About Breast Revision Surgery
Breast augmentation using implants is one of the most common cosmetic procedures in the U.S., and in the majority of cases, it creates outstanding outcomes. Unfortunately, sometimes a patient can be dissatisfied with the appearance of her breasts and may need breast revision treatment. Keep in mind that not all breast revisions are because of surgeon error. While few breast augmentations do end with an undesirable outcome, there are individuals who want a larger or smaller implant while some may have a defect and prefer to have the implant corrected or removed altogether. Furthermore, some women need revision treatment for a unique condition. East Brunswick, NJ plastic surgeon Dr. Smita Ramanadham performs breast revision surgery after giving an in-depth evaluation at our facility so that the correct outcome is delivered.
Should you have any issues (either medical or cosmetic) after breast augmentation surgery, please make a consultation with Dr. Ramanadham to discuss your needs and wants and to determine your custom breast revision surgery plan. Whether it is scar tissue, breast drooping, ripples under the skin, or breast asymmetry, revision surgery can help the irregularity and provide a more pleasing and properly functioning outcome. This operation may also be appropriate if you want to transform the implant style, size, or address another aspect of your breasts.
Common Reasons for Revision
This cosmetic surgery either removes an implant that is not functioning properly or is no longer desired. Breast revision surgery may also be performed to change implant size or go from saline to silicone (or vice versa). There are other common situations where a revision treatment is needed.
This condition occurs when the implants look uneven. This may be due to an incorrect size implant, sagging on one side, or a different condition that would cause asymmetry. An in-depth evaluation would need to take place to determine the cause of the asymmetry, then a revision surgery would be performed to resolve the issue, and finally, a new set of breast implants would be placed to achieve a balanced look.
This is a problem that can happen if one or both implants "bottom out" or drop too low. Sometimes this is a placement issue from the original breast augmentation surgery. To correct this, a different placement technique may be considered. For some patients, tissue grafting may be needed in addition to a surgically created pocket to fit the new implant. For many patients, moving to a silicone breast implant can solve this issue.
Sometimes breast revision surgery is as straightforward as getting a different sized breast implant. During the first surgery, you may have gone too big or too small. A different implant size can be placed to achieve the desired appearance.
This is known as scar tissue, occurring when the soft tissue that surrounds the implant becomes thick and hard. While most augmentations do create some internal scarring, most patients will never know. In some circumstances, the hardening tissue could affect the implant placement, which may change the breast shape and result in an undesirable outcome. Scar tissue removal surgery to eliminate scarring would be necessary.
Implant rippling occurs when you see visible wrinkles and ripples under the skin. This deformity typically forms near the edge of the implant. Rippling is generally found in women who are very thin. Many times, this issue can be corrected by simply switching to a silicone breast implant.
While this represents a small percentage of cases, breast implant rupture can occur. When a saline implant ruptures, the implant will deflate quickly. Because of this, visible flattening will be noticeable. Meanwhile, if a silicone implant ruptures, it is only detected via an MRI. Either way, when a rupture occurs, a replacement surgery will be necessary.
Symmastia occurs when breast implants are placed too closely together. Most often, this is because the breast implant chosen was the incorrect width, shape, or size. Breast revision surgery will repair this visible deformity by using an implant that works with your frame and looks proportionate.
What to Expect
Following your procedure and a brief observation period, you should be able to go home to begin your recovery. The recovery period varies, depending on what is involved in your surgery. A revision that needs any type of reconstruction or grafting will have a longer recovery, which could last up to 6 – 8 weeks. You should slowly start to see your surgical results when the bruising and swelling start to disappear. Dr. Ramanadham or someone on her team will discuss what you can expect while you recover, plus tips to help you heal faster. You should also schedule your follow-up visits as often as directed so Dr. Ramanadham can monitor your healing and results.
Frequently Asked Questions
How much does breast revision surgery cost?
Your cost for breast revision surgery will vary based on the complexity of your procedure. In your consultation, Dr. Ramanadham will listen carefully to your needs and goals before completing a physical examination of your current implants. After this, she will discuss your choices before creating your treatment plan. The total cost of breast revision surgery will be based on the length and complexity of the procedure, plus your new implants. It is better to concentrate on getting great results by choosing a skilled plastic surgeon, like Dr. Ramanadham, instead of the cheapest surgeon. As a way to help make your surgery affordable, our practice accepts many payments and we will give you information on low-interest medical financing.
What if Dr. Ramanadham was not my original surgeon?
Dr. Ramanadham can perform your breast revision surgery even if she was not your original surgeon. Revision surgery is sometimes more difficult compared to augmentation surgery, especially if you want significant changes or have problems, which is why it is important to select a plastic surgeon, like Dr. Ramanadham, who has advanced training and experience in breast surgery. Dr. Ramanadham also encourages her patients to come back to our facility for breast revision surgery after their original breast augmentation surgery if they notice an issue or would like new implants.
What about loose skin?
When you are getting your implants exchanged or removed, you may want to have excess skin removed as well. After hearing your goals and evaluating your current implants, Dr. Ramanadham can discuss adding a breast lift to remove sagging skin. If you lose a lot of weight, get pregnant, or breastfeed after breast augmentation surgery, a breast revision combined with a lift gives you better results.
Will there be new scars?
Whenever possible, Dr. Ramanadham will try to make incisions for breast revision surgery in the same place as your original augmentation incisions. If this is not possible, she will place the revision incisions where they are least visible. Revision surgery may use a transaxillary incision (in the armpit), a periareolar incision (along the lower border of the areola), an inframammary incision (beneath the breast fold), or TUBA incision (transumbilical, through the belly button). Dr. Ramanadham or a member of her team will explain scar care instructions so your new incisions heal flat and blend with your normal skin.
Do I have to change my implants?
Although implants are long-lasting, they usually do require replacement eventually. Once you have had breast augmentation surgery, it is important to get your implants examined at least once a year so Dr. Ramanadham can help you determine if your implants need to be exchanged. With frequent advances in medical technology, you may prefer the new implant types and shapes to get a better outcome from breast revision surgery.
Change Your Mind
Breast revision surgery is a specialized procedure tailored for your specific needs by plastic surgeon Dr. Smita Ramanadham. If you are not happy with your breast augmentation results or wish a different result, we invite you to call our East Brunswick, NJ office to schedule your appointment at our practice. There are numerous factors to consider and Dr. Ramanadham will give you a full physical exam, create your revision options, and discuss realistic expectations.