BREAST REVISION SYDNEY

If you’re experiencing any of the following concerns, you may be a candidate for breast implant revision in NSW:

• Sagging or Drooping Breasts – Can result due to pregnancy, weight loss or ageing. A combination of breast lift revision with implant revision could help.
• Asymmetry – When the breasts appear uneven or lopsided after a previous augmentation.
• Bottoming Out – When the implant shifts below the natural breast fold, causing the nipple to sit unnaturally high.
• Capsular Contracture – A condition where scar tissue hardens around the implant, leading to discomfort, distortion, and firmness.
• Double Bubble – Occurs when a visible crease or bulge forms at the lower part of the breast, giving the appearance of two separate mounds.
• Implant Rupture or Leakage – Ruptured implants need to be replaced to restore the natural contour of the breast.
• Rippling or Wrinkling – Visible ripples or folds may develop on the breast surface, creating an unnatural look.
• Symmastia (Uni-Boob Effect) – When implants are placed too close together, crossing the midline of the chest and creating a ‘uni-boob’ appearance.
• Discomfort or Pain from Implants
  When existing implants feel heavy or shift position, it could cause discomfort or pain.
• Desire for a Size or Implant Type Change – This is for those women wish to go larger or smaller, or change from saline to silicone implants (or vice versa).
• Breast Implant Removal or Replacement – Many women choose to have their implants removed or replaced after a certain period, either due to lifestyle changes or personal preferences.
• Dissatisfaction from Previous Surgery – If you’re unhappy with the results of a previous augmentation performed elsewhere, revision breast surgery can help achieve your desired look.

Breast implants are durable, and the techniques and materials used are better than ever. That being said, they are not designed to last a lifetime. Over the years, natural changes in the body, implant integrity, and evolving aesthetic preferences can all influence the need for breast implant revision for NSW women. Some common reasons include:

• Aging and Changes in Breast Shape – Over time, gravity, pregnancy, and fluctuations in weight can cause the breasts to sag or lose their youthful appearance.
• Desire for a Different Implant Size or Type – Desire for a Different Implant Size or Type – Your preferences may change over the years, leading you to consider a different implant size or type that better suits your body and lifestyle.
• Correction of Surgical Complications – If you’re experiencing discomfort or dissatisfaction due to surgical complications, revision breast surgery can help address these concerns and restore confidence.
• Improving Aesthetic Outcomes – If your initial surgery didn’t achieve your desired results, breast revision surgery offers an opportunity to refine and enhance the overall look.
• Addressing Medical Concerns – In cases where implants have ruptured or caused capsular contracture, revision surgery becomes a medical necessity.

When scar tissue around an implant becomes problematic (capsular contracture), surgical intervention becomes necessary:

• Capsulotomy: Surgical release of the scar capsule to allow more space for the implant
• Partial capsulectomy: Removal of portions of the scar tissue
• Complete capsulectomy: Total removal of the scar capsule
• En bloc capsulectomy: Removal of both the implant and surrounding capsule as a single unit (often requested for implant illness concerns)

These procedures require specialized surgical skill to prevent damage to surrounding tissue while effectively addressing the capsular issue.

Over time, natural aging, pregnancy, or weight fluctuations can cause breast tissue to sag, affecting the aesthetic relationship with implants. A breast lift revision:

• Repositions and reshapes existing breast tissue
• Creates more youthful contours
• Addresses nipple position and size
• Works in conjunction with implant replacement or adjustment
• Can correct double-bubble deformity (where the natural breast tissue sags below the implant)

These procedures combine techniques from breast lift (mastopexy) with revision principles to create harmonious results.

When implants shift out of optimal position, specialized techniques are employed to reposition them:

• Lateral displacement: Correcting implants that have moved toward the sides
• Bottoming out: Repairing lower pole stretching where implants sit too low
• Symmastia correction: Addressing implants that have moved too close to the center
• High riding implants: Releasing scar tissue that keeps implants positioned too high

These procedures often involve creating new internal supports using advanced suturing techniques or biological mesh materials.

When implants can be seen or felt through the skin (particularly in thin-tissued patients):

• Fat grafting to add natural tissue coverage
• Switching to different implant types with less rippling tendency
• Adjusting implant placement (submuscular vs. subglandular)
• Using acellular dermal matrix for additional coverage

Some patients opt to remove implants permanently. This procedure requires:

• Careful removal techniques to preserve aesthetics
• Potential fat grafting to restore volume
• Possible lift procedures to address tissue laxity
• Comprehensive aftercare to support the breast’s natural adaptation

Many breast revision surgeries in Sydney involve multiple techniques to achieve optimal results. These customized approaches might include:

• Implant replacement with simultaneous capsulectomy
• Breast lift with implant repositioning
• Fat grafting combined with implant exchange
• Correction of asymmetry through varied techniques on each breast

Each combination is carefully planned based on your unique needs, with safety and natural-looking results as our primary considerations.

In recent years, there has been growing concern about textured breast implants, particularly due to increased media attention and new research findings. Textured implants were commonly used in the past because their rough surface helped secure the implant by gripping the surrounding tissue, reducing the risk of movement, rotation, and rippling.

However, data from the US Food and Drug Administration (FDA) identified 573 cases of a rare condition known as Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) in women with polyurethane-coated and macro-textured breast implants. As a result, these implants have been withdrawn from the market in France and Europe, and some models have been discontinued in Australia as well. As per the TGA, about 1 in 7 of all cases reported globally are Australian cases.

(Information shared above is as per the latest available data. We advise you to refer the TGA website for the most current information.)

At Breast & Body Clinic, we prioritize patient safety above all else. Dr. Michael Yunaev and his team stopped using heavily textured implants in 2014 as soon as the potential link to BIA-ALCL was identified. Since then, we have opted for safer alternatives, such as:

• Micro- and Nano-Textured Implants: These implants retain the benefits of textured implants, such as minimizing movement and reducing rippling, but come with a significantly lower risk profile compared to heavily textured implants.
• Fat Transfer: For some patients, fat transfer can be an excellent alternative, providing natural-looking results while eliminating the need for implants altogether. However, this might not be suitable for all patients, and might require additional procedures such as liposuction.

We recommend that you read the TGA’s advisory for women with breast implants, to learn more about the symptoms you should watch out for.

If you currently have textured implants and are concerned about the associated risks, it may be advisable to schedule a review to discuss your options. Many women opt for breast implant revision surgery to replace or remove their textured implants for peace of mind and improved safety.

If you’re unsure about the type of implant you have, Dr. Yunaev can assess your situation and provide personalized guidance. As a Specialist Breast and General Surgeon with extensive experience in breast cancer surgery and revision procedures, Dr. Yunaev is well-equipped to address concerns related to textured implants and offer the safest, most appropriate solutions tailored to your needs.

Breast revision surgery includes a variety of specialized procedures, each designed to address specific concerns related to previous breast augmentation. At BB Clinic, we customize these approaches

Breast implant revision surgery is a customized procedure, with each surgery designed to address the unique needs of the patient. At Breast & Body Clinic, Dr. Michael Yunaev ensures that every step of the process is meticulously planned to achieve the best possible outcomes.

The journey begins with a comprehensive consultation with Dr. Yunaev, where he will take the time to:

• Understand your goals and concerns.
• Review your medical and surgical history.
• Conduct a detailed physical examination.
• Assess the condition of your current implants and breast tissue.

During this consultation, Dr. Yunaev will discuss your options, explain the potential risks, and provide personalized recommendations for the best course of action. He will also review before and after images to help you visualize realistic outcomes.

Photos and Surgical Planning:
To assist in planning your revision surgery, photos of your breasts will be taken. These images will serve as a reference for developing a customized surgical plan and evaluating your results post-surgery.

Breast revision surgery is different from other procedures performed at our clinic, and presents its own unique set of challenges. Every woman considering breast revision has her own individual circumstances and goals, which makes a personal consultation quite important to provide the most accurate and tailored advice.

The complexity of breast revision surgery often stems from the need to remove or replace existing implants, a factor that does not apply to many other cosmetic procedures. The condition of the breast tissue and any changes caused by the initial surgery must be carefully assessed to ensure the best possible outcome. Some of the unique challenges that may need to be addressed include:

• Scar Tissue:The body naturally forms scar tissue around implants, which may need to be carefully managed or removed during revision surgery.
• Stretched Breast Tissue: Over time, breast tissue can become stretched, particularly if implants have been in place for several years.
• Anatomical Changes: Changes in breast shape, position, or symmetry may need correction to achieve a more natural, balanced result.
• Implant-Related Issues:Problems such as capsular contracture, implant rupture, or changes in size and position can affect the outcome of the revision procedure.

Given these factors, the placement and appearance of the new implants will vary for each patient. Dr. Michael Yunaev’s expertise and extensive experience in breast revision surgeries allow him to meticulously prepare the breast tissue and customize the procedure to deliver the best possible results.

As with any surgical procedure, breast revision surgery carries some inherent risks, although they are generally low, especially when performed by a highly skilled surgeon like Dr. Yunaev.

General Risks:

• Infection
• Blood clots or deep vein thrombosis (DVT)
• Allergic reactions to anaesthesia
• Bleeding or hematoma formation

Risks Specific to Breast Revision Surgery:

• Capsular Contracture: Internal scarring that can lead to hardening around the implant.
• Implant Rupture or Leakage: While modern implants are more durable, there is still a small possibility of rupture.
• Asymmetry or Shape Irregularities: Variations in breast shape or size may require further adjustments.

It’s important to note that these risks are rare, especially when the procedure is performed by an experienced Specialist Breast and General Surgeon like Dr. Yunaev. At Breast & Body Clinic, we take every precaution to minimize these risks and prioritize patient safety at every stage of the journey.

Breast revision surgery is one of the most commonly performed procedures worldwide, with very high success rates. While it is essential to be informed about potential risks, these should not deter you from considering surgery if you are unhappy with the results of a previous augmentation or experiencing discomfort.

With the expertise of Dr. Yunaev and his team, you can feel confident that your revision procedure will be handled with precision and care, giving you the best possible chance to achieve your desired outcome. If you are considering breast revision surgery, we encourage you to schedule a consultation to explore your options and discuss any concerns.

Even if your initial breast implant procedure was successful, changes can occur over time that may affect the appearance or comfort of your implants. Breast revision surgery may be a suitable option for you if any of the following apply to your current situation:

• You are in good health and maintain a stable weight.
• You are a non-smoker or have quit smoking.
• You wish to change the size of your breasts for a more balanced or proportional look.
• You have breast asymmetry that needs correction.
• Issues have developed in the breast tissue or implants, such as capsular contracture or rupture.
• The appearance of your breasts has changed after pregnancy or significant weight fluctuations.
• You require a breast lift to address sagging or loss of firmness
• You are dissatisfied with the results of a previous surgery and are seeking improvement.
• You would like to remove your breast implants either for medical reasons or personal preference.
• You have realistic expectations about the potential outcomes of the procedure.

Breast revision surgery is more complex than a primary augmentation, as it often involves correcting issues related to previous implants or addressing changes in the breast tissue. This procedure requires a high level of surgical skill, which Dr. Michael Yunaev brings to every case. His expertise in breast revision ensures that you receive personalized care with the best possible outcome.

It’s important to note that with each revision, the results may not perfectly mirror the initial procedure. However, our goal is always to achieve an outcome that leaves our patients feeling satisfied and confident. Dr. Yunaev and his team are committed to doing everything possible to address your concerns and provide a result that enhances your overall appearance and comfort.

If breast revision surgery is not the best fit for your goals, or if you’re exploring other options to enhance your appearance, we also offer a range of specialized procedures, including:

• Breast Reduction Sydney – To alleviate discomfort and create a more proportionate breast size.
• Breast Lift Surgery Sydney – To restore youthful firmness and shape.
• Tuberous Breast Correction – To address congenital breast deformities.
• Tuberous Breast Correction Without Implants – For a natural and improved breast shape.
• Breast Reconstruction Sydney – To rebuild the breast after mastectomy or trauma.

If you’re considering breast revision or breast implant replacement surgery in Sydney, NSW, or if would like to discuss your goals, our experienced team at the Breast & Body Clinic is here to guide you. We provide personalized care and expert advice to help you make the best decision for your unique situation.

With multiple locations across Sydney’s east and inner west, accessing the care you need is simple and convenient. You can find us at:

• Potts Point
• Bella Vista
• Bowral

To schedule a consultation or ask any questions, call us on (02) 9819 7449 or send an email to info@bbclinic.com.au. Our team will be happy to assist you and get back to you as soon as possible.

After your surgery, you will be closely monitored in the recovery area before being discharged to continue healing at home.
What to Expect During Recovery:

• Mild to moderate discomfort for the first few days, managed with prescribed pain relief.
• Swelling and bruising, which gradually subsides over 2-3 weeks.
• Support garments should be worn to aid healing and maintain the new breast shape.
• Most patients can return to non-strenuous activities after 1-2 weeks, but strenuous exercise should be avoided for at least 6 weeks.

General Guidelines for Optimal Healing::

• Avoid smoking and alcohol during recovery.
• Take prescribed medications as directed.
• Attend all follow-up appointments for monitoring.
• Maintain a healthy lifestyle to preserve long-term results.

The results of breast revision surgery can be long-lasting, but maintaining a stable weight and following post-operative guidelines is essential to preserving your new look. Dr. Yunaev and his team provide continuous follow-up care to ensure your recovery progresses smoothly and address any concerns that may arise.

Follow-Up Appointments:

You will be scheduled for multiple follow-up visits to assess healing and monitor the results. This is even more important for those patients who have had textured implants removed or replaced – to monitor for any signs of complications. Dr. Yunaev is always available to discuss any concerns and provide ongoing support throughout your recovery journey.

Every woman’s body and goals are unique – this is why we have a tailored approach for every patient who chooses us for breast revision surgery in Sydney. This will be evident during the consultation, in which Dr. Yunaev conducts a thorough assessment of your medical history, evaluates the condition of your implants, and discusses your desired outcomes to create a tailored surgical plan that best meets your needs.

Whether you’re considering breast revision surgery due to dissatisfaction, medical concerns, or simply a desire for change, Dr. Yunaev’s expertise ensures a smooth, safe, and rewarding journey toward improved breast aesthetics.

The Breast & Body Clinic was founded by Dr. Yunaev to offer exceptional care and results to patients seeking breast and body procedures. Known for providing an exceptional patient experience, he holds accreditation from the Royal Australasian College of Surgeons (RACS) and has undergone extensive training, including:

• General surgery
• Specialist training in breast surgery
• An additional four years of aesthetic surgery training
• Over ten years of surgical experience

At the Breast & Body Clinic, we take pride in delivering outstanding patient care and natural-looking results. When you choose us, here is what you can expect:

• Personalized Care: We recognize that cosmetic surgery is not a one-size-fits-all approach. Each treatment plan is customized to suit your individual goals.
• High-Quality Results: Our focus is on achieving aesthetically pleasing outcomes while maintaining the highest standards of safety.
• Flexible Payment Options: We offer payment solutions to make your journey more accessible.
• Safety and Accreditation: Our clinic is licensed and all our surgeries are performed in an accredited hospital environment. This ensures that your safety is always our top priority

With Dr. Yunaev’s extensive experience and commitment to excellence, you can trust that you’re in safe hands.

You may require breast implant revision surgery for a number of reasons, but they all have the same end goal, improving the results of an earlier breast augmentation.

The changing of implant sizes is one of the most common reasons for breast implant revision surgery. Some wish to have their implants removed completely. Breast implant revision can also suit minor changes like asymmetry following an initial augmentation.

Breast revision surgery can also replace a faulty implant if there are signs of leakage. Implant edges can sometimes be visible under the skin or implants can become deflated or reveal visible ripples on the skin’s surface.

Another complication of breast augmentation is capsular contracture, which is the growth of hardened scar tissue causing discomfort in the breast. Revision surgery can remove this scar capsule. Over the years, surgical techniques and materials have improved. Breast implants are much more supportive and strong; however, they do not last forever. Most women with breast implants will require breast revision surgery at some stage.

Breast and Body Clinic was created to better serve patients by Dr. Yunaev, who received his accreditation through the Royal Australasian College of Surgeons (RACS).

• General surgery
• Specialist training in Breast Surgery
• A further four years of Aesthetic Surgery training
• Over ten years’ surgical experience

Dr. Yunaev gives exceptional attention to detail and prides himself on a high-quality and caring patient experience. At Breast & Body Clinic we guarantee:

• The focus is on personalised care, as we know cosmetic surgery is not a one size fits all approach
• A focus on the quality of care and providing natural-looking results
• Flexible payment options
• A licensed clinic and surgery in an accredited hospital to ensure safety levels are as high as possible

We provide services from various locations across Sydney, NSW and the Southern Highlands, such as:

• Wollongong
• Newcastle
• Canberra