Third Breast Revision Surgery Review: 48-Year-Old Patient from Germany

With a first breast augmentation, you might only think about which shape you want and what size. But if you’ve already had several surgeries and run into problems afterward, “breast revision” becomes many times more complex — especially when sagging, asymmetry, thin skin, or scar tissue pulling on the breast are all involved.

Nuna, 48, from Germany, has been through all of it. She had already had breast surgery 3 times, and this time she decided to fly back to Thailand for another revision after experiencing sagging, a distorted shape, and uneven breasts.

Sagging, Drooping, Misshapen, Uneven… Problems Built Up Over Multiple Surgeries

Before her revision, Nuna was dealing with several issues at once: sagging, drooping, a distorted shape, and asymmetry. What required especially detailed planning this time was the scar tissue (capsular tissue) pulling on her breast tissue.

On top of that, Nuna has fairly thin skin and had large implants in her previous surgeries. So choosing new implants wasn’t simply a matter of asking, “How many cc do you want?”

Part of her still wanted large breasts like before, but another part knew that going too big could lead her right back to the same problems.

After 3 Surgeries, This Time Called for Even More Careful Choices

If you’ve never had breast augmentation, you might think choosing implants is easy — just pick the size you like. But in a revision case, size becomes only one part of the equation.

Dr. Darin (Dr. Darin Muangthai, Board-Certified Plastic Surgeon, Medical License No. 27751) assessed that if Nuna chose implants larger than suitable, the same problems could come back, because her existing breast tissue and skin already had limitations.

In the end, they chose 335cc implants combined with fat grafting to the breasts, rather than simply increasing the implant size.

Why 335cc and Not Bigger?

This question is probably on many people’s minds, especially for women planning a breast augmentation or researching breast revision.

The answer lies in the condition of Nuna’s existing breasts: thin skin, previous large implants, scar tissue pulling, plus sagging and asymmetry. Simply continuing to increase the size might not be the best solution for this case.

So the doctor designed the plan using 335cc implants together with fat grafting, which better suited Nuna’s breast tissue. The right size must always match each person’s breast base, skin, existing breast tissue, and surgical history.

17 Days After Breast Revision: How Painful Was It? “Not Like Getting Run Over by a Truck” 😂

Nuna shared that there was some normal pain and swelling at first, especially in the first 7–8 days when she had to be extra careful. But when asked whether it hurt a lot, she answered jokingly…

In other words, there was some pain, tightness, and swelling — all natural after surgery — but nothing unbearable. After the first phase, she gradually got back to more of her normal routine, and by 17 days, Nuna was happy with her overall recovery.

How to Take Care of Yourself in the First 7–10 Days

For anyone researching recovery after breast augmentation or breast revision, Nuna shared that during the first 7–10 days you need to avoid sudden or strenuous movements, avoid exerting yourself, and avoid lifting heavy objects, then gradually return to daily life as appropriate.

Some reviews may say you can go back to work within a few days, but that doesn’t mean everyone recovers at the same pace — especially with a breast revision, which involves more detail than a first-time augmentation and can vary greatly.

What helps most is following your doctor’s instructions: sleeping position, movement, wearing a compression garment, wound care, and when to return to exercise.

She Chose The SiB After Seeing Cases with Problems Like Her Own

Before deciding, Nuna spent time researching and reading reviews from many clinics, until she came across reviews from patients with similar problems whose revisions turned out with a much better shape. At that moment, she felt, “This is exactly what I’ve been looking for.”

For someone who has already had breast surgery 3 times, choosing where to have the next revision is far from easy. You have to consider the surgeon’s experience, the techniques, the condition of your own breasts, and post-operative care. So Nuna wasn’t just looking for beautiful results — she was looking for a place that truly understood her case.

A 3rd Revision Doesn’t Have to Be Bigger Than Before

Many people assume that a new breast revision means going up a size. But in reality, the goal of revision isn’t just to increase size. In some cases, the doctor may even recommend going smaller, or choosing a size that better suits the breast tissue, to reduce the chance of problems recurring.

Cared for by Dr. Darin at The SiB Plastic Surgery

For breast revision cases with multiple previous surgeries, pre-operative assessment is crucial. The doctor must evaluate the existing breast structure, skin quality, tissue, scar tissue, previous implant position, and each patient’s limitations.

At The SiB Plastic Surgery, Dr. Darin discusses both what the patient wants and the body’s limitations, so everyone is on the same page before deciding on surgery — just as Nuna talked through her size options with the doctor until they found the right fit.

Very High Expectations — and the Answer: “Fulfilled”

Nuna made it clear that she had high expectations this time, because it wasn’t her first, but her 3rd time after already going through problems. What she wanted wasn’t just big breasts, but a better shape that suits her and doesn’t send her back to fix the same problems again.

A Message for Anyone Considering Breast Revision

Nuna’s story can be very helpful for anyone researching breast revision, especially those who have had multiple augmentations and are dealing with sagging, asymmetry, a distorted shape, scar tissue contracture, or thin skin.

This time, Nuna had 335cc implants combined with fat grafting, planned around the condition of her existing breasts rather than simply increasing implant size. In the early stage there was swelling and pain, and she had to avoid exertion for about 7–10 days, but by 17 days, the results turned out just as she had hoped.