Revision breast augmentation2019-06-12T10:47:41+00:00
Breast Surgery Implants

Revision Breast Augmentation

Leading Revision Breast Implant surgery in Edinburgh with Quaba…

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Many women who have had breast implants in the past may require maintenance or revisional surgery.

Call us in confidence on 0131 346 0020 to discuss the options

We have extensive experience in revision or redo breast augmentation surgery.

Revision or secondary breast augmentation can range from being a simple procedure to being a very complex one. There are a multitude of factors involved, and we explore some of these on this page.

Find out more about our Revision Breast Implant procedures below…

Breast Revision Surgery
Replacement breast implants

Quaba revision breast implant procedures

Revision or secondary breast augmentation can range from being a simple procedure to being a very complex one. There are a many factors involved, and we explore some of these in the text below.

Why do breast implants have to be replaced/ revised?

A. One of the most common reasons for revision is up-sizing – patient requesting larger breast implants.

B. Capsular contracture (abnormal scar tissue around an implant) resulting in hardening of the breasts and adverse changes in their shape.

C. Being able to feel/ see the edge of an implant, visible ripples, folds or creases (seen or felt) can all be indications for revision.

D. A shift in the position of implants from their original location (implant malposition) resulting in a wide gap/ poor cleavage, high riding implants or bottoming out (abnormal low lying position) with lack of support.

E. Droopiness of the native breast tissue resulting in the so-called “double-bubble” appearance.

F. Breast asymmetry (noticeable difference in size, shape or position)

G. Other indications for revision may include, unsatisfactory scars and/ or disproportionately large nipples.

The above indications for revision breast surgery may be related to the implant, the initial surgical technique or to problems with the breast tissue surrounding the implant. These might include a change in the volume of the breast tissue and/ or loss of skin elasticity. Factors contributing to this include ageing, pregnancy, breastfeeding, weight variation, sun damage and smoking.

Please take the time to read more about the process below…

The different options

Depending on the patient, revision surgery may involve one or a combination of the following procedures:

A. Removal of the old implants and replacement with “like-for-like” or different size, type or shape implant.

B. Removal of thickened contracted scar tissue lining the implant pocket (capsulectomy).

C. Modification of the existing implant pocket to allow for the insertion of a much larger implant and/ or reducing the gap between the implants (capsulotomy).

D. Modification of the existing implant pocket to correct bottoming out which results from a descent of the breast crease and lack of support.

E. Breast implant pocket switch from above to below the muscle to address rippling and recurrent capsular contracture.

F. Breast uplift/ reshaping (mastopexy) to correct droopiness.

Commonly asked questions on revision breast surgery

How do I choose what implant size to go for?2019-05-06T18:50:32+00:00

We use a sizing kit to help you decide what implant size is best for you. The sizing kit gives you and us an idea of what you are looking for. It can be useful to bring some of your own tops to see how you look with certain implant sizes. We also have access to 3D imaging which can give you a visual representation of what you might look like with different implants.

The type of implants (round/ anatomical or teardrop) and where we place them (above/ below the chest muscle/ dual plane) will be explained to you in full.

What if my breasts are also droopy?2019-05-06T18:53:58+00:00

If your breasts have become droopy, then you may be more suited to a breast enlargement combined with breast uplift (Augmentation Mastopexy). This will depend on several factors such as the position of your nipples relative to your breast crease, what size implant you wish to have and whether you have had previous pregnancies/ weight loss.

Will my implants have to be changed after a particular time?2019-05-06T18:55:03+00:00

Breast implants do not need to be replaced after a set period. However, they can cause problems over time and may need to be removed or swapped for technical (implant rupture/ tight scar tissue) or cosmetic (change in breast shape over time/ after pregnancy/ weight loss) reasons. For this reason, you should be fully aware that you may require further breast surgery in the future.

Are there any alternatives to breast enlargement surgery with implants?2019-05-06T18:57:35+00:00

If you are looking for a very modest increase of one cup size or so, then fat transfer to your breasts may be an option. Fat transfer is a well-established plastic surgery procedure that has been used in breast cancer patients for many years. Fat is removed from your tummy or thighs using liposuction. The fat is then prepared to remove blood and oil and is then injected into the breasts. Some of the injected fat will be lost over the first few months. The advantage of fat transfer is that you are not putting anything “foreign” or unnatural into your body. The main disadvantage is that only a modest enlargement can be achieved and the increase in volume is not as reliable as using implants.

The advantages of fat transfer breast augmentation2019-05-06T19:19:00+00:00

Natural: Only uses your body’s tissues
No Implants: Avoids the risks associated with implants such as implant rupture and capsular contracture.
Can recontour the body: The liposuction that is used to harvest fat can reshape the body.
Avoids noticeable scarring: Only tiny incisions are used through which fat is harvested and injected.

The disadvantages of fat transfer breast augmentation2019-05-20T00:04:22+00:00

A limited degree of augmentation.
Reabsorption of fat: Even in the best of hands, some of the transferred fat will be resorbed by the body. There is a chance that a large percentage of the transferred fat will be resorbed with the result falling below expectations and the need for multiple treatments.
Not effective in correcting droopiness
More expensive.  Fat transfer augmentation involves two procedures (liposuction plus breast augmentation) and is usually more expensive than breast augmentation using implants. Additional cost will be incurred should a repeat treatment prove necessary.

Remember:

You may not have sufficient fat to transfer to your breasts.
You may be perfectly happy with your figure and not wish to have it changed.
You may have sufficient fat for one transfer. What if you need a repeat treatment?

How does recovery compare with that of the first operation?2019-05-30T17:54:11+00:00

Women thinking about revision breast surgery will have some idea of what the procedure is like. There are similarities to the original process, but there can also be some significant differences depending on the complexity of the revision procedure. A simple exchange of implants for implants of comparable shape/ size can be quite straightforward as no major work is required on existing implant pockets. The surgical procedure can be reasonably quick. On the other hand, if the surgery is involved, the operation will take longer, and the recovery would be more protracted. Examples of complex revisional surgery include correction of capsular contracture, implant malposition and breast uplift.

What are the risks?

Revision breast implant surgery is an operation of varying complexity, and a has a degree of unpredictability. There is no guarantee of a satisfactory outcome, and further surgery may sometimes be necessary. All operations carry associated risks including those of the anaesthetic and infection. All complications and long term problems that follow the primary breast implant procedure can happen following revisional surgery. See pages on breast augmentation and breast lift.

What to expect

You may be up and about in 2 days, but it will be a few weeks before you are entirely up to speed.

Your mood may fluctuate after surgery – this is normal. A small amount of blood staining on the inside of your dressings is typical during the first few days.

Discomfort/ 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/ 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.

Revision breast implant aftercare

Quaba Revision Breast Implant Aftercare…

If you have had revision breast implant surgery with us or are considering it – please find some detailed instructions and advise on aftercare following revision breast augmentation.

Before you leave the hospital2019-05-23T22:22:37+00:00

Medications – You will be provided with simple painkillers before discharge.

Change of dressings – Your dressings should be left intact until your first postoperative visit.

Follow up appointments for dressing clinics – You will be handed a card with details of your first follow up appointment and contact details for the ward should you have any concerns once you get home.

Post-surgical bras2019-05-21T23:23:42+00:00

Please view the following page for advice on support/ post-surgical bras: post-surgical bras

Revision breast instructions2019-05-21T22:44:19+00:00

Have someone drive you home after surgery.

Get plenty of rest.

Start walking as soon as possible; this helps to reduce swelling and lowers the chance of blood clots.

Follow a balanced diet. Decreased activity may promote constipation, so you may wish to add more raw fruit and fibre to your diet. Make sure you increase fluid intake.

Take pain medication as prescribed. Do not take aspirin or any products containing aspirin unless approved by your surgeon.

Avoid smoking for at least two weeks, as smoking delays healing and increases the risk of complications.

Avoid alcoholwhen taking pain medications. Even if you are not taking pain medications, it is advisable to avoid alcohol for 3 weeks as it can cause fluid retention which may worsen swelling.

When can I go back to work after revision breast surgery?2019-05-21T22:46:40+00:00

This will depend on the exact procedure you have had and your job requirements. We advise patients to take 1-2 weeks off work but it will vary from individual to individual.

Activities after revision breast surgery2019-05-21T22:47:50+00:00

Showering/ bathing – You may bathe once you are home but try not to soak your dressings.

Sleeping position – Sleep comfortably on two or three pillows. You do not need to sleep propped upright. Avoid sleeping on your tummy for at least three weeks.

Clothing – Wear clothing that is easy to remove and avoid tight tops. Wear a support bra– further information

Driving – We recommend not driving for at least 4-5 days after your surgery as you may be on pain medication.

Exercise – For the first two days keep your arm movements to a minimum. Your arms should not be used to support your body or lift anything substantial. Do not push your arms to lift yourself in bed. Avoid strenuous activities or any activity that increases your blood pressure for 3-4 weeks. Contact sports should be avoided for at least two months.

Wound care2019-05-21T21:56:26+00:00

Showering – You may shower when you get home. Take care not to soak your dressings.

Follow up2019-05-21T22:49:36+00:00

Weeks 1-3 after your operation – You will attend a specialist nurse clinic on at least two occasions to have your dressings changed, and any non-dissolvable sutures you have will be removed during this period.

Six months – You will be asked to arrange a follow-up appointment with your surgeon at six months to discuss the outcome of your surgery and any concerns you may have.

Please note – Some of our patients will get in touch before their six months follow up appointment, and we are often able to address any concerns you may have over the phone or via email. You are welcome to make an appointment (at no cost to you) before your six months follow up if you wish to be seen in person to discuss any issues.

Scar management2019-05-23T22:43:28+00:00

Healing is a gradual process, and your scars may remain slightly pink for up to 12 months.

You should start gently massaging your scars from 2-3 weeks after surgery.

Avoid exposing scars to direct sun for 3-4 months.

Always use a strong sunblock, if sun exposure is unavoidable (SPF 30 or higher).

When to call2019-05-21T21:54:38+00:00

If you have increased swelling or bruising which is not settling.

If you notice swelling of one/ both of your legs or feel short of breath – this may indicate a clot in one of your veins/ lungs – Deep vein thrombosis/ Pulmonary embolism.

If you have increased redness along the incision (this may be a sign of infection).

If you have severe or increased pain not relieved by medication.

If you have any side effects to medications; such as, rash, nausea, headache, vomiting.

If you have a temperature over 38 degrees Celsius.

If you have any yellowish or greenish discharge from the incisions.

If you have bleeding from the incisions that is difficult to control with light pressure.

If concerned, please call Beechwood House on 0131 316259 between the hours of 8am-8pm or after that on 0131 334 0363.

Before & after gallery

Revision Breast Before & After Gallery

How much does it cost?

We cannot give a firm price until full assessment due to the potential complexity of revision breast augmentation.

Breast augmentation with Exchange of implants £4700

Revision Breast augmentation combined with Breast lift  (minor lift) £6400 (full lift) £7500

Removal of breast implants £3500

Consultation £150

All inclusive costs for one year following surgery

Essentials

Revision Breast Augmentation

Type of Anaesthetic

General

Length of Surgery

1-2 Hours

Nights in Hospital

0-1

Recovery

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

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3D imaging before and after

See the new you in 3D before the procedure

Only available for breast augmentation and rhinoplasty

GET STARTED

Attention to detail and refinement are our key elements to the provision of successful cosmetic surgery

Your care is led by Consultant Plastic Surgeons and is Hospital-Based.

Call us in confidence on 0131 342 0020 to discuss the options

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What our patients have to say…

Feedback is from external review sites such as Google and RealSelf

Breast lift with implants – Amazing experience

Mr Omar Quaba was brilliant from start to finish with my procedure. I experienced a very professional and honest journey and had full trust in him as a surgeon for my complex procedure.

My results have turned out amazing and I can’t believe the difference from my before and after pictures which he kindly sent me over.

I Would highly recommend to anyone and can’t be thankful enough for making me feel a lot better within myself.

erinmclaren, Realself Nov 2018

Breast augmentation – Outstanding results

Tremendous.
Mr Quaba (Omar) took time to understand what I was looking to achieve and guided me on what would be the best results for my physique and body shape.
I am athletic and wanted a really natural result and Mr Quaba genuinely exceeded my expectations. Thoroughly professional, down to earth and understanding of your requirements.

Robin1007, Realself May 2019

Breast augmentation – 5 star

I was more than happy with Dr Omar Quaba from my first consultation till my 6-month post opp. Dr Quaba is very professional and makes you feel very comfortable, there is no pressure what so ever. Every option is spoken about even the option of not needing to have the surgery done which makes you know he cares about each individual patient not just the business he is receiving. The results i have are more than what i imagined and have made me much happier. I would recommend Dr Quaba to anyone who is thinking of having surgery.

Amberkeano, Realself May 2019

Male breast reduction – Dr Quaba Quaba is truly exceptional

Dr Omar Quaba is definitely one of the best gynecomastia surgeons in the country and I would wholeheartedly recommend him. Start to finish, the whole process was exceptional. Starting with consultation, it was extremely informative and there was always a feeling of care rather than the pressure of sales and Dr Quaba took time to answer all the questions, I had. In fact, he also agreed to see me for a second consultation to clear all my doubts without charging a consultation fee. The operation process was extremely smooth and the all inclusive package with Spire is definitely recommended which includes an overnight stay (meals included) with 24 hr nurse care. Postoperative care was truly exceptional as Dr Quaba always had time to respond to my emails and calls and any issues I had. I learnt from the process that patience is key and with time, you would get the desired result. The body needs a bit of time to heal and post 6 months, true results will be reflected. I can’t thank Dr Quaba enough for the great result. It’s not even a year since I had this operation and when I look in the mirror, even with a microscopic lens, it won’t be possible to determine that there was any surgery done in the concerned area as there are no scars and no marks. Dr Quaba in true sense is a genius.
If you are really looking for surgical treatment for Gynecomastia, go straight to him and it would be the best decision you would have taken in your life, I guarantee.

Bultai, Realself Oct 2018

Breast augmentation – Very happy

After spending a lot of time researching I decided to book a consultation with Quaba Plastic Surgery. During my consultation, Dr Quaba explained all the risks involved with the surgery and made sure I fully understood these. I did not feel pressured at any point to go ahead with booking the breast augmentation. Dr Quaba was very knowledgeable and honest. On the morning of my operation, I met with Dr Quaba and the anaesthetist, I was given the opportunity to raise any questions or concerns. I felt very anxious but Dr Quaba made me feel at ease.  I’m extremely pleased with the care and treatment I received during my stay in hospital. I just attended my 6 month check-up with Dr Omar and I’m very happy with my results.

emma41314, Realself Mar 2019

Breast reduction – Incredible Dr, incredible outcome. Best decision I’ve ever made

I first contacted Dr Omar Quaba when I was looking into breast reduction surgery. From the initial consultation, I knew I was in safe hands. What I liked best, was that Dr Quaba didn’t rush me into making any decisions. He wanted to ensure I fully understood the risks, and also for me to see the scarring that would occur. This was done using a portfolio so I could see first hand what to expect. My surgery was discussed in depth, with Dr Quaba listening to my thoughts whilst being realistic about the outcome. I would highly recommend Dr Quaba and if I needed anything in the future, he would absolutely be my first port of call.

Adee87, Realself Feb 2019

Breast augmentation – Wish I’d done it earlier

The service I received from Dr O Quaba was excellent, from initial consultation to post-op aftercare.
He understood exactly what I wanted and 6 months on I am delighted with the natural result he created.
Highly recommend!

MrsM1982, Realself Feb 2019

Breast augmentation – Great experience and great results

I was extremely happy with my experience with Dr Omar Quaba from my initial consultation, my procedure and follow up. He is professional, reassuring and kept me very informed throughout. I felt very comfortable with him and would thoroughly recommend him. I got a great result as well and am so so happy.

NB1609, Realself Jan 2019

Breast Reduction – An A experience with great results and a fantastic surgeon

If you are thinking about this….. do it! I wish I had had my breast reduction years ago. Omar Quaba will reassure you, explain everything and answer any questions you have. He is an amazing surgeon and very kind and approachable. I would recommend him for any plastic surgery, I have fantastic results and I am so happy with the result. It has made a huge difference to my life.

Suzi Jackson, Realself Jan 2019

Breast implants – Trusting experience

Dr O Quaba was Very helpful when giving advice to what type and size of implant would be best for me and my lifestyle as a busy Mum and full-time fitness lecturer/instructor. He was Friendly, understanding and approachable. Dr O Quaba was happy to answer all questions and explained every query I had to give me full understanding before, on the day of surgery and during my post op aftercare.

mariemclellan, Realself Jan 2019

Breast reduction – First class experience

After considering breast reduction surgery for many years, I decided in 2017 to take the plunge. After a colleague recommend Quaba Plastic Surgery, I booked a consultation with Omar Quaba and never looked back. From the first consultation, Omar made me feel at complete ease, which wasn’t an easy job as I was a nervous wreck and explained the entire process in full and frank detail to ensure I had all the facts before making my decision. My reduction was to be a significant one, I was a 34JJ, and Omar made sure I left that consultation with realistic expectations of the possible result of the surgery and the recovery process. I had a lot to think about, however I was convinced leaving the surgery that day that should I go ahead with the surgery Omar Quaba was the surgeon I wanted to do it as I had never felt as comfortable talking about the negative effects my large breast were causing me, having spent years making jokes about them, and to be honest that was the deal breaker for me. From the moment I arrived at the hospital every single member of the team where outstanding, they made sure I was comfortable, explained the process step by step and quickly realised humour was my coping mechanism so we had a few laughs along the way. The Aftercare was exceptional and the result of the surgery was amazing, so far beyond my expectations, I was actually a little overwhelmed and absolutely delighted with my new 34F’s. I can not recommend Omar Quaba and his team more highly, true professionals in every sense.

CMeridith, Realself Nov 2018

Breast implant revision – Fantastic, couldn’t be happier

Fantastic. I am so happy I went to Mr A Quaba. Would highly recommend him. After 2 failed breast augmentation’s Mr Quaba had a lot of work to do inside my breast’s and he’s done a fantastic job. I am so happy with the results I can’t thank him enough. I was so worried after my 2nd operation that I would never have the result he has given me. He’s done more than fix my breast he’s also given me my confidence back. He’s a lovely man with a huge heart.
Bright2126, Realself Apr 2019

Quaba appear regularly in Tatler Magazine’s list of best surgeons for facelift surgery.

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