Thousands of women make the decision each year to have breast augmentation surgery with implants. While the majority of women are pleased with their augmentation results, some patients will decide to have the implants removed or replaced. Breast revision surgery with our board-certified plastic surgeons at Austin Plastic Surgery Institute corrects, removes, or replaces an existing implant that is either not functioning properly, or is no longer aesthetically desirable. In addition, women who have had breast implants that have been in place for more than a decade may consider a breast revision procedure to replace their current implants. We recommend all of our revision patients, who have breast implants 3 years or older, get an MRI for error detection.
Breast rippling and/or wrinkling can occur along the side of the breast, or underneath it. This occurs within saline implants resulting in an unnatural appearance under the skin. This is most common in women who are extremely thin.
Breast Revision Reviews
"From the doctors to the nurses and staff at APSI, they are absolutely the best. I first went to Dr. Wilder in 1992 for breast implant removal and lift. Later, Dr. Wilder did upper blepharoplasty on me. (Dr. Clement did my lower eye surgery in about 1989.) I am still very, very pleased with the results of their work."- J.L. / Google / Feb 02, 2017
"From the doctors to the nurses and staff at APSI, they are absolutely the best. I first went to Dr. Wilder in 1992 for breast implant removal and lift. Later, Dr. Wilder did upper blepharoplasty on me. (Dr. Clement did my lower eye surgery in about 1989.) I am still very, very pleased with the results of their work."- J.L. / Google / Feb 16, 2017
"BA Revision-Need Another One! - I always was self conscious of my very small breasts. In the 80's and 90's big was the look, and mine were tiny. In the early 90's I nursed my baby for nine months and had grown to a 34DD then shrunk back to a 34AA. My first surgery was in November 1996 when I was almost 26. The implants were textured, round, & saline filled to 350 ccs- placed under the muscle through an incision in the..."- C. / RealSelf / May 13, 2017
Reasons for Revision Surgery
There are various circumstances as to why a woman may decide to undergo breast revision surgery. The most common reasons are listed below.
Patients who wish to have their implants replaced will undergo a procedure where an exchange of one or both implants may occur. These revision surgeries are generally straightforward. If scar tissue does exist around the implant, an additional step will be taken to remove this. Some patients may require a breast lift during the revision surgery. In addition, a tissue matrix device known as a strattice may be used if added support is needed. The goal of the revision process is to resolve or overcome issues in a way that satisfies the patient’s aesthetic goals.
If a saline implant ruptures, the implant device will deflate due to the leakage of saline. This will result in an obvious deflating of the breasts. Silicone implants will not deflate visibly, however a break in the shell may still occur. The only true way to detect a shell break is through an MRI, which is why routine check-ups are recommended throughout the years.
Double Bubble Implants
“Double bubble” is a rare complication with women who have breast implants. This occurs when the implant drops down behind the natural breast crease, or it has risen and now over-drapes (double folds) the breast. When this occurs, an unnatural indention will result in a “double” breast appearance. This is usually caused by improper breast placement from the original surgery, or severe capsular contracture, which shifts the implant from its position.
Breast Implant Removal
Some women may decide later in life they no longer wish to have breast implants in place. Breast implant removal is a procedure that removes the implants and tightens the skin around the breasts to create a natural look.
Some women will be unhappy with their breast size following breast augmentation surgery. They may desire a secondary surgery to replace the implant with one of a different size, texture or shape. Some women may want to go from saline to silicone, or vice versa to achieve the results they desire.
Scar tissue that has formed around the implant may create a capsular contracture. When this occurs, excessive tightening of the capsule will result in a hard feel of the breast. Sometimes, in order to correct this, a capsulectomy must occur. This is the removal of scar tissue from around the implant. In general, silicone implants have a higher incidence of capsular contracture (approximately 10-15% chances) than saline implants (5% chance).
Implant Bottoming Out
This can occur post-surgery when an implant shifts or moves from its original location. This can also occur with aging, gravity, trauma to the chest area, or with excessive scarring.
Some women are not good candidates for breast augmentation surgery. Instead, they should first have a breast lift. Women who have sagging breasts and undergo breast augmentation surgery alone will not have strong results. The breast will continue to sag further due to the increase weight of the implant.
Breast revision surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. The ease of recovery will depend on exactly what was being done during the revision process. Most women are able to resume their normal work activities after a full week of rest. Exercise will be a gradual process. It may take up to a full year for the scars to begin to fade and for the newly revised breast or chest area to look and feel natural.
Plan Your Procedure
- Average Cost
- From $7,000
- Procedure Recovery Location
- In & Out-Patient
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The F.D.A. has recommended an MRI of the breasts at 3 years post-op and every 2 years after for best detection of rupture or the need for implant revision. Our practice will do our best to make the revision process as easy as possible for patients needing or wanting a breast implant exchange or removal surgery.
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