Breast Revision Surgery

With natural beauty as the ultimate goal, Long Island Plastic Surigcal Group’s surgeons can help women who are dissatisfied with a previous breast procedure. Breast revision—or breast augmentation revision—surgery can correct complications or unwanted results stemming from your first surgical experience, providing you with the beautiful look you had originally sought. Thanks to the expertise and exceptional skill of LIPSG surgeons, problems from prior procedures can often be resolved, and the results can exceed your hopes.

 

Breast implant revision surgery, or breast augmentation revision surgery, can help women who are dissatisfied with a previous breast enlargement or breast reconstruction procedure. By correcting complications or addressing dissatisfaction with results from your first surgical experience, the highly skilled plastic surgeons at LIPSG can perform breast revision surgery to provide you with the results you had originally hoped for. Our surgeons use the extraordinary skills that come with years of experience, research and education to help you achieve your goals, enhance your appearance and allow you to feel better about the way you look.

Reasons that patients may desire breast revision surgery include:

  • Breast implants are too large or too small
  • A desire to switch from saline to silicone implants or vice versa
  • A desire to revert to their original breast size
  • Capsular contracture, scar tissue forming around the implant that can cause a painful hardened feeling in the breasts
  • Implant deflation or rupture
  • Rippling appearance to the implant
  • Infection around incision sites
  • Asymmetrical appearance caused by shifting of the implant or awkward implant shape

Breast revision surgery or implant removal may also be necessary if a patient is undergoing unrelated health problems such as breast cancer, which may be more easily treated without the presence of an implant.

 

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Breast Revision Surgery Procedure

Depending on your needs and goals, breast revision surgery can be performed in a number of ways. Saline implant removal typically involves the deflation of the implant before removing it. Then, your Long Island Plastic Surgical Group surgeon will eliminate any existing scar tissue. Silicone implant removal is typically more involved, and may also require the removal of some surrounding muscle and tissue. If you are undergoing a removal and replacement breast revision surgery, the new implants are generally placed immediately after the original implants have been removed. Your LIPSG surgeon will take the greatest care to ensure the results meet your expectations and look natural and symmetrical.

 

The time it takes to perform breast revision surgery will depend on the extent of your procedure. Breast revision surgery is often performed under general anesthesia on an outpatient basis.


Types of Breast Implant Revision Cases

 

Scarring

Advanced techniques in breast augmentation surgery help minimize scarring and keep scars inconspicuous. For some patients, hypertrophic or keloid scars may occur as a result of breast augmentation surgery and may be treated with steroid injections, skin resurfacing, and other scar revision procedures.

 

Breast Ptosis or Drooping

Some breast augmentation patients, especially those with very large implants, may experience a descent of the implants over time. This condition is called ptosis, and may be corrected with a breast lift procedure.

 

Capsular Contracture

Capsular contracture is a condition of excessive scar tissue formation that surrounds the breast implants, tightening the capsule. Although all breast augmentation patients experience some degree of scar tissue formation around the implants, severe cases that result in capsular contracture cause distortion and hardening around the implant.  Depending on your individual condition, this may be corrected with surgery to remove the capsule around the implant or with a non-surgical solution such as massage.

 

Please click here to learn more about Capsular Contracture.

 

Breast Implant Rupture, Deflation, or Leaking

Breast implant rupture, deflation, or leaking can happen as a result of trauma, defective implants, or simple long-term wear. To correct a ruptured breast implant, the ruptured implant must be removed and replaced with a new one.

 

Displaced Implant

Implant displacement occurs when the breast implant shifts from its desired location. To correct the condition, your surgeon may perform surgery involving sutures or tissue replacement material to give the implant the additional support it needs to stay in place.

 

Breast implant rippling

Some patients may experience a visible rippling of the breast implant through the skin. This may be associated with thin skin, saline implants that are not filled to proper volume or the way an implant has been placed over the chest muscle.  Revision surgery can correct the condition by adding support to the implant with a tissue product such as Alloderm, or relocating the implant within the breast.

 

Please click here to learn more about Breast Implant Rippling.

 

Double Bubble

A “double bubble” is caused by a displaced breast implant that has started drooping beneath the breast crease, creating what may look like an extra breast below your breast.  With revision surgery, your plastic surgeon can reposition the implant to restore a more natural appearance.  If there is excess skin, a breast lift may be needed.  Alternatively, the implant may be positioned too high causing another type of double bubble deformity.  Your LIPSG plastic surgeon will be able to determine the type of deformity during the initial consultation.

 

Please click here to learn more about Double Bubble.

 

Exposed implant

An exposed implant is a very rare complication that is typically associated with infection or insufficient tissue coverage for the implant. Your plastic surgeon may remove or reposition the implant, or create a tissue flap to close the wound.

We Are Here For You

If you are concerned about your implants and would like to learn more about revision surgery, please contact the Aesthetic Breast Center at Long Island Plastic Surgical Group today by calling 516-504-3014.

 

 


Capsular Contracture

 

What is capsular contracture?

Capsular contracture is a condition that can occur when excessive scar tissue forms around the breast implant causing it to look misshapen and feel overly firm. Capsular contracture can occur with both saline and silicone implants.

 

What causes capsular contracture?

Although the exact cause of capsular contracture hasn’t been identified, some theorize that the body may be having a reaction to the implants which are a foreign object in the body. Recent research suggests that capsular contracture may actually be caused by naturally occurring bacteria that makes its way into the incision or onto the implant when it is placed into the body.

 

How do I know if I have capsular contracture?

You may be experiencing capsular contracture if you feel pain in one or both breasts, if your breast feels firm or very hard, or if your breasts are beginning to look significantly different from each other. While all breast implant patients experience some degree of scar tissue formation around the implants, in cases of excessive scar tissue formation, surgical intervention is necessary.

 

Can capsular contracture go away by itself?

Capsular contracture does not get better or subside if you wait to have it treated. If this condition is detected by your doctor, you may need to undergo revision surgery to remove the capsule around the implant and possibly the implants as well.

 

How is capsular contracture corrected?

Long Island Plastic Surgical Group surgeons are expertly trained in breast revision surgery to correct capsular contracture.  In some cases, non-surgical options may be available such as massage. However, the best way to ensure correction of the issue is to undergo a surgery in which your plastic surgeon can access the scar tissue around the implant.  During your consultation, your LIPSG surgeon will closely examine your breast implants and recommend a surgical or non-surgical solution that is right for you.

 

Capsular Contracture Procedure

The first step in capsular contracture surgery is to reopen the incisions that were made during the initial breast augmentation surgery. These are often located in the crease below the breast or around the nipple areola. Through these incisions, your LIPSG surgeon will be able to closely assess your individual scar tissue condition.

 

One option for correction is called a capsulectomy. Once the scar tissue has been examined, your plastic surgeon will begin to separate it from the breast implant and remove it.  The second option for correction is called a capsulotomy. Your plastic surgeon will access the scar tissue in the same manner but instead of removing it altogether, small incisions will be made along the scar tissue, to disconnect it from the implant. In this option, only a small amount of scar tissue may be removed if any.

 

Recovering from Capsular Contracture Surgery

Recovery from capsular contracture surgery typically lasts one week before you can return getting back to your normal routine.  However, the healing process should be shorter than it was for your initial breast augmentation.

 

After a few weeks, you will be able to see the benefits of your corrected breast implants. Any additional hardening and irregular appearance of the implants may be improved in the future.

 

If you believe you are suffering from capsular contracture, contact the Long Island Plastic Surgical Group at 888‐444‐0931 for a consultation with one of our expert plastic surgeons. 


Rippled Breast Implants

 

Patients who have undergone breast augmentation can sometimes experience visible rippling of the breast implant through the skin. This rippling of the breast implant on the skin can sometimes be associated with:

  • Thin skin
  • Saline implants that are not filled to proper volume
  • The placement of an implant over the chest muscle

Not all breast implants are perfectly smooth. However, patients who choose saline implants over silicone gel implants may be at a slightly higher risk for experiencing visibly rippled implants.

 

How are Rippled Breast Implants corrected?

The revision surgery to correct rippled breast implants may take place in LIPSG’s private surgical facility in Garden City, or in a nearby hospital. To access your implants, your plastic surgeon will make an incision in the same location used in your original breast augmentation. This incision is commonly made in the armpit or around the areola. Your plastic surgeon will then perform one of two common corrective procedures to diminish the appearance of implant rippling:

 

1. Tissue products such as Alloderm or Strattice can be used to support an implant that is “bottoming out” or drooping to correct visible rippling through thin skin. By using internal sutures to affix the material around the implant, the extra layer of tissue shields the outer skin from visible rippling.

 

2. The second method for correcting the issue involves moving the implant within the breast. If the rippling is visible because the implant was placed over the chest muscle, your plastic surgeon may choose to relocate the implant beneath the chest muscle. This will separate the implant from the outer wall and remove any visible implant rippling on the breast.

 

Recovering from breast revision surgery

Since you may experience swelling or discomfort as you heal from your surgery, you should plan to limit activity for approximately one week. The swelling should dissipate within a couple of weeks. To manage discomfort, your plastic surgeon may prescribe medication.

 

The improvements to your breasts should be long-lasting, though you should be aware that additional revision surgeries may be necessary in the future.

 

If you believe you are suffering from rippled breast implants, contact the Long Island Plastic Surgical Group at 888‐444‐0931 for a consultation with one of our expert plastic surgeons.


Double Bubble

Women who have undergone breast augmentation may later experience a drooping of the breast implant below the breast crease commonly called “double bubble.” LIPSG’s expert surgeons can perform corrective surgery to reverse the signs of double bubble by lifting the loose breast skin or moving the implant within the breast to restore it to a normal-looking appearance.

 

What causes double bubble?

Double bubble is caused most often by a misplaced implant that has begun to droop beneath the breast crease, creating what can sometimes look like an extra breast below the breast. In some cases, if a breast implant is placed too high and does not descend naturally, the implant may be visible above the woman’s natural breast, creating an undesirable appearance.  When the double bubble is visible beneath the breast crease, loose skin is the most common cause.

 

How is double bubble corrected?

Your LIPSG plastic surgeon will likely use the same incisions that were used for your initial breast augmentation. These may be under the breast or around the areola. Upon accessing the breast implant, the surgeon will be able to shift the implant to a more natural position within your breast.

 

If there is excess skin on the breast that has contributed to the double bubble, your plastic surgeon may recommend a breast lift. In this procedure, an incision is made around the areola, extending down to and across the breast crease. Through this incision site, excess skin and tissue is removed and the implant is placed in a more natural position.

 

Recovering from breast revision surgery

When you leave our facility or the hospital, you will need to limit your activity for at least a week. As you begin to heal, your surgeon will let you know when it is appropriate to resume your normal activities.

 

During the initial healing period, some swelling and discomfort are likely. The swelling should dissipate over the course of the first two weeks. To help manage discomfort, however, your plastic surgeon may prescribe medication.

 

Will I look normal after breast revision surgery?

The benefits of revision surgery should be long lasting, although future surgeries may be necessary. The effects of your breast lift will last a long time, though gravity and age will continue to play a role in the appearance of your breasts.

 

Scheduling a consultation

If you are concerned about your implants and believe you may be experiencing “double bubble,” please contact the Aesthetic Breast Center at Long Island Plastic Surgical Group today by calling 888-444-0931.


Breast Implant Displacement

Implant displacement occurs when the breast implant begins to move out of its intended location. This can result in a loss of symmetry with the breasts and increased visibility of the implant.

The most common types of implant displacement are implants that shift toward the underarm, implants that sit too high or too low on the chest, and implants that migrate toward each other in the middle of the chest.  Some causes of breast implant displacement include:

  •  Implant size may be too large
  • Poor implant placement (implants that have been placed over the muscle are more likely to experience displacement)

When you meet with your LIPSG plastic surgeon, he or she will examine the type of implant displacement and discuss options for correction based on your specific condition.

 

How is Implant Displacement corrected?

In cases where the breast implant has begun to droop or “bottom out,” your LIPSG plastic surgeon may use tissue replacement materials that can be placed within the breast to provide extra support for the implant and restore a more normal appearance to the breasts.

If your breasts have migrated toward each other in the middle of the chest, this is referred to as symmastia. To correct this, your plastic surgeon may use internal sutures to permanently hold the breast tissue in place to properly support the placement of the implants.

If scar tissue has formed around the implant causing it to move from its desired location, your plastic surgeon may perform a capsulectomy or a capsulotomy. In this case, your plastic surgeon will make incisions on the scar tissue to release it from the implant. If excessive scar tissue is found, it will be removed.

 

How will my breasts look after revision surgery?

The improvements to the appearance and placement of your breast implants should be long-lasting, though some patients may require additional revision surgery in the future.

 

Scheduling a consultation

If you are concerned about your implants, please contact the Aesthetic Breast Center at Long Island Plastic Surgical Group today by calling 888-444-0931.


Breast Revision Recovery

The recovery process for breast revision procedures depends on the type of revision surgery undergone. Implant removal typically results in some mild discomfort, bruising and swelling that is easily managed with medication. Implant replacement patients can expect some bruising, swelling and discomfort in the few days after the procedure, though this can also be managed with medication. Patients who have undergone implant replacement may also be fitted for a compression bra to wear for a few weeks after surgery to help the progression of healing.

 

Breast revision surgery patients are advised not to participate in strenuous activities or activities that could strain or harm the breasts for at least six weeks after surgery. Depending on the procedure you have undergone, you will most likely be able to resume normal daily routines a few days after the procedure.


Saline to Silicone Implant Exchange

The most common reason for implant exchange is to change breast size. Increasing size is more common, although some women do opt for a reduction. Now that silicone implants are widely available, many women are choosing to replace their saline implants in order to achieve a smoother, more natural feel. Those who experience rippling or wrinkling with saline implants find that it improves greatly when exchanged for silicone. An implant exchange procedure is generally less invasive than the original breast surgery. Patients tend to have less pain and a more rapid recovery since the space has already been created during the previous breast augmentation surgery.


Breast Implant Removal

Saline implant removal typically involves the deflation of the implant before removing it. The surgeon will then eliminate any existing scar tissue. Silicone implant removal is typically more involved and may require some surrounding muscle and tissue to be removed as well. If you are undergoing a removal and replacement breast revision surgery, the new implants are generally placed immediately after the original implants have been removed. Our plastic surgeon will take the greatest care to ensure the results meet your expectations and look natural and symmetrical.

 

For more information on breast revision surgery, or to schedule a complimentary consultation with one of our surgeons, please call 888-444-0931.


To see actual photographs documenting patients before and after surgery, please refer to our Breast Revision Photo Gallery.