"How to Approach and Repair Failed Breast Augmentation Procedures?"

Breast augmentation failure repair procedures include:

• Capsular contracture post-implant breast augmentation, resulting in poor breast shape and texture hardening.
• Complications from artificial fat (e.g., Amidate) injection breast augmentation, including hard nodules formed from the fusion of Amidate and breast tissue, capsular contracture, and diffusion of the injectant.
• Breast loss, complete breast atrophy, and other conditions caused by trauma or medication.

Repair Methods:

• Implant Breast Augmentation Failure Repair: If the implant pocket is too small, causing excessive capsular thickening and hardening, it serves as an indication for surgery. The original implant is removed through the original incision, capsular contracture is addressed, and further dissection is performed to provide sufficient space for re-implantation.
• Removal of Artificial Fat Injections for Breast Augmentation: The original injections are removed through special methods, and simultaneous secondary breast augmentation is performed to achieve a transition from "malformed beauty" to normal aesthetics.
• Breast Reconstruction Due to Trauma, Medication, etc.: Autologous fat or implant materials are used for skin and muscle tissue valve expansion, enhancing female confidence and establishing a complete individuality.

Common Complications of Implant Breast Augmentation:

• Capsular contracture deformation causing rejection reactions;
• Poor breast shape;
• Breast ptosis resulting in double breast appearance;
• Infection.

Capsular contracture deformation caused by rejection reactions typically manifests as gradual hardening, protrusion, and outward displacement of one or both breasts approximately six months after augmentation, sometimes accompanied by pain. This is primarily a protective reaction due to the body's rejection of the implant. The implant forms a capsule, which thickens and contracts over time, hardening the breast. Another cause of capsular contracture is rough surgical techniques that excessively damage surrounding tissues.

Solutions to Capsular Contracture:

• Consider replacing the implant. If a smooth or saline implant was used initially, a textured silicone gel implant should be used post-contracture, especially for unilateral hard contractures.
• Perform surgery with gentleness and precision to minimize tissue damage and bleeding, reducing the likelihood of capsular contracture.
• In the US, many breast augmentation surgeries utilize endoscopes to minimize damage and the likelihood of capsular contracture.
• Choosing high-quality implants is essential, as they are less likely to cause capsular contracture due to their refined manufacturing process.