Breast Implant Revision

Breast implant revisions can be performed to reverse the effects of aging, to replace the old implants with the new ones, to change the size and the shape of the breasts, to remove the ruptured or leaking implants, and to recover a youthful and aesthetic appearance.

What is Breast Implant Revision?

Breast implant revision is a cosmetic surgery performed to correct the results of a previous breast augmentation surgery, to treat complications like capsular contracture, to remove breast implants, or to replace them with new ones.

Breast implants, especially when they are placed by an experienced and skilled plastic surgeon, are long-lasting. However, nothing can stop aging. There are also many factors that can affect the appearance of the breasts, including weight fluctuations and pregnancies. It is possible to have a problem called capsular contracture, which requires a revision surgery. Another reason is that, although the new implants are long-lasting, they can still rupture or leak when they get old. In addition, without having any problem, they can be replaced because you just want to change the way your breasts look.

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Problems & Solutions

There are several reasons for having a breast implant revision procedure. Here, you can find the answers for different complaints.

My breast implant surgery was successful and unproblematic. However, I don’t like the way my breasts look.

Even when there is no problem, you may choose to have a breast implant revision surgery if you are not...

I was happy with my breast implants but unfortunately, I have developed capsular contracture.

In most cases, the hardened tissue capsule that is causing this problem should be removed. If you have...

I was very happy with my breast implants. But after years and a pregnancy, they do not look as good as they once did.

This is totally normal. Results of a breast augmentation is long-lasting. However, aging...

My saline breast implants distort the surface of my breasts. They create a rippled appearance which look ugly and unnatural.

Sometimes, the edges of saline implants become visible and they can be felt. In that case there are...

I like the size and the shape of my implants. However, I don’t think they are placed correctly. They look too close to each other.

It is possible that during your primary breast augmentation surgery, the implant pockets have been created...

I had breast implants a few years ago. Surgery was succesful and there is no problem, but I don’t want to have them anymore.

Just like having breast implants was your decision, having them removed is your decision, too. A breast...

I had really large implants a long time ago. Now my breasts are significantly sagging. And I don’t want breast implants anymore.

Large implants may affect the shape of the breasts. Also, aging can contribute to this problem, too. In...

Testimonials

Experience speaks for itself! Let's listen to our patients....

My breast augmentation was a real success. And the results were really long-lasting. However, at some point, my breasts started to sag. At first, I was really sad. Then I realized this can be corrected. I had a breast implant revision in which my breasts were lifted, and my old implants were replaced with the new ones. And I used this opportunity to have larger implants because I felt this was what I want. Now I have youthful breasts that are much better in my opinion.
Kiera Bates Breast Implant Revision
I didn’t like how my breasts were looking after my first breast augmentation. They certainly didn’t look like the doctor had described. The doctor didn’t even offer a revision! Then I found this clinic which is apparently highly popular for breast implant revisions because of their surgeons’ experience. It turned out to be right! They really care and listen to the patients. Now my breasts look the way they should have in the first place!
Simone Patton Breast Implant Revision

Why Clineca?

At Clineca, we take everything seriously. We understand how important the results are for you. We care about your health and comfort as much as you do. From beginning to end, we inform you, guide you, serve you, and help you.

01
Fully Equipped Hospitals

Surgeries are performed in prestigious fully equipped hospitals in which doctors from all specialties are present.

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02
Free Consultation

We provide free online consultation with highly experienced surgeons through video chat.

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03
Ensured Performance

We cooperate with the surgeons who perform a limited number of surgeries each week to ensure the best results.

04
7/24 Support

You can contact our agents 7 days 24 hours for your questions or support.

05
5-Star Hotels

We provide you with special discounts in luxurious hotels in the vicinity of the hospital. Your comfort is very important to us.

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06
VIP Transportation

We provide, via VIP vehicles, airport transfer and transportation between your hotel and the hospital before and after the surgery.

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07
Wellbeing Assistance

As Clineca, we will provide you with patient accompaniment, who will visit you every day in your hotel room during resting period to examine you and provide medical assistance if needed.

08
No Hidden Costs

The price includes fees of the surgeon and the anesthesiologist, operating room expenses, anesthesia, hospitalization, standard tests, medications and medical visits by a nurse.

09
All-Inclusive

The price includes hotel accommodation (including breakfast), airport transfer, transportation between hotel and hospital before and after the surgery.

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10
Optional Services & Products

Interpreter service, BBL pillow, neck pillow (rhinoplasty), eye mask (rhinoplasty), voltage converter, and others that will enhance your comfort and satisfaction.

11
Why Turkey?

Turkey is a leading player in medical tourism, and Istanbul, which is an extremely beautiful touristic city, is the plastic surgery capital of Turkey.

Step by Step Experience for International Patients

Clineca has a holistic approach. We believe that everything should be right for a satisfactory cosmetic surgery experience, including your days in İstanbul. That is why we plan every detail of your journey.

Knowing Each Other

Shortly after you fill the form, one of our agents will contact you. They will listen to you, ask you questions, and answer yours. They will inform you about the whole experience, in detail. If you want to go further, they will arrange an online consultation for you.

Online Consultation

You will have an online consultation with your surgeon through video chat. They will perform an online examination, listen to you about your wishes, and will provide you with in-depth information. They will help you to choose what the best approach to your case is.

Planning

We'll plan your whole journey, including the date of your surgery and where you'll stay at while you’re in Istanbul. We'll inform you about everything you need to know from what to have in your suitcase to what to do before your procedure.

Landing

Our VIP transportation vehicle will be ready at the airport before you land. The driver will be waiting for you. We'll drive you to the hospital. At the hospital, we will perform required blood tests and the COVID test. Then, we will take you to your hotel.

Examination & Surgery

The next morning, we will take you from your hotel to the hospital. Your surgeon will examine and inform you about the procedure. On the same day, you will have the surgery. You will stay at the hospital 1-2 day(s), depending on the procedure.

Resting & Recovering

After your stay at the hospital, we will drive you to your hotel. You will rest and recover at your hotel room during the following week. A wellbeing assistant will visit you every day to inform you, to examine, and to provide medical care.

Entertainment

We will gladly and proudly show you around our beautiful city. We will be more than happy to provide you with professional guidance in historical sightseeing. You can also learn from us where you can find anything from shopping to entertainment.

Follow-Up & Leaving

We will take you for your 1-week follow-up with your surgeon. They will examine you, remove your bandages if required, and inform you about what you should/shouldn’t do during your recovery period, in detail. Afterwards, we will drive you to the airport.

Recovery Period

During your recovery, we will be in touch. We will inform you, check on you, and answer your questions. You can reach us 7 days 24 hours. We will expect you to send photos periodically to follow your recovery period.

Who Is A Good Candidate For Breast Implant Revision?

If you are healthy, you want to have a breast implant revision because of any reason, and have realistic expectations, then you are a candidate!

As with all the other surgeries, the first requirement to be eligible for a breast implant revision is being healthy. If you are healthy, that you don’t have any condition that may impair healing after the surgery, there is no obstacle for your surgery. The second requirement would be that you have realistic expectations. You should understand the procedure and its expected results.

A breast implant revision may be an ideal treatment for you if:

  • Your breast implants are ruptured or leaking.
  • The shape of your breast implants is distorted, or they cause distortions on your skin.
  • You don’t like the shape or the size of your breasts. of your breasts.
  • The appearance of your breasts has changed due to aging, weight fluctuations, or pregnancies.
  • You have developed capsular contracture.
  • You think your breasts are asymmetrical.
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What are the Expected Outcomes of Breast Implant Revision?

The outcomes of breast implant revision can be analyzed in three main categories: aesthetical, psychological, and health-related.

Aesthetical Outcomes

Aesthetical outcomes of your breast implant revision depend on your specific concerns and the reason you are having a breast implant revision. If you chose to have a breast implant revision because you are not happy with the size or the shape of your previous implants, you will obtain the breasts that look the way you desire. If you chose to have this surgery because the appearance of your breasts has changed in time due to reasons such as aging, weight fluctuations, or pregnancies; the aesthetical and youthful appearance of your breasts will be restored. If your concern is that the shape of your breast implants became distorted, or they cause distortions on the skin, these problems will have been eliminated.

Cosmetic breast surgeries enhance not only the appearance of breasts, but also the whole contour of the body. Breasts have a central importance to the female figure, and because of this, a talented and experienced surgeon carefully working on them to reshape will achieve a sculpted appearance not only to the breasts but to the whole body.

Health-related Outcomes

Ruptured or leaking breast implants can cause health-related problems. Although there is no detected association between leakage and serious health issues such as breast cancer, connective tissue disease, or reproductive problems, patients with both saline and silicone implants have reported some systemic symptoms. Besides, when an implant is ruptured, collagen fibers in the breast can grow in the empty space. These are needed to be removed. When the direct effects of the leakage are considered, silicone gel implants are thought to be riskier, because the silicone gel is a foreign body, whereas the content of a saline implant is only salty water which is safely absorbed by the body.

Psychological Outcomes

The psychological outcomes of the procedure are as important as the physical ones. When you are not happy with your breasts, you can experience serious psychological distress, which can negatively affect your self-esteem and social life. If you are not happy with the size or shape of your breasts, or the appearance of your breasts have changed due to various reasons, or the implants cause an unnatural appearance, you may feel frustrated and too self-conscious. Therefore, after having this procedure, you will have great psychological benefits. You will start to love your body more and your self-confidence will be boosted.

How is a Breast Implant Revision Done?

Breast implant revision is a cosmetic surgery procedure performed for various reasons. It is customized according to the needs and wishes of the patient.

Anesthesia

Like every other surgery, breast implant revision surgery requires anesthesia. Your surgeon will decide if general anesthesia or local anesthesia with sedation is the more suitable one for your case. But typically, general anesthesia is used in breast implant revision surgeries.

Surgery

Procedure

There are different reasons to have a breast implant revision surgery, including the desire to remove breast implants, or to replace the implants with different ones (different size, shape, or type); reversing the effects of aging, weight fluctuations, or pregnancies; and treatment for capsular contracture. Therefore, the details of the procedure depend on the needs and the goals of the patient. The surgery takes 1 to 3 hours, depending on the specifics of the procedure.

Incision

In most of the cases, the same incisions used in the original breast augmentation surgery is used. However, if there is a need for a breast lift, other incisions may be required. The exact pattern of the incisions depends on the amount of lift that is required. A small incision at the top of the areola, or an incision around the areola with a vertical incision extending down to the natural crease below the breast, may be necessary. In severe cases, a horizontal incision along the crease below the breast may be added.

Variations

Changing the Size or the Shape

You may choose to have a revision surgery because of being not content with the size or the shape of your breasts. In that case, your surgeon will remove your previous implants and manipulate the space inside your breasts to fit the new implants. If your new implants are larger, they may enlarge the implant pocket. If your new implants are smaller, they may need to reduce the size of the implant pocket with sutures. Then they will place your new implants. It may be necessary to use an Acellular Dermal Matrix (a type of surgical mesh) to add support.

Treatment for Capsular Contracture

Capsular contracture is a painful and discomforting complication caused by a tightened and hardened tissue capsule that is squeezing the implant. During the breast implant revision surgery, this issue is addressed by your surgeon removing the old implants and the hardened tissue capsule, then inserting your new breast implants.

Revision with a Breast Lift

Whether it is because of aging, weight fluctuations, or pregnancies; you may end up having sagging breasts. This can be corrected through a breast implant revision in combination with a breast lift. In this procedure, in addition to replacing your implants, your surgeon will remove the excess skin from your breasts and reposition your nipples and areolas.

Treating Implant Rippling

Sometimes, the edges of saline implants become visible, and they can be felt. There are several options to correct this problem: the implants may be repositioned, a new implant can be placed in a different implant pocket with thicker muscle coverage, other tissues can be used to cover the edges of the new implant, or a different type of implant can be used.

Correcting Implant Malposition

During the original breast augmentation surgery, the implant pockets may have been created too close to or too away from each other. In that case, your surgeon will reconstruct the implant pockets in the appropriate positions by manipulating the scar tissue in or around the implant pockets. Sometimes, it may be necessary to use an Acellular Dermal Matrix (a type of surgical mesh) to add support to the newly positioned implant pockets.

Implant Removal

You may want your implants to be removed and no new implants to be placed, because you don’t want them anymore. Maybe, if your implants were large, they may have been causing sagging in your breasts, and you may want them to be removed to correct this issue. A breast lift may be necessary to correct this problem, but sometimes the removal of the implants is sufficient. During your breast implant removal procedure, your surgeon will remove your implants and the tissue capsule formed around them.

Risks and Complications*1*2*3*4

Breast Implant Revision is either done in order to prevent implant-related complications, or as a result of some complications. The complications are the same as the breast augmentation with implants, as the procedure is related. Although, if the implant is removed, implant-related complications will be removed as well.

    Early complications:

  • Infection
  • Scarring
  • Asymmetry
  • Hematoma
  • Seroma: It’s a build up of clear fluid, not dangerous, but can be painful and uncomfortable.
  • Breast pain/tenderness
  • Poor cosmetic outcome
  • Changes in sensation
  • Venous thromboembolism
  • Pulmonary dysfunction

    Late complications:

  • Implant displacement
  • Implant leak
  • Capsular contracture: scar tissue that is formed around the implant can get tightened. Graded on a scale from 1 to 4, if severe it can require a surgical correction or removal of the implant.

    Contributor factors to complications:

    Patient related factors:

  • BMI
  • Age
  • Preoperative breast volume
  • Smoking
  • Diabets
  • Medications

    Surgeon Related Factors:

  • Incision
  • Implant Texture
  • Implant Shape
  • Operational procedure
  • Post-operative care

What To Expect During A Breast Implant Revision Recovery?

The First Week

In the majority of the cases, the recovery period after the breast implant revision is much easier than it was after the original breast augmentation surgery. After the surgery, there will be stitches on your incisions and dressings on your incisions, and you will need to wear a support bra or a compression garment for some time. Right after the surgery, it is normal to experience some pain and discomfort. You will also experience some bruising and swelling. Pain and discomfort will improve after a few days. Until then, pain can be successfully controlled by pain medications. Small, thin tubes may be temporarily placed under the skin to drain excess fluid and blood. You will be able to walk on the day of the surgery, but you will need several days before returning to your other daily activities. Your stitches will be removed after a week.

Later

The swelling and bruising will improve significantly past the first week. The most of the remaining swelling and bruising will be gone within the first month after the surgery. Most of the patients are able to return to work 7 to 10 days after the surgery. It may require more or less time depending on the type of activities you perform. You may have altered sensation around the incisions, which should be temporary. 6-8 weeks post operation, the scars will start to fade, and you will be able to return to most of your regular activities including exercise. The exact duration of the recovery depends on the procedure as well as the patient. If you have a combined breast implant revision with breast lift, your recovery period can be longer while if your implants are removed without placing new ones, it can be shorter.

Guidance & Support

A wellbeing assistant will visit you in your hotel room every day during the first week after the surgery. We will expect you to be in our clinic for your post-op examination 1 week after the surgery, before you leave Istanbul. We will still follow your recovery process while you are away. Clineca will provide you with complete support and inform you about everything you need to know during your recovery. We will be with you from your consultation to the very end of your recovery.

Quote from the Doctor

“Breast augmentation requires experience and skill. Whereas breast implant revision requires much more than that. The surgeon needs to understand the body and the wishes of the patient very well.”

What to Do Before Breast Implant Revision?

During your online consultation, your surgeon will ask you questions about your medical history. It is of critical importance that you give your doctor every detail, from the conditions you might have to the operations you had in the past, to the medications and supplements you use, to minimize the risks the surgery could bring. They will also conduct a physical examination. Your surgeon will inform you about everything you need to know before the surgery. Clineca will provide you with complete guidance and support before your surgery. You will have a complete and detailed list of instructions.

Instructions

Most important instructions include,

  • Stop smoking at least 2 weeks before the surgery.
  • Avoid non-steroidal anti-inflammatory medications (such as ibuprofen and aspirin) for 2 weeks before the procedure.
  • Avoid herbal remedies and supplements
  • Take only the medications approved by your surgeon.

What to Do After Breast Implant Revision?

What you need to do after the surgery will be explained to you in detail by your surgeon and Clineca will provide you with all the support and guidance you need. Most important instructions include:

  • Do not smoke for at least 2 weeks after the surgery.
  • Do not take non-steroidal anti-inflammatory medications after the surgery until your surgeon approves using them.
  • Care for the surgical sites and drains.
  • Take or apply the medications prescribed for you.
  • During the first week after the surgery, sleep with your head and back elevated to reduce swelling, using pillows or sleeping in a recliner chair.
  • Avoid strenuous activities and exercises for several weeks.
  • If you experience chest pains, unusual heartbeats, or shortness of breath, seek medical attention immediately.
  • Wear the support bra or the compression garment as prescribed by your surgeon.
  • Love yourself and show the world how beautiful you are!

Quote from the Doctor

“Breast implant revision surgery can be performed for many reasons. These reasons include unsatisfactory results from the primary breast augmentation, capsular contracture, aging-related natural changes, rupture or leakage, desire to replace the implants with different shaped or sized ones.”

FAQ

We know you have many questions. Having realistic expectations and deciding to have a cosmetic surgery requires information. Here you can find answers to frequently asked questions about breast implant revision.

It is a cosmetic surgery performed to replace the existing implants, treat complications, reverse the effects of aging, pregnancies, and weight fluctuations; and to correct the problems caused by the original breast augmentation procedure.
If you are healthy, you want to have a breast implant revision because of any valid reason, while having realistic expectations, then you are a candidate!
All surgical procedures come with risks. However, if it is performed by an experienced and talented surgeon, and you follow your surgeon’s post-op instructions closely, the risk of having a serious problem is very small.
After the surgery, you will experience swelling, bruising, discomfort, and some pain. You may also experience temporary changes in skin sensation.
In every surgery, some scar is left. However, in most cases, the incision scars left from the primary breast augmentation surgery is used. Therefore, there will be no new scars.
During the surgery, you won’t feel any pain. After the surgery, especially in the first week, you will experience some pain (which is in most cases milder than the pain you had after the primary breast augmentation), but it can be easily controlled by pain medications.
There can be several reasons to have a breast implant revision surgery. The specifics of the procedure depend on the reason; and the needs and desires of the patient. The surgery takes one to three hours, depending on the exact procedure.
The type of anesthesia used depends on the specific case of the patient and the surgeon’s preference. Either general anesthesia or local anesthesia with sedation is used. However, in breast implant revision surgeries, typically general anesthesia is used.
We will expect you to visit our clinic 1 week after your surgery. During your visit, you will be examined, and your stitches will be removed.
The exact duration of the recovery period depends on the patient, the specific case, and the extent of the surgery. Most of the patients return to work or school 7 to 10 days after the surgery. But you will need several weeks before returning to strenuous activities and exercises.
3 months after your surgery, most of the swelling will be gone, and you will be able to see the initial results. In about a year, all the swelling will have been gone, and the final result will be apparent.
The total cost can vary according to type of surgical technique and procedure. You can contact us for detailed information.
There is no need to replace breast implants if you don’t have any problem. However, the state of the implants should be regularly monitored. On the other hand, you may choose to replace them after 10 years to decrease the chance of rupture or leakage.
To be able to see the results of your primary breast augmentation and to allow your breasts to recover and settle, you should wait at least 4-6 months. However, if your recovery rate is slow, it can take longer.
Reasons to have this surgery include the desire to replace or remove implants, the need for a correction of the first surgery’s results, addressing capsular contracture formed around the implant, and ruptured or leaking implants.
Incisions are made on top of the incision scars left from the primary breast augmentation surgery. The implants and the tissue capsule formed around them are removed. It is sometimes necessary to perform a breast lift in combination.
The old implants are removed. The implant pockets are manipulated to make them fit the new implants. Then the new implants are placed. Sometimes an Acellular Dermal Matrix (a type of surgical mesh) is used to add support.
The old implant and the hardened scar tissue forming the capsule are removed. Then the new implant is inserted.
In this variation, in addition to the replacement of the implants, the excess skin in the breasts is removed, the nipples and areolas are repositioned.
There are several reasons for having a breast implant revision procedure. Here, you can find the solutions for different problems.

Problems & Solutions

There are several reasons for having a breast implant revision procedure. Here, you can find the solutions for different problems.

Even when there is no problem, you may choose to have a breast implant revision surgery if you are not happy with the results of your primary breast augmentation surgery. You can be unsatisfied with the results, which is very understandable. The results may not have matched your expectations or your desires could have been changed. Whatever the reason might be, if you are healthy and have realistic expectations, you can have a breast implant revision where your breast implants will be replaced with new ones. During the surgery, the incision scars left from your original breast augmentation surgery will be used, so no new scars will be formed. Your surgeon may manipulate the implant pockets to make them better fit the new ones: if your new implants are larger, the implants pockets may be enlarged and if they are smaller, the surgeon may need to reduce their size.
In these cases, the hardened scar tissue capsule that is causing this problem should be removed. If you have developed capsular contracture once, the chances of having another are higher than the average. However, this doesn’t mean that you are going to have it again. If you decide to have a capsulectomy (removal of this scar tissue capsule), you have two options: you may choose to have implants placed after the capsulectomy, or you may choose not to have implants. If you choose not to have implants anymore, during your surgery, the implant and the tissue capsule will be removed. On the other hand, if you still want to have implants, after the removal of the old implant with the capsule, a new implant will be placed.
This is absolutely normal. Results of the breast augmentation are long-lasting. However, aging, pregnancies, and weight fluctuations change the appearance of the breasts. But don’t worry! If you intend to have a breast implant revision surgery, the effects of time, gravity, your pregnancy and possible weight changes can be reversed. Because you mentioned “years and pregnancy”, you will probably need a breast lift, which can be combined with your breast implant revision surgery, which means, the excess skin on your breasts will be removed and your nipples and areolas will be repositioned. This is also a chance to change the size and shape of your breast implants. If you are considering that another type of breast implant would be better for you, this is your chance to get them! After the procedure, you will have “lifted”, youthful, and aesthetically pleasing breasts.
Sometimes, the edges of saline implants become visible, and they can be felt. In that case, there are several options: your surgeon can reposition your implants to prevent the rippling, or they can place new saline implants in a different implant pocket with thicker muscle coverage. They can also place new saline implants and use other tissues to cover the edges of the new implants, or they can place silicone gel implants instead of saline implants.
It is probable that during your primary breast augmentation surgery, the implant pockets have been created too close to each other (they could also be too away from each other). This problem can be solved through a breast implant revision surgery. During your revision surgery, the implant pockets will be reconstructed in the appropriate positions by manipulating the scar tissue of the implant pockets (this approach is used when they are too away from each other, too.) In certain cases, the surgeon may need to use an Acellular Dermal Matrix (a type of surgical mesh) to add support to the newly positioned implant pockets.
Just like having breast implants was your decision, having them removed is your decision, too. A breast implant revision surgery is what you need. During your revision surgery, your surgeon will remove the breast implants and the scar tissue capsule formed around them. In your case, because you won’t have new implants, the recovery period will be much easier.
Large implants may affect the shape of the breasts. Also, aging can contribute to this problem, too. In some cases, removing the implants may solve the issue, where your surgeon will remove the implants and the scar tissue capsules formed around them. However, depending on the condition of the breasts, a breast lift procedure may be needed as well. If so, in addition to removing the implants and the scar tissue capsules around them, your surgeon will remove the excess skin on your breasts.
References

1. Brennan, D. (2021, April 12). What is a Seroma? WebMD. May 12, 2022. https://www.webmd.com/skin-problems-and-treatments/what-is-a-seroma

2. Fardo D, Sequeira Campos M, Pensler JM. Breast Augmentation. [Updated 2021 Oct 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK482206/

3. Gupta, V., Yeslev, M., Winocour, J., Bamba, R., Rodriguez-Feo, C., Grotting, J. C., & Higdon, K. K. (2017). Aesthetic breast surgery and concomitant procedures: Incidence and risk factors for major complications in 73,608 cases. Aesthetic Surgery Journal, 37(5), 515–527. https://doi.org/10.1093/asj/sjw238

4. Montemurro, P., Hedén, P., Behr, B., & Wallner, C. (2020). Controllable factors to reduce the rate of complications in primary breast augmentation: A review of the literature. Aesthetic Plastic Surgery, 45(2), 498–505. https://doi.org/10.1007/s00266-020-01726-x