Asian Breast Augmentation

About 307,000 breast augmentation surgeries were performed in 2011, making it the most popular cosmetic plastic surgery during the period.

In a 2011 survey released by the American Society of Plastic Surgeons, breast augmentation was one of the top three cosmetic surgeries performed on Asian-Americans, which has always been the trend. 

Because Asian women often have a smaller frame than Caucasians, the general rule is to limit the implant size particularly if the aim is to create a natural appearance instead of an operated look.

Small- to moderate-sized breast implants are particularly ideal when dealing with patients who have little breast tissue to prevent or at least minimize the risk of visible wrinkling and rippling. 

Nowadays, the trend is the natural look which can be easily achieved by using smaller breast implants.  In fact, many plastic surgeons have noticed that most of their recent patients asked for implants filled between 300 and 350 cubic centimeter or cc which is often enough to add volume without giving a heavy top look.

Aside from the implant size, Asian women should also consider the implant profile or the projection off the chest wall.  As mentioned earlier, they generally have a smaller frame and chest “band” than Caucasians so these certain anatomical features should be taken into consideration.

In general, patients with a small chest “band” should use high-profile implants which offer more forward projection and smaller base, which is important to avoid the unnatural look. 

On the other hand, petite patients in general should avoid low-profile implants which have a bigger base but offer less projection as they can occupy too much space on the chest band, resulting to “bursting” appearance.

To date, a growing number of women choose silicone breast implant over the saline version because it provides a more natural look and feel with its viscous filling.  Meanwhile, the US Food and Drug Administration has recently approved the fifth generation of silicone implant which has a more cohesive gel than its predecessor, in addition to being form-stable.

But still, salineimplants, which are filled with a sterile mixture of salt and water, can provide a natural look and feel as long as there is an ample amount of breast tissue and fat; but if this is not the case, unnatural contour and higher risk of wrinkling are usually the results.

But despite some concerns, saline implants are still endorsed due to their surgical flexibility and are easy to replace during a revision breast augmentation.

Saline Breast Implants—Overfilling Vs Underfilling

Saline breast implants are filled with a sterile mixture of salt and water while their shell is made of solid silicone that is durable.  However, there is no guaranty that the device can last a lifetime because it is still subjected to the natural wear and tear; for this reason, there is always the possibility of needing a revision surgery at some point in a patient’s life.

One advantage of saline implants over silicone version is that in case of a leak, they will not lead to inflammation of the tissue although patients have to remember that the affected breast will appear deflated right after the rupture.  To correct this problem, the implant must be replaced with a new one during a revision breast augmentation.

However, saline implant has its shortfall; because of its watery consistency, it is prone to sloshing effect, which is attributed to the higher risk of downward displacement. 

One way to prevent the sloshing effect is to overfill the implants with a saline that is more than the amount recommended by the manufacturer.  Patients should remember that overfilling the implants does not lead to a bigger size but only firmer appearance.

For instance, implant manufacturer Mentor recommends its device to be filled with a maximum amount of 300 cubic centimeter or cc, but a plastic surgeon inflates it with 325cc.  Aside from making the implant firmer, the technique has also been said to reduce the sloshing effect.

Another probable advantage of overfilling saline implants is that the need for a revision breast augmentation can be postponed.  Because saline has a natural deflation rate of 1 percent every year, putting content more than the recommended amount of the manufacturer may help prolong the “viable volume” of the implant.

But one downside of overfilling saline implants is that it gives manufacturers the right to cancel the warranty of their products.  However, it does not mean that they will automatically void it, but the technique gives them that option.

While overfilling saline implant is a common practice, underfilling its shell is not since it can lead to a wide range of problems including higher risk of rippling and implant failure; this is because the constant “rubbing” of the folds can affect the integrity of the device.

Another common problem with underfilled saline implants is the visible ripple, which is more of a concern if the breast tissue and fat is limited.

Europe Seeks Tougher Breast Implant Test

With the controversies surrounding French-made PIP breast implants, the European Union is seeking tougher tests and inspections for these devices in an effort to protect consumers from substandard products.

Because of the slack system, some experts believe the implants manufactured by PIP have been sold in many parts of the world.  (But surprisingly, the devices did not reach the US after the FDA found the company’s failure to adhere in good manufacturing practices). 

Investigation shows that since 2000, PIP has developed a simple way to deceive third party auditors from discovering that it was using industrial grade silicone gel intended for making mattresses.  With this plan, the company was able to lower the manufacturing costs of its devices—of course at the expense of thousands of women who had the substandard implants.

According to estimates, about 400,000 PIP silicone breast implants were sold in UK, Spain, Australia, Brazil, Argentina, Colombia, and Chile.

To hide the industrial-grade silicone gel, PIP workers placed the barrels containing this substance in a separate warehouse while auditors were making a routine visit.  Meanwhile, one employee has admitted that he was asked to erase evidences from the computer system before the audits and add them again afterwards.

And as the company’s way to celebrate its fraudulent act, employees threw huge parties every time the auditors left the premise.

Going back to the EU regulators’ plan to overhaul the rules, the aim is to prevent medical device makers in charge of checking the safety of their own products, and to further beef up transparency. 

However, concrete plans to improve the oversight system are yet to be determined later this year.  But one possible solution is to carry out unannounced audits particularly when dealing with companies suspected of fraudulent acts.

In January 2012, PIP founder Jean-Claude Mas, 72, has been charged of involuntary injury two years after the French health ministry banned his company’s silicone breast implants which were sold in 65 countries.  The devices have been found to be prone to rupture because of their thin shell; in fact about 14 percent of women who have them removed suffered from leak.

Surprisingly, while Mas has admitted deceiving the French authorities for 13 years, he called the victims who filed complaints against him as those “who want to make money.”

The PIP founder has also criticized authorities for offering victims to pay for the removal of implants because it can put them to a “surgery risk.”

FAQs About Breast Implant Surgery

1.     Question: What kind of implants is used during breast augmentation?

Answer:  Currently, the US Food and Drug Administration only allows silicone- and saline-filled breast implants.  However, there is some speculation that the gummy bear implants (these are filled with a more cohesive type of silicone gel) which are under clinical trial, will be made available to the public in the next few years.

2.     Q:  Which can provide a more natural result?

A: Siliconeimplants are designed to mimic the feel of breast tissue, making them a more popular choice of women these days.

3.     Q:  Any benefits in choosing saline implants over silicone version?

A: Yes.  Patients are not required to undergo MRI screening, a test necessary for those with silicone implants because they are at risk of having silent leak (no visible manifestation that the shell has already ruptured),And in case of rupture, patients with saline implants can immediately see the problem because their breasts will become deflated within hours.

4.     Q:  What is capsular contracture?

A:  This happens when the scar tissue—which naturally forms around any implant—becomes extraordinarily dense that it ends up squeezing the implants.  Fortunately, there are many surgical techniques and post-operative treatments that can minimize the risk of capsular contracture.

5.     Q:  What is the difference between smooth and textured implants?

A:  Smooth implants have a balloon-like surface while textured implants have a rough, somewhat “grainy” exterior.

All teardrop-shaped (or anatomical) implants come in textured surface to prevent it from rotating inside the breast pocket, something which may lead to visible distortion.  On the other hand, round implants often come with smooth exterior because they can rotate without causing any problem.

However, some round implants have rough surface which is said to minimize the risk of capsular contracture.  But this claim has not yet been proven.

6.     Q:  Which can provide more natural breast contour, round or teardrop implants?

A:  Both implants can provide natural appearance as long as with the proper placement.  And contrary to popular belief, round implants do not automatically lead to a dome-shaped, unnatural-looking breast because their shape turn into a teardrop once inside the breast pocket (due to the pull of gravity).

      7.  Q:  How long do breast implants last?

A:  According to a study conducted by the Institute of Medicine, breast implants last an average of 16 years, although their lifespan still depends on many factors such as the patient’s lifestyle, certain features of the body, and type of implant used during the procedure.

Breastfeeding After Augmentation Mammaplasty

One of the most common concerns of patients considering breast augmentation is its effect on breastfeeding.  However, many studies have suggested the surgery does not prevent women from producing milk.

Is It Possible to Breastfeed After Breast Augmentation?

Breast augmentation patients will most likely be able to breastfeed their babies following the surgery, particularly if the incision is made along the breast crease and armpit.  However, a U-shaped incision around the edge of areola may increase the risk of having breastfeeding problems because the technique causes more trauma to the glands, nerves, and ducts.

Can Silicone Implants Contaminate the Milk?

Breast implants do not pose contamination risk to babies; in fact, the milk produced by a woman with siliconeimplants has a significantly less amount of silicone than formula milk.

Potential Problem

Patients should know that breast augmentation does not prevent them from producing milk, although there is a risk of having less sensitive nipples, which in turn may lead to difficulty in breastfeeding.  Fortunately, a study has suggested that five years after breast surgery, most of the damaged nerves have already been repaired by the body, significantly improving the ability to breastfeed.

Why Some Patients Can’t Nurse Their Babies

It’s not about inability to breastfeed, but more on the unwillingness of some women to nurse their babies.  According to a recent study conducted by the American Society of Plastic Surgeons (ASPS), women with breast implants who think that breastfeeding can lead to sagging breasts are less likely to do this successfully.

However, the ASPS said that breastfeeding does not affect the result of breast implant surgery and even highlighted the significant health advantages for both baby and mother.

Solution for Those Experiencing Difficulty in Breastfeeding

Women with breast implants should tell her child’s pediatrician about the surgery; in this way, the doctor can keep a close eye on the baby’s weight and make sure he or she is getting enough milk.

But for patients who had breast augmentation to address hypoplasia or underdeveloped breasts, they may experience trouble producing enough milk.  For these mothers, they are often advised to use pump after each nursing session to stimulate production.  But if this is not enough, they should use formula milk or donor milk.

Should Breast Augmentation Be Postponed?

Some plastic surgeons recommend postponing breast implant surgery for women who are considering having babies since pregnancy may change the appearance of their breasts.

What Is the Most Ideal Age to Have Breast Augmentation Surgery?

Breast augmentation is one of the most sought-after cosmetic surgeries not just in the US but also in many countries.  In fact, it has been estimated that 5 to 10 million people have the procedure; they consisted of women who wanted to improve their appearance, post-cancer patients who had mastectomy, and transgender.

To date, many countries including the US require patients to be at least 18 years old before they can undergo breast implant surgery.  But take note that this age requirement generally applies if you will have the procedure solely for cosmetic purpose—e.g., you want to increase your bust size.

By contrast, age requirement is not important if you will have the procedure as a way to treat developmental abnormalities.

You have to remember that patients between 18 and 21 can only have saline implants which are filled with a sterile saltwater solution.  But when you reach the age of 22, you would be allowed to use silicone implants during your breast augmentation surgery.

The main reason why silicone implants require a higher age limit is because of the risk of rupture.  To prevent serious complications, you will be required to undergo MRI screening at least every two years.  By contrast, you will not need this if your implants are filled with saline, which in case of a leak, can be safely absorbed by your body, though your breasts will immediately appear somewhat “flat.”

While 18 years old can already have breast augmentation, many plastic surgeons believe that a woman should wait until she has reached her twenties because there is a likelihood that her breasts will further enlarge.

Imagine that if your breasts become larger after having plastic surgery, you may end up with a bust size bigger than what you really want.  While you can always have revisions to downsize your implants or even remove them without replacement, this means additional expenses and possibly more scarring.

If you decide to have breast augmentation in your teenage years, you will likely need revisions sooner than later.  Take note that breast implants are not designed to last a lifetime and are subjected to the natural wear and tear.

According to a data collected by the American Society of Plastic Surgeons, 65 percent of breast implant surgeries were performed on patients aged between 20 and 38, a clear indication that most women waited until their body has fully matured before they had the procedure.

Substandard Breast Implants from France Did Not Reach the US—ASPS

About 30,000 women in France will receive surgery to remove the defective breast implants which are highly prone to rupture and leak, while approximately 50,000 patients in UK have these substandard devices which were manufactured by Poly Implant Prothese (PIP).

While the defective siliconebreast implants were exported to Brazil, UK, Chile, Argentina, Spain, Colombia, and Venezuela, the American Society of PlasticSurgeons (ASPS) said the products were never approved in the US.

In Germany and possibly elsewhere in Europe, the substandard PIP breast implants were sold under the brand name “M,” according to the ASPS website.  Meanwhile, about 80 percent of devices were exported outside France.

In a statement published on its web site, the ASPS said that “an American woman would need to have been implanted outside the United States in order to have received the implants that are now the subject of concern in France.”

According to earlier reports, about 50 clinics in UK have reported implant ruptures although the government said “there is no need to remove the products en masse.”

While the total number of British women with ruptured implants—which have been found to have a fragile shell—is still unknown, experts have estimated that about 1,000 patients could be affected.  However, this is just a conservative estimates assuming that implant failure rate is only 2 percent.

PIP’s cheap implants have been reported to be made of low-grade industrial silicone designed for mattress, making them “unfit for human use.”

Fazel Fatah, president of the British Association of Aesthetic Plastic Surgeons (BAAPS), said the “quality of the silicone in PIP implants is not of medical grade, therefore, these are not fit to be implanted into humans.”

While there is a call for the UK government to “require women with the substandard devices to undergo implant removal” and “to shoulder the surgical expenses,” the spokesman for private medical clinics said that it would be “irresponsible” to remove all the implants as clinics could not afford to pay all the related costs.

The spokesman added that their study has suggested that the rupture rate of PIP implants is “between 1 and 2 percent” which is described as “within the acceptable industry standard.”  However a separate study has shown that failure rate is approximately 7 percent.

PIP, which filed for bankruptcy two years ago, has been warned by US Food and Drug Administration in 2000 that its implants were substandard as the company failed to follow “good manufacturing practices.”

Are You a Good Candidate for Breast Reduction Surgery?

While breast augmentation aims to increase the bust size, the goal of breast reduction surgery is the total opposite.  This procedure typically involves extensive incisions to remove a certain amount of tissue, fats, and skin, which in turn can lessen the size of the female chest.

Breast reduction surgery is particularly ideal if you are suffering from chronic back pain, limited movement because of the extra weight of your bust, non-healing irritation in the cleavage and along the crease, and shoulder strain, just to name a few.  However, you may also have the procedure even without these symptoms if you like to improve your figure.

But as with any major surgery, you must be in good health as it requires several weeks of recovery.  It simply means that you must not be suffering from serious medical conditions that may delay your recovery or result to undue risks.

You are not a good candidate particularly if you have wound healing disorders, diabetes, heart problems, and kidney disorders.  As much as possible, these conditions should be treated first or at least “controlled” before you undergo any surgery, particularly if it involves extensive incisions.

You should also think twice of having breast reduction surgery if you have a history of irregular mammograms and undiagnosed lumps in the breasts.

Another important requirement is to be in normal weight.  You should remember that if you are obese or are experiencing significant weight changes, the result of surgery may be reversed and/or you may end up with a deflated-looking, sagging bust.  While repeating the procedure is possible, doing so will result to more scarring and higher risk of asymmetrical appearance.

Meanwhile, smokers in general are not a good candidate for any cosmetic surgery as they are very prone to gangrene (manifested by purplish color which doesn’t seem like common bruises) and delayed healing.  Because the nicotine stiffens the blood vessels, the oxygen-rich blood finds it hard to reach the wound.

As with any plastic surgery, you will undergo a lengthy consultation with your doctor so he can determine if your expectations and goals are realistic.  You should remember that breast reduction cannot change the fundamental shape of your bust, and the result will only be a smaller version of your breasts.

You should also accept the fact that scarring is just one of the tradeoffs of having breast surgery.  These are the other things you also have to consider: risk of asymmetrical appearance, puckery skin, infection, and delayed healing; however, these can be minimized or even avoided if you will choose a plastic surgeon certified by the American Board of Plastic Surgery.

Miley Cyrus Denies Breast Augmentation Rumors

Former Hannah Montana star Miley Cyrus has denied rumors of breast augmentation surgery after she was seen wearing a plunging neckline dress during a red carpet event. 

To disprove the rumors, she Tweeted: “Thank you for the compliment, but these babies are all mine,” adding that people should “realize that you don’t have to be fake to be beautiful.”

The 19-year old actress-singer also said that she her body is still maturing so there is nothing surprising about her seemingly larger breasts.  Her explanation sounds convincing since her breasts do not appear unnaturally big given that she is not petite, and perhaps her dress just created an “optical illusion” of a larger bust size.

And because of the plunging neckline dress she was wearing, it is not surprising that her cleavage looked more defined.  In fact, one may surmise that if it wasn’t for the low-cut design, her breasts wouldn’t appear as big as they were.

Meanwhile, Cyrus was irked by the comments of three “experts” hired by Star Magazine (via RadarOnline) who said that “there’s a strong indication that the young actress has gone under the knife to achieve her voluptuous look” at the CNN Heroes: All-Star Tribute.

One of the cosmetic surgeons added that the “outline of the breast implants are visible in the lower portion of her breasts,” adding that it is impossible to have a significant increase in bust size, even with large weight gain, without having breast surgery.

Whether her new voluptuous look is a product of breast augmentation surgery or just because of her low-cut dress, she looked stunning during the event.  That’s a fact which is hard to deny.

JWoww of Jersey Shore Denies Having Plastic Surgery

Despite the growing number of plastic surgery patients in the US, many of them are still denying the procedure and claim that their beauty is on their genes—and not because of the skillful hands of their cosmetic surgeons. 

Jersey Shore’s JWoww, whose real name is Jennie Farley, has been rumored to have undergone “facial plastic surgery.”  However, the reality TV star is adamant that she is “all natural from the neck up and even said during an interview with Wendy Williams Show that she is willing to submit herself to facial recognition test.

While JWoww has previously admitted that she have had breast augmentation surgery, she denied rumors of her having cheek and chin implant surgery, collagen injection to augment her lips, and “nose job.”

JWoww said that losing 15 lbs. probably changed the way her face looks, and also the projection of her nose.  

Over the past couple of months, there have been rumors of JWoww’s alleged facial plastic surgery because of her seemingly tighter skin and plumper lips, which some showbiz writers claim to be the works of collagen injection or implants.

The rumors of her alleged plastic surgery started after the August 4 season premiere of Jersey Shore as fans noticed that her chin and nose look thinner while her cheeks are somewhat more prominent.

While the brunette beauty claims that she did not have any plastic surgery on her face, she was quoted saying that she is open to the idea of having “touch-ups” such as Botox injection in case that aging starts to manifest on her face. 

“May be I’ll get Botox by the time I’m 30”, she said during her TV appearance.

Meanwhile, JWoww is also open to the idea that she will have her breast augmentation redone after several years as saline and silicone breast implants, although they are now made of a thicker shell, are not designed to last a lifetime.  However, her main concern is that pregnancy might affect the appearance of her surgery.

“I’ll have my breast implants redone in a few years after I’ve had kids”, the reality TV star said.

Regardless if JWoww went under the surgical knife again or not (and the improvements were just caused by weight loss and great make-up skills), most TV commentators and showbiz bloggers think that she looks better nowadays compared than during the season one of Jersey Shore.

Subfascial Breast Implant Placement Overview

With the advances in plasticsurgery, there are many available surgical techniques in breast augmentation to accommodate a specific anatomical feature, achieve the goals and expectations of a patient, create the most natural result possible, and minimize the risk of complications.

Nowadays, there are many breast implant placement techniques available to patients, although the most popular are the submuscular (the device is placed behind the muscles) and subglandular (the device is placed behind the tissues).

Meanwhile, there is a new technique called subfascial breast implant placement which is a compromise between submuscular and subglandular methods; it combines the benefits of the two primary placement options while eliminating the disadvantages associated with them.

The subfascial technique greatly resembles the subglandularimplant placement, with one major difference.  While the pectoral muscle is not touched, the fibrous fascia tissue is dissected from its front wall in order to place the breast implants beneath this layer.

Perhaps one of the possible advantages of subfascial implant placement is that it can isolate the device from the breast tissue, which leads to greater accuracy during mammogram examination.

Another benefit is the shorter recovery because the chest muscles are not disturbed, which is the case in submuscular implant placement.  And for this reason, patients can also expect less swelling, bruising, pain, tenderness, and other postoperative symptoms.

In terms of breast appearance, the technique provides a very natural result because it mimics the innate movement and contour of the tissue.  In addition, it provides added support from the strong fascia layer.

And unlike the subglandular implant placement, the subfascial technique prevents the risk of visible and palpable wrinkling because there is a fibrous fascia that provides coverage to the implant shell.

While the subfascial placement can lower the risk of capsular contracture (hardening of the scar tissue around the implants) compared with the subglandualr technique, it is not as effective as the submuscular implant placement which completely isolates the breast implants from the tissue, which is believed to harbor high levels of bacteria that can potentially increase the risk of complication.

Advocates of this new implant technique believe it works well for patients with small breasts and limited amounts of fats and tissue who want to achieve a smooth and natural-looking bust after breast augmentation surgery.

But for those who want to further minimize the risk of implant visibility, the submuscular implant placement is still the best technique.

Ingenious Ways to Avoid Capsular Contracture After Breast Augmentation

The development of capsular contracture is one of the most common concerns of breast augmentation patients.  This complication, which happens at about a rate of 15 percent, occurs when the scar tissue around the implants becomes abnormally thick that it ends up squeezing the devices.

Despite the relatively high rate of occurrence, not all cases of capsular contracture need a revision surgery especially if there are no symptoms such as visible distortion and pain.  However, women who are experiencing severe discomfort and have developed ball- or coconut-shaped breasts will likely need another breast augmentation.

In the early stages of capsular contracture, the complication can be treated with non-surgical methods such as taking antibiotics and certain medicines, and performing breast massage.  For this reason, any unexpected changes in the breasts particularly hardness of the tissue should be immediately reported to a plastic surgeon.

But as the cliché goes, nothing is far better than to prevent capsular contracture than to treat its symptoms.  Fortunately, plastic surgeons nowadays have a deeper understanding of how this complication occurs. 

These are the six most ingenious ways to avoid or at least minimize the chance of capsular contracture from occurring:

1.     Avoid smoking well in advance of the procedure and during recovery.  Several studies have suggested that the nicotine’s ability to constrict the blood vessels not just inhibits proper oxygen delivery but also lead to higher risk of capsular contracture and gangrene.

In fact, smokers face great risks during and after surgery that plastic surgeons today will likely decline to conduct an operation unless they will quit the habit at least three weeks before and after surgery.

2.     Use of no-touch technique.  Also called as the Keller Funnel technique, it involves the use of a pouch (lubricated with a special solution) where the implants are placed.  The narrower end of the device is then squeezed in order to transfer the implant to the breast pocket without actually touching it.

With this technique, doctors can prevent contaminating the implants with staph bacteria present in the patient’s skin, which in turn lowers the risk of capsular contracture.

3.     Avoiding incision in the breast’s sub-muscular space.  This area is known to harbor bacteria, which is one of the most common causes of capsular contracture.

4.     Creating an oversized breast pocket.  With this technique, the scar tissue, which normally forms around the implants, will not put pressure or squeeze the breast implants in case it becomes thicker than it should be.

5.     Breast massage.  While not all plastic surgeons recommend postoperative breast massage, some experts say that it can minimize the risk of capsular contracture by preventing the scar tissue from becoming hard and thick.

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Corrective Breast Augmentation for High-Riding Breasts

Breast augmentation, as its name suggests, augments the organ highly associated with femininity and sensuality.  And with the advances in plastic surgery, today the procedure is reasonably safe to many women that it has been the most popular “medical enhancement” over the past couple of years.

But one consideration to make is the risk of capsular contracture, a condition in which the scar tissue that normally forms around the breast implants becomes too thick that it ends up compressing the devices.  In severe cases, it results to visible distortion and pain.

Visible distortion may be manifested by a ball- or coconut-shaped breast or a high-riding bust.  In order to treat this problem, a revision plastic surgery is performed by doctors in which they remove the thick scar tissue and replace the breast implants with new ones.

Many plastic surgeons recommend replacing the breast implants to avoid or at least minimize the risk of infection, believed to be one of the causes of capsular contracture.

During a revision surgery, doctors avoid contaminating the breast implants so they apply the no-touch technique in which they use a funnel with a special lubrication.  With this procedure, the implants are placed inside the pouch which is then squeezed to its narrower end to push the devices into the breast pocket.

This technique, which is also called as the Keller Funnel, not just reduces the risk of contamination but also minimizes the pressure applied to the breast implants so the durability of their outer shell is not compromised during the implantation process.

To further avoid the recurrence of capsular contracture and high-riding breasts, plastic surgeons position the implants behind the muscle rather than on top of it so there will be less contact with the tissue, which is believed to harbor bacteria.

But instead of removing the scar tissue and replacing the breast implants with new ones, some doctors prefer to release the scar capsule using an electrocautery device.  This approach is particularly ideal for patients with a small amount of tissue and fats in their breasts, predisposing them to higher risk of visible and/or palpable wrinkling.

Patients with a high-riding bust or other forms of visible distortion due to capsular contracture should take into consideration that not all breast augmentation surgeons are adept in revision breast implant surgery, which requires a more complex skill.

Just to be sure, a patient should choose a doctor who has an extensive experience in conducting revision breast augmentation.

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