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Importance of Revision in Plastic Surgery

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Plastic surgery deals with repairing, reconstructing, or modifying the human body.

Medically reviewed by

Dr. V. Srikanth Reddy

Published At December 5, 2023
Reviewed AtDecember 5, 2023

What Is Plastic Surgery Revision?

A prior cosmetic procedure's outcome may need to be adjusted, which is done through revision plastic surgery. For instance, a revision augmentation of the breasts might be carried out to replace breast implants after capsular contracture complications. In contrast, a revision rhinoplasty might be done to fix an uneven nose tip or breathing issues following surgery. It is important to select a skilled cosmetic surgeon. Yet it is to be expected that some patients will need one despite working with the best cosmetic surgeons.

What Are the Most Common Plastic Surgery Revision Procedures?

Although almost any plastic surgery procedure can be changed, some modifications are more frequent than others.

The following are some of the most popular methods for plastic surgery revision:

  • Breast Augmentation - Modifications to breast augmentation procedures are frequently needed because of asymmetry, modifications to implant size, or unfavorable appearance.

  • Breast Reduction - Breast reduction is needed if the initial procedure did not result in the patient's desired cosmetic outcomes or did not reduce the patient's breasts as much as expected.

  • Tummy Tuck - This is done in case of insufficient waist reduction, weight gain, or inadequate wound healing.

  • Rhinoplasty - Patients may want a revision of their rhinoplasty to improve the symmetry of their noses, regain their ability to breathe, or fix poor surgical methods.

  • Facelift - Patients who had their first facelift may not have been satisfied with the symmetry of their face, or they may have a "cobra neck" or sagging skin.

  • Other - When a tumor removal has negatively impacted the patient's face, breast, or other body parts, revision surgery may be necessary. This is done for patients who have received cancer treatments.

What Are the Benefits of Plastic Surgery Revision?

Addressing cosmetic flaws from earlier plastic surgery is one of the many advantages of revision surgery.

Other advantages are

  • Improved performance.

  • Restoring a beautiful appearance that increases the patient's self-confidence.

  • Enhancing the look of youth on the body and face.

  • Delivering treatment results that align with a patient's original goals.

  • Removes the need to conceal or cover the treatment area.

Why Do People Choose to Have Revision Surgery?

Several factors may lead a patient to request revision surgery:

  • They do not like how the treatment turned out cosmetically.

  • They have a problem that needs to be fixed surgically.

  • Patients may also request a "secondary surgery" if they are ready for a cosmetic improvement, i.e., if their initial operation's results need to be touched up since they have deteriorated.

What Are the Reasons for Plastic Surgery Revisions?

For a variety of reasons, patients could desire revisions. They cannot be happy with the outcomes of their initial procedure if the doctor does not pay attention to and comprehend the patient's cosmetic objectives. Following breast augmentation, patients frequently choose to alter the size or contour of their implants.

Revision of the initial operation may be necessary if poor wound healing detracts from the visual quality of the plastic surgery or other post-operative issues detract from the procedure's overall results. Plastic surgery can occasionally make a facial feature less functional, which can happen after rhinoplasty.

If the surgeon initially selected the incorrect surgical technique for a specific procedure or the treatment was inappropriate for the patient's anatomy, the patient may elect revision surgery. Patients occasionally change their minds regarding the aesthetic objectives they originally set.

  • Revision After Breast Augmentation:

After breast augmentation, changes are frequently made. Patients may ask for a correction to address asymmetry, change the size or contour of a breast implant, or move an implant. To deal with capsular contracture, a disorder in which a hard and dense tissue capsule develops around the implant, or to address the erosion of the breast implant, modification may be required. Following that, the capsule constricts and squeezes the implant. Symmastia, sometimes called "uni-boob" or "bread loafing," is a condition where the breasts develop with a little cleavage, necessitating surgery revision.

  • Revision After a Tummy Tuck:

Patients with tummy tucks may desire revision surgery if the first surgery did not sufficiently slim their abdomen. A revision may be required when the abdomen skin stretches and sags due to pregnancy, weight reduction, or weight gain.

  • Revision After Breast Reduction:

To correct an inadequate reduction or outcomes that fall short of the patient's expectations, a patient could desire to have their breast reduction operation revised. Some people may decide they no longer want their breasts appearing a certain way following reduction.

Which Procedures Have the Highest Rate of Revision Surgery?

To meet each patient's desired cosmetic and functional objectives, rhinoplasty is a surgery recognized to need a high level of skill. As a result, it is believed to be one of the cosmetic treatments with a revision rate greater than usual. A comparable high rate of revision surgery may apply to breast augmentation. After breast augmentation, capsular contracture is a frequent problem that must be addressed surgically in severe situations. With some potential fluctuation in rates depending on the incision site and other aspects of the treatment, this complication is estimated to affect 10.6 % of patients.

What Dangers Come With Undergoing Plastic Surgery?

Revision plastic surgery carries hazards like any other procedure, such as infection, hemorrhage, scarring, and unhappiness with the outcome. Be aware that revision surgery generally has higher risks than primary surgery.

Conclusion:

Revision cosmetic surgery is a very uncommon request from patients, yet it is occasionally necessary in specific circumstances. There are many reasons why revision plastic surgery may be necessary. Still, it is crucial to consider whether the justification for the revision treatment is sufficient to warrant having a second surgery. The surgeon should decide if revision surgery will accomplish the objectives or whether it might be preferable to leave things alone. There are numerous instances where an issue from a prior surgery necessitates revision cosmetic surgery.

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Dr. V. Srikanth Reddy
Dr. V. Srikanth Reddy

Dermatology

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