Revised breast augmentation is performed when a patient has previously undergone breast implant surgery and now desires an improvement in breast shape, size, or overall appearance. Whether the goal is to change implant size, correct rippling, address implant rupture, or treat capsular contracture, revision surgery restores soft, symmetrical, and natural-looking breasts.
As one of Thailand’s most experienced cosmetic surgeons with over 20 years of expertise, Dr. Jaray Krainam, MD specializes in complex breast revision procedures and corrective aesthetic surgery. His meticulous approach ensures improved comfort, symmetry, and long-term results.
Revision breast augmentation often involves either removing scar tissue that forms around the implant (capsulectomy) or releasing and reshaping it (capsulotomy). These techniques recreate a balanced implant pocket, improving the softness, position, and overall contour of the breasts.
While some revisions can be performed through previous incisions, additional openings may be required—especially when excess skin must be removed or the implant position needs significant correction. Depending on the age of the existing implants, replacement with new implants may be recommended.
📌 Operation Time
Approximately 1–3 hours, depending on the complexity of the revision.
📌 Type of Anesthesia
Performed under general anesthesia for maximum comfort and safety.
📌 Hospital/Clinic Stay
A 1-night stay is required for monitoring and recovery.
📌 Recommended Length of Stay in Thailand
A minimum of 7 days to allow for follow-up and suture removal.
📌 Risks and Possible Complications
Although revision breast augmentation is safe when performed by an experienced surgeon, potential risks include:
- Unfavorable or visible scarring
- Hematoma (bleeding)
- Infection
- Delayed healing
- Changes in nipple or breast sensation
- Capsular contracture
- Implant rupture or leakage
- Skin wrinkling or rippling
- Fluid accumulation
- Pain or discomfort
- Blood clots or deep vein thrombosis
- Rare cardiac or pulmonary complications
- Possibility of needing additional revision
A skilled surgeon like Dr. Jaray Krainam significantly reduces these risks.
📌 Recovery Period
Most patients can resume routine daily activities within one week, although exercise and strenuous movements should be avoided for at least 4 weeks. Mild swelling, tightness, or discomfort is normal during the early recovery phase.
📌 Preparation Before Surgery
To ensure safety and optimal healing, patients must follow these instructions:
✔ Medical Assessment
A full medical history review and physical examination will be conducted during consultation.
Lab tests may also be required.
✔ Stop Smoking
Avoid smoking for 3–4 weeks before surgery, as nicotine reduces blood flow and delays healing.
✔ Avoid Alcohol
Stop drinking alcohol one week before surgery and throughout recovery.
✔ Avoid Certain Medications
For 4–6 weeks before surgery, avoid:
- Hormones
- Anticoagulants
- Anabolic steroids
- Supplements
Also avoid aspirin, anti-inflammatory drugs, and herbal supplements that may increase bleeding.
📌 Why Choose Dr. Jaray Krainam, MD?
- Over 20 years of experience with complex and secondary breast surgery
- Expertise in correcting capsular contracture, asymmetry, implant rupture & poor results
- Natural, proportional outcomes tailored to body shape
- Exceptional safety standards and meticulous surgical technique
- Trusted by international patients worldwide
