NANA PLASTIC SURGERY

REVISION SURGERY

Nana breast

We're a breast enhancement clinic with extensive expertise.

NANA HOSPITAL BREAST

Revision Surgery

Beyond typical cases, our breast shaping experts, with diverse experiences in revision surgeries, personally guide the procedures.
Proficiency in handling thickened membranes and refined techniques in dissection are
crucial for achieving positive outcomes in revision surgeries.

CHECK POINT 1

Customized Individual
Plastic Surgery Planning Consultation Team

CHECK POINT 2

Breast Augmentation
Surgery Expertise

CHECK POINT 3

A Breast Surgery Center
that Understands with a Woman's Heart

CHECK POINT 4

Anesthesia and
Pain Medicine Ensuring Safety

CHECK POINT 5

The Aftercare Team
with Professional Caregiver Certifications

REVISION SURGERY CASE.1

Breast Size

In cases where the volume is insufficient or excessive compared to the individual's chest size or tissue condition,
satisfaction with breast appearance can be enhanced by replacing implants to better suit the individual's physique.
When breast size, initially satisfying after the first surgery, becomes less satisfactory over time due to aging or tissue contraction,
revision surgery, by replacing implants, can achieve the desired breast size.

Increasing Breast Size

  • - Additional dissection is performed to accommodate the larger implants.
  • - If the tissue thickness is thin, reinforcement is done using methods
    like liposuction or artificial dermal grafting.
  • - Generally, the same incision line used in the initial surgery is utilized.

Decreasing Breast Size

  • - Adjustments are made to reduce the size of the existing membrane
    according to the diminishing size of the implants.
  • - Excessively wide membranes may be partially excised and sutured.
  • - If there is sagging tissue, the excess tissue is excised.

REVISION SURGERY CASE.2

Breast Shape

When the space where the implant was placed is not properly dissected or deformities occur over time,
reshaping the breast by redistributing the implant space or creating a new pocket can lead to an ideal breast shape.
Despite using implants to obtain breast volume, the upper volume may still be insufficient,
or the chest may appear excessively wide. Revision surgery can correct these issues.

WIDENING OF THE CHEST

  1. 01 If the implant space is narrow, the chest's lateral space is dissected to
    create a new pocket.
  2. 02 If the implant is small, it is replaced with a size that can sufficiently
    gather the chest.
  3. 03 If the connective tissue thickness of the chest is thin, fat grafting is performed to increase the connective tissue thickness.
  4. 04 If the implant has shifted outward, the capsule of the excessively formed outer pocket is excised, and capsuloplasty is performed to appropriately close the space.

INSUFFICIENT UPPER VOLUME

  1. 01 If the implant volume is insufficient, it is replaced with an implant size that fills
    the upper breast volume adequately.
  2. 02 If the breast is sagging, measurements of the breast lower pole are taken,
    and the necessary lifting procedures are performed to rearrange glandular tissue.
  3. 03 If the implant has moved downward, the downward position of the implant
    is reversed, closing the excessively formed lower pocket.

REVISION SURGERY CASE.3

Breast Sensation

If existing implants feel overly firm due to outdated versions, replacing them can achieve a more natural sensation.
To address discomfort from inadequate tissue or size mismatch, implants can be replaced with added fat or artificial dermal grafting for a natural feel.
Breast sensation depends on factors like implant characteristics, membrane thickness, and tissue condition.
Surgery is conducted after pinpointing the reasons for unsatisfactory sensation.

01. Causes

  • - Previous-generation implants have a different feel compared to current-generation implants.
  • - Implants with a drop-like shape often use highly elastic silicone gel to maintain their shape, resulting in a relatively firm breast feel.
  • - Simply replacing with current-generation implants can achieve a more natural feel than older-generation implants.

02. Surgical Approach

  • - In cases where the tissue, including fat tissue, is thin based on body characteristics, the feel of the implants may be unsatisfactory. To address this, procedures like fat grafting are performed to create a more natural breast feel.
  • - If excessive skin elasticity prevents the implants from moving easily, additional measures may be taken to improve the feel.
Membrane Resection Surgery
Complete Membrane Resection Surgery

03. Membrane

  • - A membrane forms around all implants inserted into the body, determining the breast sensation based on its thickness and hardness.
  • - Thick or rigid membranes are removed to eliminate the encapsulation around the implants.
  • - Careful hemostasis during surgery aims to create a new membrane that is soft and thin.

REVISION SURGERY CASE.4

Breast Asymmetry

Various factors, including the displacement of unilateral implants or breast sagging, can lead to asymmetry after breast surgery.
Understanding the causes of asymmetry allows for solutions tailored to each cause to improve the condition.
Breast asymmetry can arise from diverse factors like chest shape, developmental differences, and sagging variations. Variations in nipple position,
inframammary fold, and size can result. Addressing glandular tissue sagging and implant position differences helps improve breast symmetry.

Implant Differences

Case 1.

Bottom Sagging

When a unilateral implant shifts to the lower part of the breast, the positions of the implant, nipple, and inframammary fold differ. Correcting bottom sagging involves adjusting the implant position, as well as the positions of the nipple and inframammary fold.

Case 2.

Spherical Contracture

Spherical contracture on one side can cause the membrane to become firm, leading to differences in the upper fullness and inframammary fold on both sides. Revision surgery for spherical contracture can improve both the sensation and asymmetry of the breasts.

Glandular Tissue Differences

Case 3.

Sagging

Aging may cause breast sagging, and in most cases, the degree of sagging differs between both sides. In such cases, the more sagging breast shows a lower position of the nipple and inframammary fold.

Case 4.

Size

Symmetrical breast development is uncommon, with one breast typically slightly larger. Correcting such asymmetry involves diagnosing it during breast augmentation surgery and inserting implants of different sizes on each side.

REVISION SURGERY CASE.5

Bottom Sagging

Excessive dissection or oversized implants relative to the body can cause bottom sagging of implants. Addressing and preventing bottom
sagging is achieved by approaching the excessively dissected space and replacing the implants with sizes suitable for the body.
Smooth-type implants are designed to allow some movement in the body. While this design creates a soft feel, excessive implant movement can result in bottom sagging.
Precise consultation is conducted to identify current issues and meet customer requirements.

01.

Causes

  • - Oversized and heavy implants relative to the body.
  • - Continuous upward pressure on the implants.
  • - Excessive movement of implants due to increased pressure on the pectoralis major muscle.
  • - Thin connective tissue with low elasticity, causing tissue expansion.

2-1. Surgical Approach

Membrane Resection

  • - Excising the membrane in the lower pocket area that has excessively stretched.

2-2. Surgical Approach

Membrane Connection

  • - Tying the connective tissue in the stretched area and connecting membranes to reduce space.

2-3. Surgical Approach

Fascial Fixation

  • - Fixing the rigid bone tissue and fascial tissue in the lower area to prevent bottom sagging recurrence.

REVISION SURGERY CASE.6

Spherical Contracture

Various factors such as surgical techniques, inflammation, hematoma, and genetic factors can cause spherical contracture after implant insertion.
Surgical approaches, including adequate removal of the existing hardened membrane and measures to reduce recurrent contracture, are essential.
All implants, including those in the breasts, are surrounded by a capsule made of collagen. In most cases, this capsule is thin and elastic, allowing for a soft feel of the implants.
However, in some cases, a thick and rigid capsule forms, leading to spherical contracture. Surgical intervention for spherical contracture
considers the patient's condition, the previous surgical incision site, and other factors.

Spherical Contracture
Stage 1
Completely Soft
Impossible to detect the presence of implants
Spherical Contracture
Stage 2
Soft
Implants move slightly, and their presence is noticeable
Spherical Contracture
Stage 3
Firm
Implants are firm, visible changes in shape occur
Spherical Contracture
Stage 4
Very Firm
Implants appear spherical, accompanied by pain

01. Causes

  • - Bacterial infection and inflammation.
  • - Contamination of implants by nipple incision and breast milk.
  • - Persistent hematoma and seroma.
  • - Implant damage and silicone leakage.
  • - Genetic factors, such as excessive collagen formation.

02. Surgical Approach

  • - Remove the implants that caused spherical contracture.
  • - Excise thick and rigid membranes.
  • - Ensure thorough hemostasis and expose healthy tissue.
  • - Insert new implants.
  • - If necessary, insert artificial dermal grafts into the space where the implants are placed to assist in membrane formation.
  • - Maintain the use of preventative medication for spherical contracture for more than three months.

REVISION SURGERY CASE.7

Implant Damage

Implants are generally resistant to everyday pressure, but excessive or continuous force can lead to wear and tear, resulting in implant damage.
The condition is diagnosed through ultrasound examination, and the damaged implant is replaced after removal.
Preoperative ultrasound scans are conducted to tailor a personalized reoperation plan.

01. Causes
Excessive wear and tear or impact
Implant insertion with damage
Continuous folding of the implant
02. Surgical Procedure
Reuse the existing incision line
Remove the implant and clean the existing space
Assess the condition of the existing capsule
Replace with a new implant

REVISION SURGERY CASE.8

Implant Removal

If the appearance after inserting breast implants differs from the original expectations or feels awkward due to aging
or musculoskeletal disorders, implant removal surgery can be performed.
Breast implants often contribute significantly to aesthetic satisfaction. However, in cases where aging or musculoskeletal disorders lead to a reduced
necessity and a perception of awkwardness, removal is a viable option. This is a relatively quick procedure, taking approximately 15 minutes.

01. Causes
Changes in the shape of the breast implant
Sagging or shortening of the breast line
Prolonged seroma inflammation
Persistent pain, inflammation reactions
Asymmetry after breast surgery
Personal decision to remove implants
02. Surgical Procedure
Reuse the existing incision line
Remove the implant and clean the existing space
Assess the condition of the existing capsule
Wear compression bandages for about a month to allow the existing
space to close properly

NANA PLASTIC SURGERY

When is the Right Time
for
Breast Reoperation?

Cosmetic Improvement
Reoperation

Dissatisfaction with breast shape, size, or feel,
and asymmetry in both breasts.

Timing

6 months to 1 year after the initial surgery

※ This period allows the inserted implants to settle,
and the incisions to heal.

Reoperation due to
Side Effects

Reoperation recommended promptly for issues like
breast capsular contracture or implant damage.

NANA PLASTIC SURGERY

Excellence of NANA

Breast specialists conduct precise ultrasound
examinations to assess breast conditions.

Thorough analysis that may seem excessive

Collaboration between Plastic Surgery and Breast Disease Surgery specialists

  • - Precision breast surgery planning
  • - Pre/postoperative breast ultrasound examinations

01

Collaboration between Plastic Surgery
& Breast Disease Surgery Specialists
High-resolution ultrasound confirmation not
only of implant rupture and folding status but
also an assessment of potential side effects.

02

Discernment of Implants
via Ultrasound
Evaluation of the condition of existing implants,
including the manufacturer, type, and thickness
of the surrounding tissue, using ultrasound.

03

Breast Disease Examination
and Treatment
In-house Breast Disease Surgery specialists provide comprehensive examinations and treatments for breast conditions, from necessary pre/postoperative assessments to detailed examinations and treatments for breast diseases.

NANA PLASTIC SURGERY

Nana Breast Clinic's intricate reoperation
planning in four steps

In-depth analysis for meticulous surgical planning.

STEP 01
Analysis of breast shape and texture
STEP 02
Analysis of asymmetrical elements such as the breast crease, nipple, and chest shape
STEP 03
Analysis of the condition of previous surgical incisions and scars
STEP 04
Final surgical planning based on the results of breast surgery examinations

NANA PLASTIC SURGERY

NANA Aftercare

To prevent additional reoperations and help
stabilize breast shape, NANA provides followings.

Medications and injections to
minimize bleeding during
or after surgery
Prescriptions for essential
medications to ensure stable
recovery and reduce swelling
Custom-made correction bras
for implant stability and
optimal breast shape
Before
After
Scar care after surgery
(surgical results may vary based on individual skin condition and physique)

NANA PLASTIC SURGERY

NANA Medical Equipment

NANA Breast Clinic is equipped with state-of-the-art
premium devices for perfection.

German Storz Full HD endoscope

Detailed examination of small blood vessels and tissues for precise dissection using

  • Advanced image enhancement technology achieves Full HD quality for more accurate diagnosis and surgery
  • Minimizes incisions and dissections with precision and stability
  • Reduces unnecessary nerve damage, tissue damage, and bleeding
  • Prevents side effects and promotes rapid recovery

Philips High-Resolution Ultrasound

Capable of measuring fine cracks in implants or the subtle thickness of the capsule

  • Implements clear imaging for accurate and swift diagnosis
  • Optimized for demanding breast examinations, serving as the best equipment available
  • Enables precise identification and assessment of the location and condition of breast implants

GE Hospital-grade Mammogram

For checking breast health alongside aesthetic improvements

  • Detects microcalcifications even in early breast cancer without symptoms
  • Identifies breast damage caused by illegal silicone injections
  • Differentiates between implant rupture and lesions from typical wounds

German Drager High-End Anesthesia Machine

For safe anesthesia and minimal pain

  • Adjustable depth and duration of anesthesia for safety
  • Self-powered during power outages, ensuring prolonged anesthesia
  • Absorbs and supplies ambient oxygen in case of oxygen depletion
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