When is revision surgery needed

When is revision surgery needed

23rd Feb 2019

Many patients don’t find out until the pre-operative meeting with the plastic surgeon that the procedure they are interested in might be followed by a similar procedure after some time. This is not always the case. Revision surgery is performed with the aim to correct the results achieved with the initial procedure or to treat a complication that occurred after the procedure was performed.

As you can see, revision surgery is needed in two cases:

1. The patient is not satisfied with the results;

2. A complication has occurred that deems as necessary another surgery.

Now, let’s discuss each case in detail.

1. Revision surgery after getting unsatisfactory results

Before anything else, you should know that the results of plastic surgery should be assessed no sooner than three to six months after the procedure. Most plastic surgeons will ask you to wait a year before properly evaluating the results of a procedure. This happens because the cicatrization process of the scars can take up to one year or more and the appearance of the scars is an important part when evaluating the results of plastic surgery.

The results achieved after surgery can be unsatisfactory due to many reasons. First, the plastic surgeon might fail to deliver the results that were discussed with the patient during the pre-operative consultation. Second, the patient might have had unrealistic expectations that were not met by the results of the procedure. Third, the post-operative development delivered unsatisfactory results. This can happen for patients who are not fully committed to following the recommendations of the plastic surgeon after the surgery.

For fat transfer procedures, the patient should not put any pressure on the areas treated. This means no sitting on the butt if fat was transferred there or lying on the front if fat was grafted into the breasts. When breasts or gluteal implants are used, the same rule applies – no lying or sitting on the front or back of the body to avoid putting pressure on the implants. If this rule is not met, the patient might be confronted with complications such as implant displacement or in the case of fat transfer, asymmetries in the areas where fat died due to the excessive pressure.

Revision surgery should be performed only after getting a second opinion and often no sooner than six months after the initial procedure was performed.

2. Revision surgery to treat a complication

When breast and butt implants are used, revision surgery can be necessary to correct a complication that occurs. For butt implants surgery, it is rarer to need revision surgery due to complications, but it can happen after breast implant surgery. Complications that can occur after breast augmentation with implants that need revision surgery would be capsular contracture or the shifting of the implants, if tear-shaped implants were used.

Make sure to discuss the need and recommendations for revision surgery in detail with the plastic surgeon before scheduling the procedure.

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