07/02/2025
Let’s talk revision breast surgery 🍒 What is it? When a patient has had prior breast surgery, and needs a revision or secondary surgery for a variety of reasons.
Revision breast surgery is challenging, and demands a high level of experience and expertise to be successful. Why is it so tricky? When implants have “bottomed out” like this patient’s had, it’s really hard to get good support again! You have to use a lot of tools (sutures, scaffolding or “internal bra”) to create a strong foundation for a good long-term result. Plus there are so many moving pieces: the “pocket” where the implant sits, the loose skin, and the breast tissue on top of everything. Revision surgery is generally always more technically challenging than primary surgery.
Patient details: This 63-year-old patient underwent breast augmentation 8 years ago. She gained weight during Covid, lost about 60 pounds with the help of a GLP-1 medication, and then was left with loose skin and sagging breast implants. Patient is 5’5 and weighs 123 pounds.
Surgery details: Breast lift (mastopexy), implant exchange, pocket revision including placement of Galaflex scaffold to maintain implant position.
Implant details: Motiva Ergonommix Demi (moderate) profile, 320cc
This post is shared with patient consent.