Thousands of women receive breast augmentations every year and while many patients are happy with their results, there are some patients who decide to receive breast revision surgery. Board-certified Plastic Surgeon Dr. Armando Soto, has received years of medical training and specializes in cosmetic revision procedures. Patients who visit Aesthetic Enhancements Plastic Surgery in Orlando receive breast revision surgery for many different reasons. In some cases, patients are dissatisfied with their breast augmentation results, but others require breast revision surgery to replace or exchange their implants due to problems or a change in cosmetic goals. 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 the age of their implants, which can result in a loss of volume.
Breast Revision Reviews
"Delighted with the Result - Two weeks ago I had a breast revision surgery with Dr. Soto. I have a capsular contraction on my right breast that caused pain on a daily basis. Since the initial evaluation appointment I knew Dr. Soto was the right surgeon to help me. The office is staffed with courteous receptionists and very caring assistants. Dr. Soto explained in detail the plan he would do for me, and he delivered results above and beyond my expectations. The day of surgery went according to schedule, and the recovery has been very easy. I really appreciate how Dr. Soto personally meets with me to address my questions, manage my recovery, and explains what will happen as I continue to heal. His optimistic demeanor and highly professional manner makes the visits very pleasant. Overall, I am superbly satisfied with Dr. Soto. I can honestly recommend him to anyone looking for a great plastic surgery experience. In my opinion, he is the best and his office staff is the best!"- A. / UCompareHealthcare / Nov 03, 2016
"I came in for a second opinion on a previous breast augmentation. I was so unhappy with my previous results and now I am so happy with my new results. Dr. Soto is very professional and took the time to listen to my concerns and my needs. As a result I have a more natural look and feel, which is what I wanted. I highly recommend anyone to come in and meet with Dr. Soto and his team. You will be very happy with the results. Thanks Dr. Soto!"- Anonymous / Vitals / Jun 19, 2017
Reasons for Revision Surgery
Breast revision is performed for many reasons to remove or exchange breast 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 because the gel doesn’t deflate. This is also the reason why a patient with silicone implants must undergo routine MRI scans.
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 severe hardening of the breast, which can be 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.
Plan Your Procedure
- Procedure Recovery Location
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 a strattice (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.
Breast revision surgery is performed with general anesthesia in an accredited 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.