Breast Augmentation Revision Surgery
Breast revision is a secondary breast augmentation surgery designed to revise the results of the initial procedure.
You may need breast revision surgery due to medical complications or want revision due to cosmetic concerns. Some patients undergo breast revision shortly after their initial breast augmentation. Others may have their implants for decades before they want or need a change.
Am I a Candidate for Breast Revision?
Candidates for breast augmentation revision are usually concerned about one or more of the following:
- Capsular contracture (hardening of scar tissue around the breast implant)
- Breast implant rupture, deflation, or leakage
- Wrinkling or rippling of a breast implant
- Breast asymmetry
- Unsatisfactory breast size
- Breast pain or discomfort
- Implant displacement (shifting)
- Breast contour abnormalities
Capsular contracture and infection are two of the most commonly cited reasons for implant-based corrective breast surgery. Other patients are dissatisfied with the cosmetic result of their breast implants and want to improve their appearance.
Ideal candidates for breast implant revision are in good health, do not smoke, and are at a stable weight.
Breast Implant Replacement vs. Breast Implant Removal
If you have a concern after breast augmentation but would still like to have implants to enhance your breasts, you can undergo breast revision to remove and replace your breast implants. This page discusses your options for this choice.
Alternatively, you may choose to remove your breast implants without replacing them.
There are women who choose to remove their implants completely either due to pain, illness related to the implants, such as fatigue and unexplained joint pain, or how heavy the implants feel. Dr. Goldberg often offers fat grafting to the breast (to replace the breast volume) or a breast lift.
Dr. Goldberg is an expert in implant removal and reconstruction of the breasts after its removal.
Changing Implant Size, Type, or Placement
If you are replacing your implants, you can choose to get the same type as your current breast implants. Alternatively, you can choose new implants that are a different size or material. A new type of breast implant may better match your desires.
Some patients choose smaller implants, while others want larger ones. Some choose to switch from saline to silicone implants or vice versa. Visit our breast implants page to learn more about the types of implants Dr. Goldberg offers.
Patients can also choose to move their implants to the subpectoral position from the submammary position or vice versa.
The Use of Mesh to Build an Internal Bra — GalaFLEX® Surgical Scaffold
Dr. Goldberg often uses the GalaFLEX® Surgical scaffold, a biodegradable mesh, in breast augmentation revision.
GalaFLEX® is used as an internal bra to provide additional soft tissue support in the lower pole of the breast. This additional soft tissue support will improve contour of the breast, correct rippling deformity in patients with very thin tissue, and prevent bottoming out of the implant.
GalaFLEX® has also been shown to lower the rates of capsular contracture.
How Is Breast Revision Surgery Performed?
Breast augmentation revision to replace your implants will be similar to an initial breast augmentation surgery in many ways. The preparatory steps are similar, including a consultation with your plastic surgeon to evaluate your condition and discuss your options and goals.
When you go in for your procedure, you will be put to sleep with general anesthesia for a painless operation.
Breast Revision Incision Locations
For breast revision surgery, Dr. Goldberg prefers to use the same incisions used from the previous breast augmentation. This helps to minimize new scarring. However, this may not be possible if the new implants are significantly larger than the removed implants.
There are three types of breast revision incisions:
- Inframammary incision
- Along the lower breast crease
- Periareolar incision
- An incision around the nipple areola complex
- Anchor incision
- This combines the two incisions above, creating an anchor or T-shaped incision
Removing Your Breast Implants and Scar Tissue
Dr. Golberg will remove your existing implants from the breast pocket. If you do not have capsular contracture and only desire to downsize or upsize your implant, Dr. Goldberg will not perform a capsulectomy, or complete removal of the capsule or scar tissue around the implant.
However, if you have significant capsular contracture, Dr. Goldberg will perform a complete capsulectomy, removing the entire capsule around the implant.
Placing New Breast Implants
Your new implants will be placed in your desired location.
Combining Breast Lift Surgery With Breast Revision
If your new implants are smaller than your old ones, you may want breast lift surgery to reduce skin and tissue laxity around the implants. This can prevent breast sagging and allow your breasts to maintain their perky and raised appearance.
There are women who were advised to have a large breast implant to lift the breast. With time, the large breast implants cause the breast to sag, creating an unattractively large, saggy breast.
In this scenario, Dr. Goldberg will remove the implant and replace it with a smaller implant to fit your body frame and perform a breast lift at the same time.
What Is Breast Revision Recovery Like?
Breast augmentation revision is an outpatient procedure. You will be able to recover at home and may resume work from home in one or two days. Recovery after breast augmentation revision is similar to recovery after breast augmentation. Dr. Goldberg will ask her patients to refrain from exercise for four to six weeks. After four to six weeks, you may begin to resume more physically demanding activities and tasks.
What Results Can I Expect From Breast Revision?
After your breast revision, you should expect your breast contours to adjust and settle into place for up to six months. After that point, you should see your final results.
Most patients are happy with their appearance after their implant replacement procedure.
Breast revision results generally include:
- More symmetrical or aesthetically pleasing breast contours
- Breasts that are appropriately sized for your frame
How Much Does Breast Revision Surgery Cost?
The cost of your breast revision will vary depending on the techniques and breast implant replacement you select. In general, implants that are larger, anatomically shaped, or made of specialty materials tend to cost more.
Combining your breast revision with other plastic surgery procedures will increase the overall cost of your operation.
Interested in Breast Revision in Beverly Hills?
You don’t have to live with unsatisfactory breast augmentation results. A breast augmentation revision is another chance at getting breasts you feel happy with.
Dr. Mytien Goldberg is a Stanford-educated board-certified plastic surgeon in Beverly Hills. Breast revision surgeries are often complex, which makes it essential to book your procedure with a surgeon like Dr. Goldberg, who has extensive breast surgery training and experience.
Book your breast revision consultation by calling (310) 928-1788 or filling out our online form.