Tag Archives: breast revision surgery

What is Revision Breast Surgery?

Breast augmentation or a Breast Lift can be an incredible surgery that transforms your physical appearance and improves your confidence and self-esteem.  The surgeons of Beautologie are extremely successful in providing excellent results with breast enhancement surgery.

But what happens if you inadvertently went to a non-qualified doctor and things went “wrong”?  Recent news stories in the Bakersfield Californian point out why it is so important to choose a real plastic surgeon, not one that has only weekend courses in these technically challenging procedures.

At our Beautologie offices in Bakersfield, Fresno and Malibu we are frequently consulted to help repair a breast surgery “disaster”, often one that was done under local anesthesia, or by a non fellowship trained plastic surgeon that does not have appropriate training.  In these cases, a revision may be required to address issues such as loss of volume, sagging skin, the positioning of the implant, or an infection. In many cases, the patient has lost the implant completely leaving loose scarred tissue, or has had multiple attempts at repair which have caused more damage.

In any type of revision surgery, identifying the cause of the problem and performing the right type of surgery to correct it is extremely important. Only a knowledgeable and highly experienced plastic surgeon should be consulted regarding a breast augmentation revision to ensure the best possible outcome to the procedure. These surgeries should only be performed by someone that has extensive revision surgery experience.

We have the experience and the skill to help you repair a bad experience.  Sometimes, the revision may require multiple procedures and may never turn out “perfect”. This is why it is important to choose a qualified surgeon at first.   Get it done right from the beginning, and you can avoid a costly and long procedure to fix a deformity.

Rarely a breast revision surgery will be needed following an augmentation due to the contraction of the capsule. A capsule is the normal scar tissue that will cover the implant after it has been placed in your body.  With some patients, the capsule will tighten and squeeze the implant.  One way to correct the shrinking is to open the capsule to create more space for the implant.

Another way is to remove the capsule completely.  Often, if the capsule is mild, we can prescribe medication that may help eliminate the capsule without surgery.  There are many theories as to why a capsule shrinks, including infections, trauma or even the flu.  Capsular contractions are more common when the implant has been inserted above the muscle (under the skin. The best location for an implant is behind, or partially behind, the muscle, and is the kind of procedure that we typically perform to avoid capsular contracture.  Also, choosing the under the breast incision helps to prevent complications.

Breast revision surgery may also be necessary if the implant that was used during your augmentation surgery was not round.  A natural or tear-drop shaped implant can rotate and can cause deformities.  Our office typically recommends round silicone and saline implants to prevent this from occurring.  We also know how to correct problems and deformities that have resulted from the use of implants that have rotated because of their shape.  The best way is to replace the implant to a round implant.

A breast implant will need to be removed or replaced if it has ruptured or starts leaking.  A ruptured implant is extremely rare, but does occasionally happen.  When a saline implant ruptures, the saline will leak rapidly and cause a deflated looking appearance.  The rupture of a silicone implant may not be noticeable for a long period of time.

If your implant ruptures and you chose to have it permanently removed, a breast lift may an appropriate solution to tighten the area.  Implant exchange is typically an “easier” procedure than the original surgery to place the implant, and the recovery is quicker.

The goal of breast surgery revision is to create a softer breast and more natural appearance.  Our office offers consultations to discuss your breast surgery revision needs in Bakersfield, Fresno or Malibu, CA.  Once we have had a chance to evaluate your condition, we can determine what type of revision procedure you will need.   We look forward to seeing you and helping you at Beautologie.