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Breast Revision

Breast Revision - Breast Implant Exchange (Breast)

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Overview

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.

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.

Ruptured Implant

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. 

Capsular Contracture

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. 

Breast Rippling

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 Size

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.

Surgical Technique

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.

During/After Surgery

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.

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Recovery Time  
4-6 Weeks
Average Procedure Time  
1-2 Hours
Procedure Recovery Location  
Out-Patient
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The board-certified plastic surgeons of Sarasota Plastic Surgery Center, Dr. Braun Graham*, Dr. David Mobley*, Dr. Scott Engel*, and Dr. Brian Derby, offer a comprehensive range of cosmetic plastic surgery procedures. All information subject to change. Images may contain models. Individual results may vary. Individual results are not guaranteed.