The most common natural phenomenon causing patients to return to our office after breast surgery is scar tissue formation with hardening of the breasts, referred to as capsular contracture. Apart from capsular contracture, another common reason for breast revision surgery is that the initial implant was placed improperly. I see this on a weekly basis with patients who have their breast implants placed through the navel (transumbilical) or under the armpit (transaxillary approach). Let's face it, inserting an implant through the belly button and tunneling all the way under the muscles to the breast seems like an awfully long distance. In actuality, it is, and results from these procedures can be very unpredictable. While patients sometimes ask for these types of approaches because they leave no scars on the breast itself, I still don't believe that it is a good trade-off if you end up unhappy and deformed.
Find out more about this book:The Beverly Hills Shape: The Truth About Plastic Surgery