soon as needed.

Detailed instructions and advice are available on the revision breast augmentation aftercare page.

Discomfort and pain

Some pain is typical in the first few days after surgery especially if your implants have been placed under the muscle. You may experience some numbness of your nipples and incision areas. You may experience temporary soreness, tightness, swelling and bruising as well as some discomfort in the incision area. Your breasts may be sensitive to stimulation for a few weeks.

Bruising and swelling

Your breast will feel tight and swollen for several days and bruising is not uncommon.

Appearance

Most of the discolouration and swelling will subside in 4-6 weeks.

Scars may be red and angry looking for 6 months. In time, these usually soften and fade.

Your final breast shape will not become apparent until 6 months.

Explore breast correction aftercare
Nurse reviewing a patient at Waterfront Private Hospital, Edinburgh

What is the cost of corrective breast surgery?

Corrective breast surgery at Quaba starts from £5,300 for removal of breast implants.

  • Removal of implants: from £5,300
  • Implant exchange: from £6,800
  • Removal of implants with uplift: from £10,000
  • En-bloc removal with uplift: from £13,500

Each price covers the surgeon’s fee, the anaesthetist’s fee, the hospital and theatre fee at Waterfront Private Hospital, and all post-operative reviews until you are fully discharged.

Revision surgery varies in complexity more than primary surgery, so the full price for your individual case can only be confirmed after a face-to-face consultation with the consultant who will perform your surgery. Our consultation fee with a consultant plastic surgeon is £200. Where a further consultation would help you reach a decision, this is offered without additional charge.

Frequently asked questions about corrective breast surgery

Will the same surgeon plan, perform and review my corrective breast surgery?

Yes. The consultant who assesses you at your first appointment is the consultant who plans your surgery, performs it at Waterfront Private Hospital, and reviews you afterwards. There are no handovers between consultants.

What happens if I have concerns after my surgery?

A nurse reviews you at one week, and more often if needed in the early healing period. Your consultant sees you again at around six months once the result has settled. Between then, your consultant is always available — if anything concerns you, they will respond directly and arrange to see you as soon as needed.

How much does corrective breast surgery cost?

Removal of breast implants starts from £5,300, implant exchange from £6,800, removal with uplift from £10,000, and en-bloc removal with uplift from £13,500. Each price covers the surgeon’s fee, the anaesthetist’s fee, the hospital and theatre fee at Waterfront Private Hospital, and all post-operative reviews until you are fully discharged. The full price for your case is confirmed after a face-to-face consultation.

What is breast implant illness?

Breast implant illness (BII) is the term used for a range of symptoms — including joint and muscle pain, fatigue, brain fog, and skin or autoimmune-type symptoms — that some patients associate with their breast implants. The exact cause remains unclear, and diagnosis involves ruling out other conditions. Many patients report an improvement in symptoms after implant removal, although not all do.

What is en-bloc implant removal?

En-bloc removal means taking out the implant and the capsule of scar tissue around it together, in one piece. Some women request it, particularly where breast implant illness is a concern. It is a longer and more involved operation than standard implant removal, and whether it is appropriate depends on your anatomy and the capsule itself — your consultant will advise at consultation.

Will my implants have to be changed after a particular time?

Breast implants need not be replaced after a set period. However, they can cause problems over time and may need to be removed or exchanged for technical reasons (implant rupture, tight scar tissue) or cosmetic reasons (change in breast shape over time, after pregnancy, or after weight loss). It is important to know that you may require further breast surgery at some point.

How does recovery compare with that of the first operation?

There are similarities to the original surgery, but there can be significant differences depending on the complexity of the revision. A simple exchange of implants for a comparable shape and size can be straightforward, as no major work is required on the existing implant pocket. If more complex surgery is needed — correction of capsular contracture, implant malposition, or a combined uplift — the operation takes longer and the recovery is more protracted.

How do I choose what implant size to go for?

If your implants are being exchanged, a sizing kit is used at consultation to help you decide what size suits you — it helps to bring some of your own tops. 3D imaging is also available to give a visual representation of how different implants might look. The type of implant (round or anatomical) and its placement (above or below the chest muscle, or dual plane) are explained in full.

What if my breasts are also droopy?

If your breasts have become droopy, you may be better suited to implant surgery combined with a breast uplift (augmentation mastopexy). This depends on the position of your nipples relative to your breast crease, the implant size you wish to have, and whether you have had pregnancies or weight loss. If you are unsure, you can try our cosmetic surgery selector tool.

Are there any alternatives to breast implants?

For a modest increase of around one cup size, fat transfer to the breasts may be an option. Fat is removed from the tummy or thighs by liposuction, prepared, and injected into the breasts. It uses only your own tissue, avoids implant-specific risks, and leaves only tiny scars. The main disadvantages are the limited enlargement, the unpredictable retention of fat — some is reabsorbed in the first few months and repeat treatments may be needed — and the higher cost, as fat transfer involves two procedures and is usually more expensive than implants.

Author

Meet the Team — Quaba Plastic Surgery

Mr Awf Quaba, MB ChB, FRCS, GMC 3034912, is a Consultant Plastic Surgeon with over 35 years of experience. He served as an NHS consultant for over 20 years before dedicating the past 15 years to full-time private practice at Waterfront Private Hospital in Edinburgh. Mr Quaba specialises in facial and breast plastic surgery and offers a range of surgical and non-surgical aesthetic treatments. Full BAAPS member.

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