Correction & Changing Implants
Best Breast Augmentation Options
Breast Lift Augmentation Options
Best Breast Reduction Options
Best Breast Reduction Options
Breast Lift Without Augmentation
Fat Transfer Breast Lift Options
Scarless Breast Reduction Surgery
Awake Breast Augmentation
What breast revision can do for you
Often, when referring to breast revision surgery, the original surgery was a breast augmentation with breast implants. Revision surgery is a term that refers to any subsequent surgery performed on body tissue that has undergone a procedure previously. Typically, revisions are not planned for or expected, but the possibility is a reality if you’ve had any procedure. The most important thing you can do when faced with a problem is select and expert who specializes in correction of your issue. Breast revision surgery may be desired by the patient or necessary to correct a problem. The most common reasons that patients will undergo a breast revision are:
- The patient decides to modify the size of their implant(s) or remove them
- Changing from saline to cohesive gel
- Correction of a malpositioned implant
- Removal of the implants due to medical reasons such as capsular contracture, back pain, or ruptured implant
Dr. Michael Gartner is a double board certified plastic surgeon and patients come to him for help because they know that he has extensive experience performing breast revision surgeries.
Wait Time for the Breast Revision Surgery
Because the body’s inflammatory process takes time to fully resolve, many plastic surgeons will advise waiting 6 months or more after the initial procedure to undergo a second. As with any area of the body, because fresh scar tissue is tough and vascular, it is important for the scar tissue to mature somewhat and for healthy blood flow to be restored completely to surrounding tissues before subjecting them to the stress of surgery again. Unnecessary, excessive bleeding or poor cosmetic outcomes could result otherwise.
Another reason to wait before considering revision surgery too quickly is that the inflammation, skin tension and other breast changes which occur after a breast augmentation will last many months. The implant position and shape will appear different a month after surgery and 6 months after surgery because as the breast tissue softens and relaxes, the implants will slowly relax and settle in as well, taking on a more natural look and feel. For some patients with tight tissue or large implants, this process requires a lot of patients and the early results may be frustrating. Performing a revision prior to settled results being seen would mean further, unpredictable aesthetic outcome and prolonged risk of infection, scarring and other issues.
Are You A Candidate For Breast Revisions?
Our goal is to educate you so that you are able to make an informed choice.
Removal of Breast Implants
Even though breast implant manufacturers provide a lifetime warranty, most of them are not expected to last a lifetime. In fact, the average lifespan of an implant is said to be in the range of 10 to 20 years. The newer generation silicone cohesive gel implants are extremely durable and well-tested medical devices. As a result, patients will most often choose secondary surgery after a long passage of time due to the desire for a breast lift or size change. True ruptures are rare, however in these situations, the patient has several options to choose from:
- Don’t do anything (not recommended)
- Remove and replace the affected implant
- Remove and replace both the implants
If the manufacturer of your implants has provided lifetime warranty, you may be eligible to obtain new implant(s) at no additional cost. If you suspect that your implant has deflated or ruptured, you can reach us to book a private consultation with Dr. Michael Gartner. He will assess you, discuss the details of your breast augmentation history and recommend options. A revision surgery to replace or remove the previous implants will require the surgeon to make an incision along the original scar, removing it, and remove the old implant to replace it with a new one. You may have different implant type and size choices now than you did before.
Your Surgery Explained
Your surgery will be performed at our state-of-the-art surgical facility. Our facility is fully accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). AAAASF medicare certification is considered the gold standard in accreditation and one of the highest certifications any ambulatory center can obtain in the country.
Dr. Gartner is a highly sought-after plastic surgeon in New York and New Jersey who is well-known for the quality of his workmanship in breast revision procedures. During your first surgical consultation, he will analyze your goals and medical history to provide suggestions that would be best suited for your situation. Dr. Gartner takes his time to educate his clients about the procedure and provide in-depth details on the surgical plan. You will be given time to go through the information and understand the associated risks and benefits. Our goal is to educate you so that you are able to make an informed choice.
In the first six months following the initial surgery, scar tissue around the breast implant naturally forms and thickens slightly, creating a soft, flexible capsule. This is part of the body’s natural healing response and creates a layer of strong protection surrounding the implant. The scar capsule only becomes a problem when, in rare cases, the patient notices changes in a breast such as increased firmness, a change in shape or position of one breast or increased discomfort.
In mild cases where the breast does not appear noticeably different or case any pain, a patient may choose not to treat it. Capsular contracture has been reported more commonly in cases where silicone gel implants are placed over the muscle rather than under the muscle or, sub pectoral. In very mild cases, anti-inflammatory and muscle relaxing supplements or medication may be prescribed. The benefits are limited however and if symptoms worsen, a revision breast surgery may be required. Today’s surgical approach to treatment of capsular contracture will usually involve removing the scar capsule completely which is called a capsulectomy, and replacement of one or both implants. Sub pectoral position will usually be preferred.
Perhaps your original breast implant scars didn’t heal well. Scars on the skin of the breast can be corrected with a revision procedure. This involves excising the old scar and re-suturing of the incision. This is done meticulously with no external tension allowed on the incision edges to ensure the scar will be thin and minimal. As mentioned above, the best time for a scar revision is generally at least six months after the initial procedure.e preferred.
It can take 6 months and even up to a year for the breasts to, “drop” following the insertion of implants. If one implant has not dropped after sufficient time passes, the cause may be related to the space in the pocket, inframammary fold position, incision scarring or pectoral muscle. This can be corrected through various minor surgical procedures to make adjustments. The implant does not necessarily need to be changed.
Replacement to a Different Size
Plenty of people feel a bit nervous and self-conscious when first deciding on an implant size. While natural and petite can be very attractive, some women decide a few years down the road that they would be comfortable with a fuller, curvier look. It is also possible to choose something rather large when we are young and then decide years later that the large breast size is interfering with life and comfort. A secondary breast surgery can involve very little revision and be extremely straight forward. Recovery is typically fast and significantly easier than the first. Any revisionary adjustments to implant pocket or position will add some complexity.
No guarantees of any kind unless they are money-back guarantees. No claims of permanent results. No “Miracle cures” for medical ailments.*