OM DENNE EPISODE
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The biggest mistake in breast implant revision is replacing the implant before figuring out what actually went wrong. Most women think a second surgery is just swap the old one for a new one. It almost never is. Your tissue has changed, your skin has stretched, and the implant pocket may not be the same shape it was years ago. Skipping that diagnosis is how patients end up back in the same chair a few years later.
In this video, I'm going to break down the real questions that should come before any new implant decision, so you don't repeat the same surgery and end up with the same result.
⏱️ TIMESTAMPS
0:00 Before You Replace Your Breast Implants, Watch This
0:40 What's actually bothering you about your breasts
1:33 Did the implant change or did your breast change
2:53 Why going smaller is not as simple as it sounds
4:00 The trap of going bigger during revision
4:49 When the implant pocket is the real problem
5:33 Capsular contracture and hard breasts explained
6:52 What if you don't want implants anymore
8:30 The real question before you pick a new implant
❓ QUESTIONS ANSWERED
Is breast implant revision surgery harder than the original augmentation?
It can be, because your breast tissue has already adapted to years of carrying an implant, so the surgeon has to plan around anatomy that has already changed rather than starting fresh. The pocket, the skin envelope, and the scar tissue all factor into a revision plan in ways they never did the first time.
Can I just get a smaller implant if my current ones feel too heavy?
Going smaller is possible, but since your skin and tissue stretched around the larger implant over time, simply downsizing can leave extra looseness or a flatter upper breast if the plan does not account for that. A surgeon may need to address the pocket itself, not just swap the implant size, to get a result that actually looks lifted and full.
Do I need a new implant if my breast became hard or painful?
Not necessarily just a new implant. A hard or painful breast usually means capsular contracture, and the scar tissue and implant pocket often need to be addressed too, or the same problem can come back even with a brand new implant inside it.
📱 RESOURCES
Website: https://www.apresplasticsurgery.com
Instagram: https://www.instagram.com/apresplasticsurgery/
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💬 If you're considering implant revision, tell me in the comments what's bothering you most, size, position, hardness, or something else. I read these and it helps me make videos that answer real questions.
ABOUT DR. ARIC AGHAYAN: Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation.
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