Breast Revision

Breast Revision - Orlando, FL

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Overview

Thousands of women receive  breast enhancement procedures every year- and while many patients are happy with their results, there are some patients who, for one reason or another, didn't quite achieve the look they desired. These women often pursue revision of their breast enhancement procedures. Board-certified Plastic Surgeon Dr. Armando Soto has years of advanced training and experience in revision breast surgery. Many patients who visit Aesthetic Enhancements Plastic Surgery in Orlando are pursuing breast revision surgery for many different reasons. In some cases, patients are dissatisfied with the size resulting from their breast augmentation; others require breast revision surgery to replace or exchange their implants due to problems or for an improvement in shape. The breast implants that were perfect for your twenties may not be what you want in your forties. Patients may also undergo this procedure with Dr. Soto because of concern for the age of their implants.

Reasons for Revision Surgery

Breast revision is performed for many reasons, including to remove or exchange old breast implants, for improvement in size and/or shape. Listed below are the most common cases where a patient may be a candidate for this treatment:

Breast Implant Removal

Women who undergo breast augmentation obviously desire an increase in breast fullness. However, while hey may have experienced initial satisfaction with the change, years  later they may be dissatisfied and opt to revert back to their normal breast size. Others may want to remove their implants because of health concerns or for other, personal reasons. Breast revision surgery might involve any number of surgical and non-surgical maneuvers necessary to perfect or idealize the shape and size of the breast according to the individual patient's goals.

Ruptured Implant

Despite the guarantee that implants are safe and leakage rare, it is important to understand that eventually all implants will rupture. 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 rupture is with an MRI. This is also the reason why we recommend patients with silicone implants undergo routine MRI scans after a few years.

Capsular Contracture

Because our bodies recognize that breast implants (like pacemakers, artificial joints, and other implants) are not part of us, it is normal for the body to create a capsule of connective tissue around them. It is also normal for the body to want to shrink, or "contract" this tissue over time. Unfortunately, when this contraction is allowed to occur around a breast implant, it will lead to an unfavorable change in shape and in advanced cases even discomfort. This situation can be corrected through revision breast surgery, which will involve removal of the scar tissue and implant. The patient's goals will then dictate whether a new implant is placed, and any other details necessary to achieve her goals.

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, are very thin, and/or with the use of saline implants.  Although not truly a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. 

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 & SHAPE

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 a size increase, decrease, or an improvement in shape and position of the breast that they are seeking. Some patients also later realize that they’d rather have silicone instead of saline. All preferences will be considered to modify the breast to your preferences.

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Surgical Technique

Revision surgery is tailored according to our patient's anatomy and her goals. With this treatment, a major correction is done to the enhanced breast in conjunction to scar tissue removal, if necessary, or a breast lift if there is sagging. There are instances when a scaffolding (a tissue matrix device) will be needed to act as an internal underwire if additional support is required. Ultimately, the correction aims to fix the issue that’s the source of the patient’s dissatisfaction.

During/After Surgery

Breast revision surgery is performed with general anesthesia in our internationally accredited surgical facility. You may be sent home after an appropriate time in our recovery area, or will spend the night with one of our acute care nurses after your treatment depending on the magnitude of the procedure. It is recommended to have someone who can drive you home and who can provide support for the first 48 hours. Resumption of activities will depend on the details of your procedure and should be carefully discussed with Dr. Soto. Results are usually seen immediately, but the final outcome will require resolution of swelling and a suitable healing time of approximately 6 weeks.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.