Breast revision surgery – also referred to as breast re-do surgery or corrective breast surgery - is a cosmetic surgery procedure that aims to improve on the results of previous breast surgery.

Mr Chris Fenn, consultant plastic, reconstructive and cosmetic surgeon based in Leeds, West Yorkshire, is a highly specialist breast surgeon and regularly performs revision breast surgery on women who have had prior breast surgery and are dissatisfied with the results. 

As the consultant plastic surgeon responsible for breast reconstructive surgery at Leeds Teaching Hospitals Trust, Mr Fenn is recognised by his peers for his expertise in the field of breast surgery and often receives difficult breast surgery referrals from fellow plastic surgeons.

What is breast revision/re-do surgery?

Unfortunately not every breast surgery procedure – whether it be breast augmentation, breast reduction or breast reconstruction – produces perfect results and the consequences can have a devastating effect on a woman’s self-confidence and self-esteem.

In some instances, it could be that the initial surgery did not meet the patient’s expectations or it could simply be that natural changes have occurred since the original procedure. All surgery has associated risks and even with the most careful planning and performance of the initial breast surgery, complications can sometimes arise, causing problems and deformities.    

What are the most common reasons for breast revision surgery?

The majority of women seeking breast re-do surgery complain of:

- Capsular contracture – this is when scar tissue tightens around the breast implant, creating a distorted appearance or firm and uncomfortable breasts.
- Double-bubble/bottoming out – the breast implant has either slid below the natural crease line underneath the breast, or the breast tissue has slipped off the implant. 

- Implant wrinkles – rippling of the breast implant can be seen if the tissue surrounding it is too thin.

- A desire to have smaller or larger implants.

A wide variety of problems and concerns can be present or develop following previous cosmetic breast surgery. Even if the initial cosmetic surgery was successful, the shape and form of the breast will evolve and change overtime and this can sometimes lead to deformities. 
 

With a wide experience in cosmetic and reconstructive breast surgery, Mr Chris Fenn is well positioned to offer an opinion and advice on revision breast surgery.

Am I suitable for breast revision surgery?

If you have had previous breast surgery and are unhappy with the look of your breasts for any of the reasons highlighted above, then you may benefit from revision breast surgery.

To confirm your suitability, you would need a consultation with Mr Fenn. After a discussion about your medical history and an examination of your breasts, Mr Fenn will be able to advise you on potential corrective surgery and offer options to improve the look, shape and size of your breasts.

He will also discuss the risks associated with revision breast surgery and will encourage you to ask questions and think about the procedure carefully before making a decision to proceed.

What does breast revision surgery involve?

Corrective breast surgery is tailored to the needs of the individual and consequently, the time in theatre and length of stay in hospital varies between patients. It is safe to say however, that the majority of breast revision procedures are performed under a general anaesthetic. 

- Capsular contracture – revision surgery tends to involve excising or releasing the capsule and inserting a new breast implant.

- Double-bubble/bottoming out – treatment varies depending on the cause of the deformity. Typical surgical options include moving the implant, repairing the capsule or in some instances; a breast uplift with removal of excess skin along the natural crease line. 

- Implant wrinkles – again this can be improved using different surgical techniques though the most common corrective surgery involves moving the implant and positioning it behind the muscle so it is less visible. 

- A desire to have smaller or larger implants – the original implants can be exchanged for bigger or smaller implants. Sometimes changing the implants to more natural looking anatomical/teardrop implants can help.

Does Mr Fenn use fat grafting/fat transfer when he performs breast revision surgery?

Yes, as an expert breast reconstructive surgeon Mr Fenn specialises in the fat grafting technique. It is used predominantly when the breast has lost volume and involves fat being harvested from another part of the body removed via liposuction (http://www.cosmeticsurgeryleeds.com/services/body/liposuction)
 and injected into the breast through a series of tiny incisions.  

During your initial consultation, Mr Fenn will be able to advise you on whether or not you would benefit from fat grafting.

How long does it take to recover?

As with your initial breast surgery, you may find that you have a little discomfort and tenderness for a week or two after the operation.
 

Depending on the nature of your revision breast surgery, you may be advised to wear a supportive bra for a few weeks after your operation. This will help your breasts to settle and make you feel more comfortable. 
 

Typically, you should be able to go back to work 1-2 weeks after your surgery although you should avoid straining and heavy lifting for 6 weeks.
 

After your discharge, you will be asked to attend a series of follow-up consultations with the cosmetic surgery nursing team and Mr Fenn to ensure that your wound is healing as it should.

How much does revision breast surgery cost?

The price will vary depending on the surgery you specifically need. However if you would like a guide price call Mr Chris Fenn’s secretary, Claire Bartle-Coates on 0113 218 5971, email Claire.bartle-coates@spirehealthcare.com or complete an online enquiry form.

How do I find out more about redo breast surgery?

To find out more about corrective breast surgery or to book a consultation with Mr Chris Fenn, call his secretary Claire Bartle-Coates on 0113 218 5971, email Claire.bartle-coates@spirehealthcare.com or complete an online enquiry form.