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Revision

Revision Breast Surgery

More professional and safer

What is Breast Surgery Revision?

Change your disappointment to satisfaction through revision breast surgery

Revision breast surgery should be performed when you are not satisfied with the results of mammoplasty such as breast augmentation, breast reduction, breast ptosis correction, and breast reconstruction or suffer from complications.

Revision breast surgery requires more skills and expertise than other mammoplasty. It should be performed by specialists with extensive experience.

  • Surgery Duration2.3 hours
  • HospitalizationNot required
  • # of Postoperative visitsRequires continued medical attention for 1 year
  • AnesthesiaGeneral anesthesia
  • Removal of StitchesNot required; uses surgical tape as adhesive
  • Recovery PeriodReturn to normal life after 1 - 2 days
We recommend revision breast surgery to the following people:
  • Breasts are stiff due to capsular contracture
  • Implants are damaged or transformed
  • Asymmetrical breasts after an operation
  • Those who experience inflammation after an operation
  • Those who are not satisfied with their breast shape or size after an operation

Endoscopic Revision Breast Surgery

Generally, incisions are made on the areola or under the bottom line of the breasts for revision breast surgery.
Through revision breast surgery, the capsule is removed to relieve capsular contracture, the space for breast implants is extended, or the position of breast implants is corrected. Incisions on the armpits were not enough so far since this procedure requires a clear view and exquisite skills.

M.D. Chul Hwan Seul of JW Plastic Surgery, as a pioneer of endoscopic breast surgery, developed numerous endoscopic methods for the first time in the world. In addition, he can make an incision under the armpits if the patient has undergone a previous operation through the armpits.

M.D. Chul Hwan Seul’s endoscopic revision breast surgery using armpit incision is one of the most difficult and latest operations, which have been receiving high praise from international surgeons. In numerous international conferences, many medical professionals evaluated it as an inventive and marvelous surgical technique.

The Features of JW’s Revision Breast Surgery using HD Endoscopy

Revision breast surgery available through the traditional incisions made under the armpits
No additional scars
Inventive surgical method that won high praise from international specialists
Accurate surgery and rapid recovery
Inimitable surgical method

#1 | Capsular Contracture

Capsular contracture refers to a phenomenon when the capsule becomes abnormally thick and unnatural. If the patient experiences severe capsular contracture, the breasts may be transformed into the shape of a ball.

Incision on Capsule

Applicable to minor capsular contracture.

Removal of Capsule

Applicable to serious capsular contracture.

Change in Breast Implant Layer

The preexisting space is closed and the breast implants are inserted into a new layer.

#2 | Abnormal Location of Breast Implants

A breast implant may be located in a wrong place when capsular contracture occurs or space for breast implants is not enough. Sometimes it occurs due to wrong postoperative management.

Types of abnormal breast implant location

  • Upper breasts are excessively protruded due to the breast implants located too high
  • Upper breasts are too flat due to the breast implants being located too low
  • Two bottom lines of the breasts due to the breast implants being located too low
  • Breasts are too close to each other
  • Breasts are far from each other

Surgical Procedure

1. Incision on capsule

Extend space

2. Removal of capsule

Correct the location of breast implants

3. Change in breast implant layer

Secure new space in a new layer and insert new breast implants

4. Closing

Narrow excessive space

#3 | The Causes of Breast Asymmetry

A breast implant may be located in a wrong place when capsular contracture occurs or space for breast implants is not enough. Sometimes it occurs due to wrong postoperative management.

  • If capsular contracture or abnormal location of a breast implant occurs on one breast or its severity differs from the other one.
  • If the patient’s breasts were different in size and shape before an operation or if the previous operation couldn’t not correct breast asymmetry.

Surgical Procedure

1
Resolve capsular contracture
2
Correct the location of breast implants
3
Use different breast implants on each breast
4
Correct breast asymmetry through breast ptosis correction
Removing of capsular contracture
After removed capsular contracture

#4 | Thin Tissues (Rippling phenomenon)

Thin tissues make breast implants visible and the edges of the breast implants are wrinkled. It is referred to as a rippling phenomenon.

Causes
Prevention
Surgical Procedure
  1. If breast implants are inserted under thin tissues, the tissues become even thinner due to tissue expansion.
  2. If excessively large breast implants are inserted, the tissues become thinner due to tissue expansion.
  1. Do not use excessively big breast implants.
  2. Through combined breast augmentation, increase thickness of tissues through fat transfer before inserting breast implants.
  1. Fat transfer
  2. Artificial skin graft
  3. Create new space in a deeper layer and insert new breast implants into it.

#5 | Unsatisfied with Size

We use appropriate-sized breast implants for your satisfaction.

#6 | Ruptured Breast Implants

Remove ruptured breast implants and insert new, safe, and durable breast implants.

The Features of JW’s Breast Surgery

#1 | Pioneer in endoscopic breast augmentation

M.D. Seul Chul-hwan of JW Plastic Surgery has been performing endoscopic breast augmentation since it was first introduced to Korea.

Through numerous academic presentations and activities, he has contributed to spreading endoscopic breast augmentation in Korea. M.D. Seul Chul-hwan designs beautiful breasts through safe HD endoscopic breast augmentation.

#2 | 18 years of Experiences of Know-how in Fat Transfer

Smooth Liposuction

Some patients experience bumpy and uneven skin after liposuction on their thighs or abdomen. JW Plastic Surgery performs liposuction in the shape of a fan to create smooth body lines.

High survival rates through precise transfer

In traditional fat transfer procedures, a lump of fat is used for grafting. However, JW Plastic Surgery applies a micro fat transfer. After separating fat, it is grafted under the skin using a micro syringe. This procedure minimizes pain but maximizes the survival rate of transferred fat.

#3 | Customized Breast Augmentation using a sizer

Before inserting breast implants, check the optimal breast size, breast symmetry, and detachment using a sizer.
As this step extends the surgery duration and increases the costs, many hospitals often skip it. However, JW Plastic Surgery considers this step to be very important to find the most suitable sized breast implants and obtain optimized results.

Step 1

Secure space for breast implants using HD endoscopy equipment for breast surgery.

Step 2

Insert a sizer to find appropriate-sized breast implants.

Step 3

Based on the analysis results, insert the appropriate-sized breast implants.

Step 4

This method to find an appropriate size helps to create beautiful and natural-looking breasts and correct asymmetrical breasts.

#4 | Minimized incisions, scars, and pain

JW Plastic Surgery minimizes incisions for less scarring and patient’s satisfaction and rapid recovery.

#5 | Various Breast Implants

JW Plastic Surgery has various types and sizes of breast implants to find the best breast implants for each patient.

In order to design beautiful breasts, we are using various breast implants of Allergan, Mentor, Silimed, Sebbin, and Polytech that have been proved safe.

We recommend combined breast augmentation to the following people!

  • Those who have extremely small breasts or thin subcutaneous fatIf there is a high probability that the inserted breast implants may be seen due to extremely small breasts or thin subcutaneous fat, we also conduct autoplasty for more natural-looking breasts.
  • Those who have pigeon breasts or wide breastbones (sternum)- If you have pigeon breasts, you cannot attain a beautiful cleavage solely though breast implants.
    - Cleavage is an important element for femininity. Many women who are willing to undergo a breast augmentation want beautiful and natural-looking cleavage.
    - If you have wide sternum or pigeon breasts, you cannot attain natural-looking cleavage solely through breast implants.
    - In this case, we graft fat into the cleavage to create beautiful cleavage and voluptuous breasts.
  • Those whose nipples are overly distant from each other.- If you have wide-set breasts, situating the breast implants closer to the center is not enough to correct the breast shape.
    - It may instead make the nipples look more distant from each other.
    - In this case, we apply combined breast augmentation to adjust the center of the nipples and breast implants and then correct the breast asymmetry with fat transfer. This way, we correct wide-set breasts.

JW’s Combined Breast Augmentation

Beautiful cleavage project: Combined breast augmentation

If you have wide sternum, pigeon breasts, or wide-set breasts, it is difficult to create natural-looking cleavage. In combined breast augmentation, autologous fat is grafted to the empty part between the breasts to create natural-looking cleavage.

Surgical procedure

Step 1

Secure space for breast implants using endoscopy machine and predict the expected breast shape and size using a sizer.

Step 2

Reinforce soft tissues with fat transfer.

Step 3

Select and insert the most suitable breast implants, considering the expected breast size and shape.

Step 4

Transfer more fat to the breasts if necessary.

Important

Postoperative complications such as bleeding and infection vary depending on the patient’s conditions. Pay extra attention to postoperative management.

JW’s Post-operative Management System

Management system after breast surgery

After breast surgery, JW provides a systematic and specialized scar treatment program and post-operative management program for optimized results.
Postoperative management system for preventing capsular contracture, swelling, bruises, and pain
Cooperative medical system of the breast surgery team, the postoperative management team, and anesthesiologists.
Use of Dantrolene for malignant hyperthermia treatment.
Thorough safety management system for an immediate response to emergencies.

With more than 18 years of experience, a surgeon specialized in Breast Surgery.

JW surgeon for the Breast has been performing surgery with know-how from various clinical experiences, as well as dedication to achieving the best result by medical research.

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