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 Orlando Plastic Surgeon Dr. Armando Soto has years of advanced training and experience in complicated revision breast surgery. Indeed, many patients visit Aesthetic Enhancements Plastic Surgery every year in pursuit of improvement of an unfavorable outcome from prior surgery. 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.
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
"Delighted with the Result - General Comments 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!"- Anonymous / 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
"Dr. Soto is an expert surgeon, extremely attentive, compassionate, and precise. He did excellent work, completing a tummy tuck, breast lift revision, and implants. I could not be happier. His staff is excellent as well."- Anonymous / RateMDs / Dec 30, 2017
Reasons for Revision Surgery
Breast revision surgery 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. Individual goals for appearance may shift over time, however, with some patients opting to revert back to their natural 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 to perfect or idealize the shape and size of the breast according to the individual patient's goals.
Despite the knowledge that implants are safe and leakage rare, it is important to understand that eventually all implants will rupture. When implants filled with saline rupture, the solution will be absorbed by the body, and there will be a noticeable deflation of the breast. In the case of silicone filled implants, the gel will settle where it is originally placed and the only way to verify rupture is with an ultrasound or MRI. This is also the reason why we recommend patients with silicone implants undergo routine ultrasound or MRI scans after a few years, and why Dr. Soto offers these scans at Aesthetic Enhancements.
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.
A noticeable rippling can sometimes be seen underneath or on the side of the breast, especially when a saline filled implant is used. This is generally more common among patients who have very low breast tissue volume, or are very thin. Although not truly a complication, the rippling and wrinkling can cause an unnatural appearance and is one of the most common causes of patient dissatisfaction when saline filled implants are used.
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 tightening of scar tissue. Patients who experience this often pursue revision surgery as this condition progresses over time.
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.
Plan Your Procedure
- Procedure Recovery Location
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.
Breast revision surgery is performed with general anesthesia in our internationally accredited surgical facility in Orlando. 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 that you 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.