TOP

TOP

Last in your life

breast revision surgery

Offering beautiful and healthy breast.

  • icon Duration of surgery

    1~2 hours

  • icon Anesthetic method

    General anesthesia

  • icon Whether hospitalization is needed

    1 day (Can be discharged on the same day)

  • icon Removal of thread

    1 week later

  • icon Treatment as outpatient

    3~4 times (Forever AS)

  • icon Recovery time

    Within 1 week

1st ranked reason for breast revision surgery
Unsatisfactory shape and tactile senses
img
Factor that determines natural shape
and soft tactile senses is the status of capsular!
When implant is inserted, our body recognizes it as a foreign matter and forms
“capsular,” which is a thin protective membrane that wraps around the breast to protect our body.
If this capsular gets deformed or thickens, abnormality in shape and tactile senses can occur.
  • Normal breast after the surgery

    img
    Thin and uniformly formed capsular to
    fit the implant
  • Capsular formed thinly and uniformly in accordance with the implant

    img
    Capsular formed abnormally too thick Capsular that became very thick and undulated
Side effects due to deformation of capsular
img
Case in which the capsular that wraps around the implant is
formed too thin It is possible to realize natural looking waterdrop line
and soft tactile senses.
Examination before revision breast surgery
  • Implant status
    (rupture/deformation)
  • Capsular status
    (thickness/position)
  • Whether the capsular is removed
  • Side effect status
  • Diagnosis of breast cancer and benign diseases
  • img

    Blood test

  • img

    Cardiography test

  • img

    Chest x-ray

  • img

    Breast scan

  • img

    Ultrasound test

Dr. Woo Sang Yoo, a specialist in mammoplasty and the head of Breast Examination Center,
precisely diagnoses the conditions of the breast through a total of 5 examinations prior to breast revision surgery and conducts revision surgery through the method appropriate for the outcomes of the examinations performed. ※ Types of examinations can differ depending on the conditions of the patients.
BREAST REVISION SURGERY img
  • Q1.

    When is the appropriate time for breast revision surgery?

    It is advisable to undergo revision surgery 6 months ~ 1 year after the initial surgery.
    If you undergo revision surgery before the breast shape and tissues are properly established and settled down, unexpected side effects can be induced.
    However, in the event of occurrence of rupture of implant or manifestation of capsular contracture, etc. for which treatment cannot be delayed, you need to undergo revision surgery as quickly as possible through consultation with the physician in charge.
  • Q2.

    Is revision surgery more painful than the initial surgery?

    It is necessary to press the breast pocket for insertion of implant at the time of breast augmentation surgery, which induces pain.
    However, since the tissues have been expanded in the initial surgery, pain actually tends to be less at the time of revision surgery.
  • Q3.

    Is the recovery period of revision surgery than that of the initial surgery?

    There is marked difference among individuals.
    The recovery period is 3~4 days at the minimum and 1~2 weeks at the maximum, making it similar to or slightly longer than that of the initial surgery.
THESES OF REPRESENTATIVE DIRECTOR
ON BREAST REVISION SURGERY
img

2021

[논문] 가슴성형 구형구축률 비교: 라운드형 vs 물방울형
img

2015

[논문] 가슴성형 후 발생하는 구형구축 방지를 위한 AABS 유착방지용액과 섬유소 처리의 효과
img

2011

[논문] 유방확대술 후 코히시브 실리콘겔 유방보형물 파손
img

2009

[논문] 하이드로겔 유방보형물 파열 시의 임상적 소견
img

2004

[논문] 유방확대성형술 후 합병증 및 불만 요인 42예의 재수술 환자 분석
img

2004

[논문] 유방확대성형술 후 구형구축 발생시 피막 내 Triamcinolone 주사요법의 유용성
Breast revision surgery by type
01

Capsular contracture

img
  • Definition
    • When implant is inserted into the breast, the body recognizes it as a foreign matter and forms capsular around it.
      It is the side effect of excessive formation of this capsular and becoming hardened.
  • Cause
    • Inflammation, hematoma due to hemorrhage, contamination due to foreign matter, neglectful of massaging after the surgery (smooth type) and physical constitution, etc.
  • Symptoms
    • Breast becomes hardened and shape gets deformed
    • Lose sensation or pain is induced
  • MD's Solution
    • After having completely removed the hardened capsular that wrapped around the existing implant as well as the implant itself, replace with new implant to improve the shape and tactile senses.
  • Before img
  • After img

Capsular contracture step

img

MD's Capsular contracture prevention special solution

  • 01

    Special treatment during surgery icon
  • 02

    Operating room, which is a completely sterilized zone icon
  • 03

    Latest university hospital level medical devices icon
  • 04

    Systematic postoperative care icon
  • 05

    Rules that patients must abide by icon
01

Special treatment during surgery

  • img

    Prevention of inflammation for Prevention of Capsular Contracture
    Clean implant space with special antibiotic

  • img

    Administer suppressant for formation of fibroblast, which is the fundamental cause of formation of capsular

  • img

    Prevent narrowing of breast pocket through treatment with adhesion inhibitor

  • img

    Prevent capsular contracture through special treatment with capsular softener

02

Operating room, which is a completely sterilized zone

  • icon

    MD clinic is equipped with independent surgery center that has been designed as a completely sterilized zone, thereby significantly lowering the risk of infection.

  • icon

    Surgery in the morning and discharge in the afternoon the next day is the principle.
    It is the principle not only for the safety of the patient but also to disinfect the entire operating room by turning on ultraviolet light in the afternoon.

  • icon

    Access by unauthorized persons and items is prohibited by installing double door with fingerprint door lock and all the items brought in are subjected to thorough disinfection before they are taken in.

  • icon

    Vent system used only in some of the large hospitals is installed in the building to purify air in the operating room by sucking in and filtering out fine dusts.

  • icon

    Powder Free Glove, which is 2 times more expensive than ordinary surgical gloves, is used at the time of surgery to prevent entry of fine foreign matters into the operating room..

03

Latest university hospital level medical devices

  • img

    Unnecessary exfoliation is prevented
    and Bleeding is minimized by using the
    latest freestyle endoscope

  • img

    Hemostasis is performed following precision surgery with
    Ligasure hemorrhage prevention equipment to prevent capsular
    contracture that can occur due to erroneous exfoliation

04

Systematic postoperative care

  • step 01
  • step 02
  • step 03
  • step 04
  • step 05
img
  • Penetrate special drug cocktail to the capsular area for 1 month after the surgery to assist formation of normal capsular.
  • icon
  • In the case of smooth implant, education on massaging is provided along with management of machine at the specialized management room and regular checkup.
  • icon
  • Take medicine for prevention of capsular contracture for 3 months immediately after the surgery.
  • icon
  • Prevent capsular contracture in advance through regular checkup by the attending surgeon on the 1st, 3rd, 6th and 12th months after the surgery.
  • icon
  • If capsular contracture occurs in spite of aforementioned measures, revision surgery is conducted.
05

Rules that patients must abide by

  • img

    Make sure to take shower on the day of surgery! It is possible to minimize infection after the surgery only if you keep your body thoroughly clean since foreign matter can enter the body at the time of surgery if your body is not in clean state.

  • img

    Taking capsular contracture prevention medicine! Since even the healthy patients can be infected by normal bacterial at the time of surgery, it is necessary to take capsular contracture prevention medicine to prevent activation of such bacteria in advance.

02

Upper pole fullness

img
  • Cause
    • If exfoliation at the inframammary fold is insufficient
    • If capsular contracture has formed
    • If implant got lifted and fixated due to negligence in management after the surgery
  • Symptoms
    • It looks unnatural with the upper portion of the breast protruding out in the shape of a rice bowl being put on upside down
  • MD's Solution
    • Widen the breast pocket in comparison to the existing pocket to secure more space before inserting the implant.
    • After having removed the hardened capsular that wrapped around the existing implant and the implant itself, replace with new implant to improve the shape and tactile senses.
    • Massage is essential for smooth implant while textured implant does not need massaging.
      This must be adhered to thoroughly after the revision surgery.
      In addition, brassiere with wire should not be worn for prescribed period of time after the surgery since it could cause the phenomenon of protruding upper portion with implant being pushed upward by such brassiere.
  • Before img
  • After img
03

Asymmetry (difference in size)

img
  • Cause
    • In the event of having inserted implant in wrong location or crookedly
    • In the event of made erroneous measurement prior to the surgery although the breasts of the patient are congenitally asymmetric
  • Symptoms
    • Breasts are not cosmetically appealing due to differing size and shape between the breasts.
  • MD's Solution
    • After having removed the existing implant, correctly take measurement and insert new implant with sizes that will ensure symmetry between the breasts.

Congenital asymmetry of breasts

Asymmetric breast(difference in size) occurs more frequently due to congenital cause rather than erroneous surgical procedure. In the case of very minute asymmetry, it would not be a problem since the patients themselves are not aware of it. However, if the extent of asymmetry is severe, it can be corrected by differing the size of implant to be inserted into each of the breasts to achieve symmetry.
  • img

    Size differs

  • img

    Height of nipple differs

  • img

    Height of nipple and extent of sagging differ

  • img

    Height of nipple, extent of sagging and size of areola differ

  • img

    Asymmetry due to deformation of spine

img

Correct asymmetry by accurately discerning
the extent of asymmetry on both sides by measuring
various sections of the breast prior to the surgery
and then differing the shape and size of each implant.

  • Before img
  • After img
04

Implant rupture/replacement

img
  • Cause
    • Case of hardened capsular due to formation of capsular contracture continuously compressing on the implant
    • Case of implant ruptures on its own with passage of time, although highly rare
  • Symptoms
    • Even if implant is ruptured, gel does not leak out and pain is not induced.
      Moreover, breast shape does not change significantly.
      As such, it is difficult to discern whether it has ruptured based on perceived symptoms and there
  • MD's Solution
    • Remove the ruptured implant and capsular in the surrounding to create clean breast pocket before inserting new implant.
    • It is possible to completely remove ruptured implant only by making incision at areola or inframammary fold .

* white arrow = ruptured implant

  • img MRI scan
  • img Ultrasound examination
img

Since there is no clear perceived symptom at the time
of implant rupture, it is essential for the patient
to undergo regular breast examination at the interval of
2 years for those in their 30’s and 1 year for those in their 40’s!

  • Before img
  • After img
05

Double line

img
  • Cause
    • If the distance between the nipple and the inframammary fold is short, exfoliation must be performed even for the areas further below the existing breast line. It can manifest if the inframammary fold has not been treated properly or if breast sags after childbirth.
  • Symptoms
    • Double creases at the inframammary fold of the breast are formed due to creation of curvature in the area below the breast.
  • MD's Solution
    • Remove the double creases by inserting larger implant and lift up the position of the inframammary fold .
    • Depending of given situations, concurrently perform breast lifting procedure of pulling up the nipple and the sagging breast simultaneously.
  • Before img
  • After img
06

Bottoming out breast implant

img
  • Definition
    • Phenomenon of implant being lowered or leaning to one side as an opposite phenomenon of protrusion of upper portion.
  • Cause
    • When the bottom breast is small, there is insufficient support tissues, thereby causing sagging down of implant without being able to withstand its weight.
  • Symptoms
    • Inframammary fold is lowered significantly unnaturally
  • MD's Solution
    • Remove the capsular in the relevant area by as much as the lowering of the implant and suture the area of removal to induce lifting up of the inframammary fold , and perform additional exfoliation to secure additional space at the area above the breast.
  • Before img
  • After img
Bottom loss caused by excessive desquamation of the lower part of the breast
  • Before img
  • After img
Side drop phenomenon caused by excessive desquamation in the center of the chest
07
Reasons for removing a breast implant
img

[The implant and capsular of patients who underwent thoracic implant removal from MD]

MD's procedure for removal of the breast implant

  • STEP 01.

    Remove the implant(capsular)
    after incision of the inframammary
    fold or armpit approximately 3.5 cm

  • STEP 02.

    Discharge on the same day
    (No blood bag, Can come
    to work the next day)

  • STEP 03.

    Wearing a compression
    bandage for a week
    (not wearing a compression suit)

Is it necessary to

remove the capsular img img

during breast implant removal surgery?

When removing (replacing) the breast implant due to side effects,
the entire capsular must be removed. However, when removing the
breast implant due to personal dissatisfaction, the capsular may
not be removed or may only be partially removed.

  • Side effects

    (Capsular contracture, Implant rupture,
    Seroma, calcification, etc)

    icon
     Complete capsulectomy 

     

  • Implant replacement

     

    icon
    Complete capsulectomy
     or Partial capsulectomy 

    (Determined based on ultrasound results)

  • Simple removal of implant

    (Unsatisfactory shape and size)

    icon
     No capsulectomy required 

    (Can remove partial capsulectomy
    depending on inspection result)

icon

 MD doesn't recommend complete capsulectomy unconditionally! 

Even when performing breast cancer surgery at a general hospital,
only what is necessary, whether it is total resection or partial resection,
is resected. As such, MD only recommends surgery that patients need.

The same goes for capsulectomy.
The basic principle is to complete capsulectomy when reoperation is performed,
but depending on the results of ultrasound examination, the benefits and losses of
complete capsulectomy and partial capsulectomy should be considered.

Unconditionally removing 100% of the capsular
is never a good surgery and
is not a path for patient safety.

MD's judgment is simple!

  • Capsulectomy required
    “Complete capsulectomy (100%)”
  • No capsulectomy required
    “Partial capsulectomy” or “No capsulectomy”
  • No capsulectomy is required, but
    100% capsulectomy is possible if the patient wants.
    (If there are any risk factors for capsulectomy, consult with the patient after prior guidance)

Type of capsulectomy

Type Complete capsulectomy
 (100% capsulectomy is possible) 
Partial capsulectomy
Removed capsular img img
Scope of removal 100% elimination to the bottom and
back capsular that are difficult to remove
Remove only a part of the capsular
The object of surgery Recommended for side effects such as
Capsular contracture, Implant rupture, Seroma,
Calcification, etc
Recommended for simple removal of implant
without any side effects
Features Experienced specialists need to operate as side effects
such as bleeding, hematoma, and nerve damage can occur
Based on the ultrasound results, it is necessary to
determine whether there is no problem just by partial capsulectomy

# It is not the case that removal of capsular is advantageous unconditionally.
There are advantages in leaving the capsular intact rather than removing it!

If the implant is removed, breast gradually becomes flattened.
At this time it is possible to prevent sudden adhesion due to the presence of the capsular,
thereby playing the positive role of inducing flattening of the breast while maintaining its shape.
The capsular caused by side effects must be removed, but there is no problem at all without removing the thin and healthy normal capsular.

  • img

    Before removing the implant

  • img

    After removing the implant (not removing the capsular)

  • icon

    Since capsular is made of fibers in the body, it is not harmful even if it remains in the body.

  • icon

    Thin capsular will gradually contract and become naturally absorbed by the body even if it is not removed,
    and will disappear by leaving slight trace.

  • icon

    The assertion that capsular can induce rare cancer called anaplastic large cell lymphoma is at a very low probability.

  • icon

    On the contrary, if the capsular is removed unnecessarily,
    greater side effects such as hematoma, pain, crumpling of breast, etc. can be induced.

08
Fillers injected into your breast, Why it must be removed
Fillers injected into the breast must be removed.
The Ministry of Food and Drug Safety has never approved filler injections for breast expansion.
The filler is injected through a syringe into the breast without an outer shell, so you don't know where it will
spread in the body and can actually flow down to the stomach and groin.
  • img

    A filler that drips down the breast

  • img

    A filler that ran down to the side

How to remove fillers injected into the breast
  • img img
    01

    Ultrasound to locate the filler

  • img
    02

    Approximately 3-4cm areola
    incision (Inframammary fold or
    armpit incision is also possible
    depending on where the filler is
    spread in the body)

  • img
    03

    Remove the lumpy fillers and the
    fillers on the breast tissue
    as much as possible

MD's unique surgical features to remove filler injected into the breast

Safely remove as much filler as possible without damaging the tissue!
  • The maximum amount
    of filler can be removed
    because the filler is
    removed through
    incision rather than
    simple suction surgery

  • Know-how based on
    more than 20 years of
    experience enables
    safe surgery without
    damage to breast tissue
    and blood vessels

  • (Optional) Additional breast
    augmentation as a safe way
    to insert a implant after filler
    removal surgery

“Fillers injected into your breast, why it must be removed”
img
It's a lie that 100% of the filler injected into the breast can be removed!
Removing breast tissue as much as possible without damaging it!
icon
Ultrasound shows that a large mass of fillers is gathered, so you can remove them all, but the problem is the fillers that are tightly attached to the breast tissue. If you scratch it too hard, you can damage your normal breast tissue, so you need a delicate technique to remove the filler as much as possible while minimizing damage to the breast tissue.
  • A state in which the filler is clumped over the muscles
    img img

    Before removal surgery

  • Fillers removed cleanly
    img

    After removal surgery

Breast Fillers img
  • Q1.

    Fillers injected into the breast, is it absorbed?

    It can't be absorbed.
    However, when the filler enters the body, it is eaten by white blood cells, so the dose gradually decreases, which some doctors describe as "absorption." The general public thinks that "absorption" disappears automatically over time, but it actually remains in the body.
  • Q2.

    The fillers injected into the face are FDA approved, but the breast has never been approved.
    Such a dangerous breast filler, why do you still do the procedure?

    This is because I think filler injection is simple compared to surgery to anesthetize, incision, and implant. Also, I think it's okay to put a filler in the body that is not wrapped in the outer shell in the first place, while fearing that the implant will rupture and leak out the contents.
  • Q3.

    Why is implant safer than filler?

    The contents of the cohesive gel implant, which are currently used, are wrapped in an outer shell. The implant is less likely to rupture, but even if it ruptures, the contents do not spread into the body because it is in a highly cohesive gel state. In addition, fillers are much more dangerous because they are foreign substances not approved by the Ministry of Food and Drug Safety, not medical silicone that has been proven to be safe.
  • Q4.

    Is it safe to insert a implant after removing the filler injected into the breast?

    Yes, no problem at all. You can remove the filler around the breast muscles where the implant will be inserted, and insert the implant. Many people come for reoperation later because their breast is small after removing the filler, and you can save money and time by removing the filler and performing implant insertion surgery at the same time.

Breast revision surgery

Before & After
  • front
  • img

    Before

  • img

    After

  • 45deg
  • img

    Before

  • img

    After

  • img
  • img
  • img
  • img
  • img
  • img
  • img
  • img
  • img
  • img
  • img
  • img
<< < 1 2 3 4 5 6 7 8 9 10 > >>
<< < 1 2 3 4 5 > >>
Comment of actual patient

MD proves its capabilities with results.

why
img Mammoplasty, why MD?
  • icon

    Soft tactile sense that is
    more real than the real thing

  • icon icon icon

    Spreads out when lying down and,
    when standing,
    Natural waterdrop shape

  • icon icon

    Safe surgery that reduced Bleeding
    and side effects

Tactile senses

+

Shape

+

Safety

5 Core points only of MD

POINT 01

Specialized surgical technique

Is only available at MD
  • Minimum
    Bleeding
  • Little
    pain
  • Quick
    ecovery
  • Prevention
    of side
    effects
  • img
    Intercostal nerve block to breast surgery

    Intercostal nerve is a sensory nerve that conveys pain in thorax to cerebrum,
    and it is possible to reduce pain by blocking it in advance before pain is
    conveyed to the brain by performing intercostal nerve block prior to the surgery.

  • img
    Bloodless breast surgery

    It is possible to prevent pain and side effects that can occur due to
    hemorrhage in advance by performing preventive
    hemostasis in area of risk of hemorrhage.

POINT 02

Lifetime After-Sales Service Guarantee

Healthy breast is as important as beautiful breast!
img
  • img

    Regular Check-Up After Surgery: One check-up after surgery

  • img

    Visit our hospital whenever necessary for lifetime AS thereafter

POINT 03

Safe anesthetic system

We are staffed with specialist in anesthesiology capable of coping with emergency situations
and equipped with the latest general hospital level anesthetic equipment.
  • img

    Baek Seung-hee director

    Full-time presence of specialist in anesthesiology
  • img

    Anesthetics equipment

    Capable of performing accurate and safe anesthesia with built-in pressure detector
  • img

    Digital monitor

    Can measure vital signs of the patients including oxygen saturation level, ECG, breathing pattern, heart rate, breathing rate, blood pressure and body temperature, etc.
  • img

    Infusion pump

    Injects medicine consistently into the patient at accurate pace
  • img

    Central gas pressure equipment

    Real-time monitoring to prevent emergency situation of sudden drop in oxygen level

POINT 04

Convenient one-stop system

I need to undergo breast examination at other hospital prior to the surgery?!
It is possible to undergo examination to surgery at MD at once!

Breast examination prior to the surgery Only the examinations necessary for each individual are conducted.

  • img

    Mammogram

  • img

    Ultrasound

  • img

    Chest X-Ray

  • img

    Electrocardiogram

  • img

    Blood test

POINT 05

Premium follow-up management

Perfect care service that does not miss out on anything including tactile senses, scars and skin recovery, etc.
  • Improved Tactile Sensation
  • Scar Reduction
  • Prevention of Capsular Contracture
  • Skin regeneration
  • developed by MD
img
img
img
img
img

Heat and High frequency Relieve pain, detoxify and reduce inflammation
by penetrating thermal energy of
radiofrequency wave deep into the body.

img

MesoSoft Capsular softener is administered through very
fine needle to reduce tissue adhesion
and induce formation of soft capsular

img

Beluna Negative pressure induces collagen
generation by stimulating cells around
the wound and makes breast softer
through repetition of circulation
and application of pressure.

/ 03
img
img
img

Fraxel laser Alleviates scars by making skin tissues
and tone softer through minute thermal
therapy in micro unit

img

triamcinolone injections Alleviates into flat skin by treating
keloidal skin or inflammation of scars

/ 02
img
img

Capsulitis Prevent capsular contracture by
alleviating swelling, bruise and pain,
and including formation of thin membrane
between breast implant and human tissues

img
img
img
img

Near infrared LED ray Prevent skin trouble by irradiating
4 types of LED ray with different
wavelengths onto the skin

img
img

Placenta Breast pack
developed by MD
It is a pack containing large quantity
of placenta ingredients that treats
stretchmarks and restores skin
resilience by activating fibroblast

img
img

Aroma pack
Developed by MD
Soothes breast skin with jade and
aloe ingredients, and strengthen skin
protection function by applying aroma oil

/ 03
img
img
img

Shaping underwear
developed by MD
Complete satisfactory breast line
through the use of shaping underwear
developed directly by MD

  • icon Treatment hours
    Weekdays : AM 9:00 ~ PM 6:00
    Saturday : AM 9:00 ~ PM 4:00
    wendsday / sunday / Closed on holidays
  • icon address
    3-8th floor, MD Clinic Building, 814 Seolleung-ro, Gangnam-gu, Seoul, Republic of Korea