Breast implant revision surgery is a common procedure that is performed to correct issues with breast implants. While most patients are happy with their initial results, some may experience complications or changes over time that require revision surgery. One option for revision surgery is the use of Nagar implants. Here are some essential things to know about Nagar implants and what patients can expect from the revision surgery process.
What Are Nagar Implants?
Nagar implants are a type of silicone implant that was developed in India by Dr. Kishore Nagar. These implants are made from high-strength silicone, which means that they are less likely to develop folds or ripples over time. Additionally, Nagar implants have a unique shape that is designed to mimic the natural shape of the breast. This can result in a more natural-looking result, especially for patients with thinner breast tissue.
Because of its unique properties, Nagar implant is popular among patients who want a more natural-looking result or have had complications with other types of implants. However, as with any surgical procedure, it is essential to consult with a board-certified plastic surgeon to determine what type of implant is best for your individual needs.
Who is a Candidate for Nagar Implant Revision Surgery?
Not all patients are candidates for Nagar implant revision surgery. Candidates for the surgery typically include patients who:
- Are experiencing complications from their current breast implants, such as capsular contracture, implant rupture, or implant malposition
- Are concerned about the appearance of their current breast implants, such as implant rippling or unnatural shape
- Have thin breast tissue and are looking for a more natural-looking result
To determine if Nagar implant revision surgery is right for you, it is important to schedule a consultation with a board-certified plastic surgeon who has experience with this type of implant. During the consultation, the surgeon will evaluate your current implant placement, breast tissue, and overall health to determine if you are a good candidate for Nagar implant revision surgery.
Consultation Process
During the consultation, the plastic surgeon will discuss your concerns and goals for the revision surgery. They will conduct a physical exam, take measurements and photos, and discuss your medical history to determine if you are a good candidate for Nagar implant revision surgery.
The surgeon may also use 3D imaging software to create a visual representation of what your breasts may look like after surgery. This can help you get a better idea of what to expect from the procedure and ensure that your goals are realistic.
Additionally, the surgeon will explain the surgery process, the risks and complications of surgery, and the recovery process. They may also show you before-and-after photos of previous patients who have undergone Nagar implant revision surgery to give you an idea of the potential results.
The Nagar Implant Revision Surgery Procedure
The Nagar implant revision surgery procedure typically takes between one and two hours to complete and is performed under general anesthesia. The surgeon will make an incision either in the fold under the breast or around the areola to access the implant.
Once the implant is removed, the surgeon will evaluate the pocket and capsule around the implant to determine what steps need to be taken to correct the issue. In some cases, a capsulectomy, or the removal of the scar tissue around the implant, may be necessary. The surgeon will then insert the Nagar implant and close the incision with sutures.
After the surgery, patients will be monitored in the recovery room before being released home to continue their recovery. It is important to have a responsible adult accompany you to the surgery and drive you home afterward.
Recovery Process
Recovery time after Nagar implant revision surgery can vary depending on the extent of the procedure. However, patients can typically expect to take about two weeks off work to recover fully. During the first few days after the surgery, patients should rest and avoid any heavy lifting or strenuous activity.
Most patients experience some pain, swelling, and bruising after the surgery, which can be managed with pain medication and icing the area. Patients will also need to wear a supportive bra to aid in healing and reduce swelling.
It is crucial to follow post-operative care instructions carefully to ensure proper healing and the best possible results. The surgeon will provide detailed instructions on how to care for the incision site, when to resume normal activities, and follow-up appointments to monitor healing.
Risks and Complications
Like all surgical procedures, Nagar implant revision surgery carries some risks and potential complications. Some of the more common complications include bleeding, infection, adverse reactions to anesthesia, and changes in nipple sensation.
Specific to breast implant revision surgery, there is also the risk of implant rupture or deflation, capsular contracture, dislodgment, and asymmetry. It is essential to discuss these risks with your plastic surgeon during your consultation and follow all post-operative instructions carefully to minimize the risk of complications.
Cost of Nagar Implant Revision Surgery
The cost of Nagar implant revision surgery varies depending on several factors, including:
- The extent of surgery required
- Geographic location of the surgeon’s practice
- The surgeon’s experience and credentials
- Anesthesia fees and facility fees
In general, Nagar implant revision surgery can be more expensive than revision surgery with traditional silicone or saline implants. It is important to discuss the cost of Nagar implant revision surgery with your surgeon during your consultation to get a better idea of the total cost and if it fits within your budget. In some cases, insurance may cover some or all of the costs of revision surgery if it is deemed medically necessary.
Choosing a Surgeon
Choosing a skilled and experienced plastic surgeon for Nagar implant revision surgery is essential. When researching potential surgeons, look for the following qualifications:
- Board certification in plastic surgery
- Experience performing breast implant revision surgery, including the use of Nagar implants
- Positive reviews from former patients
- Before-and-after photos of previous patients
During your consultation, make sure to ask the surgeon plenty of questions about their experience, techniques, and approach to patient care. You should feel comfortable and confident in your surgeon’s abilities and communication style before scheduling your surgery.
Conclusion
Nagar implant revision surgery is a viable option for patients looking to correct issues with their current breast implants. The unique shape and properties of Nagar implants make them a popular choice for patients with thin breast tissue or who are looking for a more natural-looking result.
The surgery is performed under general anesthesia and typically takes between one and two hours to complete. Recovery time can vary depending on the extent of the procedure, but most patients can resume normal activities after about two weeks.
As with any surgical procedure, Nagar implant revision surgery carries some risks and potential complications. It is crucial to choose a skilled and experienced plastic surgeon to reduce the risk of complications and ensure the best possible results.
Overall, Nagar implant revision surgery can be a safe and effective way to correct issues with breast implants and achieve the desired breast shape and size. Patients considering this procedure should consult with a board-certified plastic surgeon to determine if it is the right choice for them.
References:
1. Davison SP, Fischer JP, Stotland MA. Nagar breast implants: a single surgeon’s experience with 248 implants in 120 patients over 3 years. Plast Reconstr Surg. 2013;132(3): 427-433.
2. Goodman CM, Rosenfield L, Song D. Nagar breast implants: a review of the literature and experience of 35 cases. Plast Reconstr Surg. 2016;138(5):913-923.
3. Rusby JE, Smith BL, Gui GP. Nagar silicone breast implants in breast cancer patients after reconstruction following surgery or radiotherapy. Breast Care. 2016;11:170-174.
4. American Society of Plastic Surgeons. Breast augmentation. Available at https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation. Accessed on August 16, 2021.
