title: The anatomy of revisions after primary breast augmentation: one surgeon's perspective.
abstract: Although breast augmentation is a procedure with a high patient satisfaction rate, at some point in time, some patients will need a revision. A better understanding of what leads to revisions is desirable to determine whether the frequency of revisions can be reduced. With that in mind, we reviewed all revisions in a consecutive series of primary breast augmentation patients operated over a 3-year period with a minimum follow-up of 2 years. The overall revision rate was 10%. The primary indications for revision included 4% malposition (bottoming out), 2% capsular contracture, 2% size change, and 2% switch from saline to silicone. Specific case reports are presented in detail to examine the nature of these revisions.
authors.affiliation: Department of Plastic Surgery, Georgetown University Hospital, 1st Floor PHC Building, 3800 Reservoir Road NW, Washington, DC, USA. spears@gunet.georgetown.edu
authors.forename: Scott L
authors.initials: SL
authors.lastname: Spear
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Dayan
authors.forename: Justin
authors.initials: J
authors.lastname: West
mesh_terms: D000328:Adult; D019928:Breast Implantation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012086:Reoperation