About Breast Revision Surgery
Breast augmentation with implants is one of the most sought-after cosmetic procedures in the U.S., and in the majority of cases, it produces stunning outcomes. This personalized surgery has come a long way since it was first introduced to the cosmetic market in the 1960s and is now a reliable and effective way to improve a woman's appearance and confidence. Unfortunately, there are times when a patient can be dissatisfied with the appearance or function of her breasts and may require a 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, many patients simply desire a larger or reduced size while others may have a defect and prefer to have the implant changed out or removed altogether. Some women may also need revision treatment to address a unique condition. For these reasons, board-certified plastic surgeon Dr. Steve Laverson performs breast revision surgery for San Diego, CA patients and beyond at San Diego Cosmetic Clinic. He will work closely with you and understand your concerns and goals so that a healthy and desired outcome is delivered.
Breast Revision Reviews
"Best people, best surgeon! And he’s a REAL, board certified, residency-trained plastic surgeon. Go to someone you can trust, like Dr Laverson! Sensitive to patient needs, kind, extremely knowledgeable & professional who wants the best, most natural results for all his patients."- S.B. / Google / Sep 14, 2019
Should you have any trouble (either medical or cosmetic) after breast augmentation surgery, please schedule a consultation with Dr. Laverson to discuss your needs and wants and to create your customized breast revision surgery plan. Dr. Laverson can perform your breast revision even if he wasn't your original surgeon. Whether your issue is related to scar tissue, breast drooping, ripples under the skin, or size variations between the breasts, revision surgery can help the condition and provide a more pleasing and properly functioning outcome. This operation may also be appropriate if you want to alter the implant style, size, or address another aspect of your breasts.
Common Reasons for Revision
Breast revision 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 or secondary surgery could be needed.
This condition occurs when the implants appear uneven. This may be due to an incorrectly sized implant, sagging or drooping on one side, or a different condition that could cause asymmetry. A physical examination would need to be done to determine your specific cause of the asymmetry. From there, revision surgery would be performed to resolve the issue. Finally, a new set of breast implants will 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 treatment. To correct this, a different placement positioning approach may be considered. For some patients, tissue grafting may be needed, as well as the creation of a surgical pocket to secure the new implant. For many patients, switching to a silicone breast implant can solve this issue.
Sometimes breast revision surgery is as straightforward as receiving a different sized breast implant. During your first surgery, you may have gone too big or too small. A different implant size can be chosen to achieve the desired goal.
Also known as scar tissue, capsular contracture occurs 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, the hardening tissue could alter the implant's placement, which may change the breast shape and result in an undesirable outcome. Scar tissue removal surgery to clean up and remove scarring would be necessary.
Implant rippling occurs when you see visible wrinkles and ripples underneath 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 is a rare occurrence, breast implant rupture can occur. When a saline implant ruptures, the implant will deflate quickly. Because of this, a visible defect will be noticeable. Meanwhile, if a silicone implant ruptures, it is only detected via an MRI. Either way, when a rupture occurs, an additional 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 selecting an implant that works well with your frame and looks balanced.
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. Once the bruising and swelling start to disappear, your results will begin to take shape, and your breasts will look natural, balanced, and beautiful. Dr. Laverson will discuss what you can expect while you recover and give you tips to help you heal faster. Make sure to attend your follow-up visits as often as directed so Dr. Laverson can monitor your healing and results. If you're careful to maintain your surgical outcomes, your newly improved breasts will bring you happiness for years or even decades.
Frequently Asked Questions
What if Dr. Laverson wasn't my original surgeon?
Dr. Laverson can perform your breast revision surgery even if he was not your original surgeon. Revision surgery is sometimes more difficult compared to the original augmentation surgery, especially if you want significant changes or have problems. This is why it is important to select a board-certified plastic surgeon, like Dr. Laverson, who has advanced training and experience in performing breast surgery. Dr. Laverson encourages his patients to return to San Diego Cosmetic Clinic for breast revision surgery after their original breast augmentation if they notice an issue or would like new implants.
What about loose skin?
If you're having your implants exchanged or removed, you may want to have excess skin removed as well. After understanding your goals and evaluating your current implants, Dr. Laverson can discuss adding a breast lift to your treatment plan to remove sagging skin. If you lose a lot of weight, become pregnant, or breastfeed after breast augmentation surgery, a breast revision combined with a lift can produce outstanding results.
Will there be new scars?
Whenever possible, Dr. Laverson will try to make incisions for breast revision surgery in the same location as your original augmentation incisions. If this isn't possible, he 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. Laverson or a member of his team will go over 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 will require replacement eventually. Once you've had breast augmentation surgery, it's important to get your implants examined at least once a year so Dr. Laverson can help you determine if your implants need to be exchanged. With frequent advances being made in medical equipment and technology, you may prefer the new implant types and shapes to achieve a better outcome from breast revision surgery.
Plan Your Procedure
- Recovery Time
- 1 – 2 weeks
- Average Procedure Time
- 1 – 4 hours
- Procedure Recovery Location
Change Your Mind
Breast revision surgery is a specialized procedure tailored to meet your specific needs by board-certified plastic surgeon Dr. Steve Laverson. If you are not happy with your breast augmentation results or desire a different result, we invite you to call our San Diego, CA office to schedule your appointment at San Diego Cosmetic Clinic. There are numerous factors for you to consider when you undergo breast revision surgery. To help you make the most informed choices for your goals and body, Dr. Laverson will perform a full physical exam, present your revision options, and discuss your expectations.