About Breast Revision Surgery
Breast augmentation using implants is one of the most popular cosmetic procedures in the United States, and in most cases, it produces beautiful and natural outcomes. Unfortunately, sometimes a patient can be dissatisfied with the appearance of their breasts and may require breast revision treatment. Keep in mind that not all revision surgeries are because of doctor error. While few breast augmentations do end with a poor outcome, there are individuals who desire a larger or smaller implant while some may have a problem and ask to have the implant corrected or removed altogether. Furthermore, some women require revision treatment for a specific condition. Baton Rouge, LA cosmetic plastic surgeon Dr. John Williams provides breast revision surgery after giving an in-depth assessment at Plastic Surgery Center of Baton Rouge so that the appropriate outcome is achieved.
"Dr. Williams was awesome! I had plastic surgery from a nationally renowned surgeon in Houston and my incision got infected. Dr Williams treated me for the infection which required antibiotics and additional surgery to removed the infected tissue and another surgery to sew me back up. His work was neater and tighter than the first surgeon’s. I returned for more liposuction later and he did a wonderful job! His staff is very friendly and it’s super easy having procedures performed at his office. Everything was first rate!"- T.C. / Google / May 16, 2019
"Dr. Williams is fantastic. He and his staff are extremely knowledgeable and professional, providing top-quality care and unbeatable results!"- M.B. / Google / Oct 17, 2019
"Great staff. Dr. Williams is such a kind and caring doctor. He is a perfectionist as well. I would highly recommend him."- J.G. / Google / Oct 10, 2019
"Dr. Williams and the staff were incredible! The staff is very hands on and make you feel very comfortable. Dr. Williams was very knowledgeable & leaves you without questions. I got a breast reduction and I’m so happy with my results! He made my dreams come true!"- H.D. / Google / Sep 18, 2019
"Wonderful Dr, great staff, great results"- A.L. / Facebook / Sep 16, 2019
Should you have any problems (either cosmetic or medical) after a breast augmentation, please make an appointment for a consultation with Dr. Williams to talk about your goals and to create your unique surgical plan. Whether it's scar tissue, breast sag, ripples under the skin, or asymmetry, revision surgery can help repair the issue and create a more appealing and properly functioning outcome. This operation may also be appropriate if you would like to alter the implant style, size, or address another aspect of your breasts.
Common Reasons for Revision
Secondary breast augmentation 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 silicone to saline (or vice versa). There are other common situations where a revision procedure is wanted.
This condition occurs when the breast implants look out of balance. This may be due to an incorrect implant size, or drooping on one side, or a different condition that can possibly cause asymmetry. A thorough assessment would need to take place to determine what is causing the asymmetry, then a revision surgery would be implemented to resolve the condition, and finally, a new set of breast implants would be inserted to attain a proportionate appearance.
IMPLANT MALPOSITION, DISPLACEMENT, AND BOTTOMING OUT
One of the most common problems after Breast Augmentation is breast implant displacement. Most often the breast implant is displaced to the lateral side of the chest. This is most often caused by contraction of the chest muscle pushing the implant out from under the muscle. “Bottoming Out” is when the breast implant drops too low.
These complications are corrected by closing the open breast pockets and repositioning the implants. The newest advance is placing an absorbable mesh to prevent recurrent displacement. The bio re-absorbable mesh is a scaffold that reinforces and gives support to the soft tissue.
Sometimes revision surgery is as straightforward as getting a larger or smaller sized breast implant. During the first surgery, you may have chosen to go too small or big. A different implant size can be inserted to attain the desired look.
This is known as an area of hardening because of scarring, occurring when the smooth tissue that surrounds the breast implant becomes thick and hard. While breast implants do create some internal hardening, most individuals will never realize this. In some instances, the hardening tissue could change the implant placement, which could change the implant function and create an undesirable outcome.
There are two options for encapsulation or hardening of the breast. The least expensive option is Open Capsulotomy or release of the scar tissue contraction around the breast implant. This treatment has a fairly high rate of occurrence, especially if encapsulation has happened before. The second option is placement of an Acellular Dermal Matrix. This has very low rate of recurrent contraction. The surgery is very expensive because of the cost of the Acellular Dermal Matrix and the technical complexity of the surgery.
Rippling occurs when you see noticeable lines and ripples under the skin. This condition typically forms around the edge of the implant. Rippling is generally found in females who are relatively thin. Many times, this issue can be repaired by simply switching to a silicone breast implant.
Although this is uncommon, breast implant rupture may occur. When a saline breast implant ruptures, the implant will deflate rather quickly. For this reason, a visible appearance will be noticeable. Meanwhile, if an implant made of silicone ruptures, it is only caught via an MRI. In either case, when a rupture occurs, a corrective treatment will be needed.
This condition happens when breast implants are positioned too closely together. Most often, this is because the breast implant selected was the incorrect shape, size, and width. A secondary procedure will repair this issue by choosing an implant that is acceptable to your frame and looks balanced.
What to Expect
Following your procedure and a brief observation period, you will be sent home to begin your recovery. The overall recovery varies, depending on what is involved in your surgery. Any type of revision that requires grafting or complex reconstruction will incur a longer recovery which may last up to 6 – 8 weeks. You should slowly start to see your surgical results when the bruising and swelling starts to disappear. Dr. Williams or someone on his team will discuss what is normal while you recover, plus suggestions to help you heal faster. You should attend follow-up visits as often as directed so Dr. Williams 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. Williams will listen carefully to your needs and goals before completing a physical examination of your implants. After this, he will explain your choices before creating your treatment plan. The total cost of revision surgery will be based on the extent of the procedure, plus your new implants. It's better to concentrate on getting great results by selecting a skilled cosmetic plastic surgeon, like Dr. Williams, instead of the cheapest surgeon. As a way to help make your surgery affordable, Plastic Surgery Center of Baton Rouge accepts several payments and we will give you information on low-interest financing.
What if Dr. Williams wasn't my original surgeon?
Dr. Williams can perform your revision surgery even if he was not the surgeon who performed your breast augmentation. Revision surgery is sometimes more difficult compared to breast augmentation, especially if you want significant changes or have problems, which is why it is better to choose a cosmetic plastic surgeon, like Dr. Williams, who has advanced training and experience in breast surgery. Dr. Williams also invites his patients to come back to Plastic Surgery Center of Baton Rouge for revision surgery after their implant 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. Williams can discuss adding a breast lift to remove sagging skin. If you lose a lot of weight, get pregnant, or breastfeed after augmentation surgery, a revision with a lift gives you better results.
Will there be new scars?
If possible, Dr. Williams will make incisions for revision surgery in the 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 (through the belly button). Dr. Williams or a member of his team will explain scar care instruction so your incisions heal properly and blend with your skin.
Do I have to change my implants?
Although implants are long-lasting, they will require replacement eventually. Once you've had augmentation surgery, it's important to get your implants examined at least once a year so Dr. Williams 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.
Plan Your Procedure
- Average Cost
- $1,500 - $12,000
- Recovery Time
- 1 – 4 Weeks
- Average Procedure Time
- 1 – 6 Hours
- Post-op Follow-up
- 10 – 12 Days
- Procedure Recovery Location
Change Your Mind
Breast implant revision surgery is a specialized procedure tailored for your individual problem by skilled plastic surgeon Dr. John Williams. If you're displeased with your breast augmentation results or want a different result, we invite you to contact our Baton Rouge, LA office to book your appointment at Plastic Surgery Center of Baton Rouge. There are many factors to consider and Dr. Williams will provide you with a full physical examination, create your revision recommendations, and discuss realistic goals and expectations.