Our Sarasota cosmetic surgeons see patients from all over the country who come to our practice seeking help due to unsatisfactory results from a previous breast augmentation surgery. While most breast augmentations are successful, some women will not be happy with the size, look, or shape of their breasts, or they may experience other issues such as rippling, scarring, or asymmetry. Our Sarasota surgeons are cosmetic breast specialists with revision experience to correct, restore, and repair a prior augmentation so that the patient has the natural, beautiful breasts she desires. If you find dissatisfaction with your implants, please call our Sarasota plastic surgery office and schedule your free consultation today.
Breast Revision Reviews
"27 Year Old Implants Removed Due to Leakage (60 Y/o) I am a young looking 60 year old. I had breast implants 27yrs ago. There was apparently a rupture with slow leakage over a period of time. I finally had to have the old implants removed & replaced at the same time I also had a breast lift. I am very happly with my results & now wish I would have had the surgery a year ago. One factor of having the surgery was money. I am just glad I still had a balance left on my home equity loan. He is a very skilled surgeon. My implant removal was very difficult & I couldn't ask for any better results. I now have breast I don't have to be ashamed of."- ja / RealSelf / Oct 31, 2009
"From start to finish it was flawless! - I had an amazing experience. My implants had to be removed as they were 36 years old. Everything he told me to expect was all true. Every step of the way.Very kind and compassionate and professional.The surgery went perfectly, no complications. I did not even need my pain medicine not even an advil. My mobility was limited but it got better each day. Now I am fully recovered. I did not replace..."- J. / RealSelf / May 26, 2018
"What a Great Doctor, What a Great Experience - I came to Dr. Derby as a 56 year old woman with saline implants with one deflating. He didn't upsell me on better implants or getting a lift, he listened to me and asked me "If it wasn't for the one implant deflating, would you be here?" Now mind you, I was blessed with great skin and for my age, there is barely any sagging. He gave me my options and went in with the least trauma and..."- M. / RealSelf / Aug 21, 2018
"Thanks to Dr. Scott J. Engel, January is the month of my rebirth as well as my birth. During my routine mammogram last year I was told my left silicone breast implant had ruptured . The diagnosis was confirmed by an MRI. I contacted several board certified plastic surgeons in the Sarasota area. I decided on Dr. Engel due to his expertise in replacing breast implants and his reputation as a perfectionist. It was one of the very best decisions of my life. During my surgery Dr. Engel discovered my left implant was in pieces and my right implant also had ruptured. Fortunately there was no extracapsular silicone in either breast. I am eternally grateful to Dr. Engel for the outstanding results he achieved, which greatly exceeded by expectations. Now I am a 55-year-old woman with the breasts of a 30-year-old woman. My breasts are beautiful, in perfect proportion to my nipples, and already look and feel totally natural. I am especially impressed by Dr. Engel?s accuracy and artistry in giving me breasts inspired by Marilyn Monroe, per the photos we reviewed prior to my surgery. Dr. Engel also is exceptionally caring, compassionate and conscientious. He performed my surgery on New Year?s Eve and personally conducted my first post-op exam on New Year?s Day. The staff of the the Sarasota Plastic Surgery Center also was very helpful. I am honored to provide my very highest recommendation for Dr. Engel and the Sarasota Plastic Surgery Center."- S.W. / Google / Jun 17, 2014
"Breast Augmentation - Loved all the nurses, my doctor and everyone who interacted with me. Very caring and friendly. I felt like I was in good hands all the way. And wow, my boobs look amazing!"- Anonymous / RealPatientRatings / Mar 13, 2018
Reasons for Revision Surgery
Breast revision corrects circumstances in regard to breast implants. The surgery focuses on removal, replacement, or making a switch from saline to silicone-based implants. Listed below are the most common cases where a patient may be a candidate for this treatment.
Breast Implant Removal
Individuals who wish to undergo breast augmentation do so to increase breast size primarily for aesthetics. However, after breast augmentation, some women may be dissatisfied with their results and opt to revert back to their normal breast size. Others may want to remove their implants because of health concerns or other personal reasons. Breast revision surgery is a process where the implant is removed and the skin over the breast is tightened to make sure the breast sits in a natural position and looks normal.
Despite the guarantee that implants are safe and leakages are rare, there are cases when a shell breaks down. If it is filled with saline, the solution will be absorbed by the body, and there will be a noticeable deflation of the breast. In the case of silicone implants, the gel will settle where it is originally placed and the only way to verify it ruptured is with an MRI or mammogram because the gel doesn’t deflate.
The tissues surrounding the implant may develop scars over time, which creates a capsular contracture. The scar tissue tightens around the implant, which causes the implant to be displaced. The patient will feel hardening of the breast, which can cause a discomfort. This is corrected by a capsulectomy in which the scar tissue is surgically removed. Based on statistics, there are more occurrences of contracture with saline implants compared to silicone-based ones.
A noticeable rippling can sometimes be seen underneath or on the side of the breast. This is generally more common among patients who have very low tissue volume and who are thin. Although not really a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. Rippling is most common with saline implants.
Double Bubble Implants
When an implant moves out of the intended pocket, it may cause the appearance of a double breast where a significant crease is noticeable. Implants not properly placed may drop and extend past the breast’s crease or rise, forming an odd volume on top of the breast. Sometimes implants are displaced by severe capsular contracture or a tightening scar tissue. Patients who experience this will go ahead with a revision surgery as this condition is usually noticeable when wearing tight-fitting clothes.
Breast implants vary in size, texture, shape and base. Some patients may be unhappy with how the breast looks and may consider a revision surgery to improve the appearance according to preference. It may be another size increase or a switch from a rounded implant to a more natural looking teardrop shape. Some patients also later realize that they’d rather have silicone instead of saline. All preferences will be considered to modify the augmented breast.
Revision surgery is tailored according to the cosmetic issue the patient is addressing. With this treatment, a major correction is done to the augmented breast in conjunction to scar tissue removal, if applicable, or a breast lift if there is sagging. There are instances when implantable absorbable mesh material will be needed to act as an internal under wire if additional support is required. Ultimately, the correction aims to repair the issue that’s the source of the patient’s dissatisfaction.
Breast revision surgery is performed with general anesthesia in our certified ambultaory surgical facility. The patient may be sent home after treatment depending on the severity of the case. It is recommended to have someone who can drive the patient home and who can provide support within 48 hours. Patients can resume to their normal routine on the second week. It will take a few more months for the effects of the revision to become noticeable and the breast to develop a natural feel and look.
Plan Your Procedure
- Recovery Time
- 4-6 Weeks
- Average Procedure Time
- 1-2 Hours
- Procedure Recovery Location