Abstract
Breast augmentation is consistently one of the most commonly performed aesthetic operations
every year. Unfortunately, revision rates following primary augmentation remain as
high as 36%. There are several causes for revision breast augmentation; however, the
most common and challenging of these include capsular contracture, implant malposition,
and ptosis of the aging breast following augmentation. Successful management of these
problems requires knowledge on how to best treat the implant and capsule with the
corresponding soft tissue simultaneously. While surgical management is important,
understanding the pathological causes of these entities during the primary operation
can reduce the need for revision. This article utilizes the most up-to-date literature
to review the appropriate clinical evaluation and surgical management of these complex
cases.
Keywords
revision breast augmentation - secondary breast augmentation - capsular contracture
- implant malposition - breast ptosis
