Revision Procedures

The five surgical categories of breast revision.

Most revision cases fall into one of five categories, often combined. Each is a distinct surgical problem with its own diagnostic logic, technique selection, and recovery profile.

Revision is not a single operation. The right surgical plan depends on what specifically went wrong with the primary surgery — and there are five common things that go wrong. Each requires different techniques, different operative time, and different recovery. Most revisions involve more than one of these categories simultaneously.

1. Implant Size Change

Going larger, smaller, or correcting asymmetric volume. The most requested revision indication. Technical challenge varies — going smaller is usually straightforward; going larger requires pocket adjustment.

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2. Capsular Contracture

The body has formed a tight scar capsule around the implant. Baker grade 3-4 with palpable firmness, distortion, or pain. Treatment is capsulectomy combined with implant exchange.

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3. Implant Malposition

The implant has moved out of where it should be. Bottoming out, lateral displacement, symmastia, double bubble. Internal capsulorrhaphy and pocket reconstruction.

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4. Implant Replacement

Old implants out, new ones in. For age, change in preferences, surface change, or to update from older implant designs. Often combined with profile change.

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5. Explant & En Bloc

Removal of breast implants without replacement. With or without en bloc capsulectomy. With or without concurrent breast lift.

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Important
Most revision cases involve two or more of these categories simultaneously. For example, capsular contracture treatment usually involves implant exchange, and a size change may require pocket adjustment. The full surgical plan is determined after physical examination, not in advance.

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Government Authorisation

International Health Tourism Authorization Certificate

This clinic is officially authorised by the Republic of Türkiye Ministry of Health (Sağlık Bakanlığı, General Directorate of Health Services) to provide international health tourism services. The Ministry audits the clinic's surgeon credentials, facility standards, infection-control protocols, and complication-tracking systems before issuing this certification.

Authorization No.
2026034015610080000444996
Issued to
Doç. Dr. Ayhan Işık Erdal Muayenehanesi
Issue date
10 March 2026
Verifiable at
turkiye.gov.tr/saglik-bakanligi-ebys

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