Breast augmentation surgery seems relatively straightforward. Truth is, the procedure is relatively complicated and issues can occur that make the patient want her implant procedure corrected or, for lack of a better term, fixed. This is called breast implant revision or correction surgery.
The main reason a patient seeks revision surgery is to change the size of her implants. But there are other reasons such as capsular contracture, asymmetry of the breasts, or implant rupture.
Depending on what has happened, revision surgery is often more complicated than the original augmentation procedure. Wherever possible, Dr. Ferraro will use the same incision locations to minimize any additional scarring.
Why Do Patients Opt For Implant Revision?
Here are the main reasons for implant revision and how Dr. Ferraro handles surgery for each.
Changing The Implant Size
When a woman is unsatisfied with the size of her implants, Dr. Ferraro suggests she wait one full year before opting to make a change. This allows for any swelling to fully subside and for the implants to settle. If the patient still wants to change her implant size, Dr. Ferraro will enter through the original incision. If a larger implant is desired, he will increase the size of the pocket, the space in the breast to hold the implant. If the patient seeks smaller implants, he will reduce the size of the pocket with sutures to fit the smaller implants. In cases of reduction, a breast lift may be done in conjunction with the implant revision to remove any sagging tissue and possibly relocate the nipples.
Capsular Contracture
The body reacts when an implant is placed. This reaction is called the “capsule”and it is made up of calcified cells and scar tissue. If this capsule becomes very thick and causes the implant to shift or the breast to feel very firm, or if there is pain from the constricting scar tissue, this is called capsular contracture. If the capsule is very calcified, Dr. Ferraro will remove it along with the implant. If it isn’t, he usually will leave it in place. If there is a rupture of a silicone implant, the capsule may contain silicone shell fragments, silicone gel, and inflammatory cells that all need to be removed prior to placing new implants.
Implant Rippling
Sometimes, particularly with saline implants placed atop the chest muscle, the implants show rippling and the edges may even be able to be felt. In these cases, Dr. Ferraro enters through the original incision and replaces the implants with better muscle coverage. This may involve switching implant types and/or placing them in new breast pockets.
Implant Position
Sometimes the implant pockets were created either too far away or too close together and the patient is not happy with the placement. In these cases, Dr. Ferraro will use scar tissue from the capsule and will reconstruct new pockets for the implants in better positions.
Implant Removal
When a patient decides she no longer wants to have her implants, they are removed through the same incisions. Dr. Ferraro will also remove the capsule if it is calcified and thick. He may recommend a breast lift at the same time to remove excess sagging skin and breast tissue.
Recovery
Recovery from implant revision surgery is similar to initial augmentation, but usually involves slightly less pain for the first two or three days. A surgical bra will be necessary, as it was with your initial procedure. If you’ve also had a lift, your recovery will be longer.
Breast Implant Revision FAQs
Can breast implant revision correct asymmetry?
Yes, breast implant revision can correct asymmetry, whether it’s due to uneven healing, capsular contracture, or differences in implant placement. Dr. Ferraro carefully evaluates the cause of the asymmetry and tailors a revision plan to restore balance. He may adjust the implant pocket, replace one or both implants, or use additional techniques such as fat grafting to achieve symmetry. His expertise in advanced revision techniques ensures a natural and aesthetically pleasing result.
How long do breast revision results last?
Breast implant revision results are long-lasting, but like any cosmetic procedure, they are not necessarily permanent. Implant longevity depends on factors such as implant type, surgical technique, and individual healing. Many patients enjoy their results for well over a decade, though future changes in breast tissue due to aging, weight fluctuations, or lifestyle factors may impact results. Schedule follow-ups with your doctor to monitor implant integrity over time.
How much does breast implant revision cost?
The cost of breast implant revision varies based on the complexity of the procedure, whether new implants are required, and any additional procedures that are incorporated, such as breast lift. Because this is a highly customized surgery, pricing is determined after an in-depth consultation. Plastic Surgery Specialists of New Jersey offers financing options to help make the procedure more accessible. This procedure is usually considered cosmetic in nature and is therefore not covered by insurance.
What type of anesthesia is used for breast implant revision?
Breast implant revision surgery is typically performed under general anesthesia to ensure your comfort and safety.
How soon can I return to work after breast implant revision?
You can generally return to non-strenuous work within one to two weeks, depending on the extent of your revision surgery. If the procedure involves extensive scar tissue removal or implant pocket adjustments, recovery may take longer. You should avoid heavy lifting and vigorous exercise for at least four to six weeks to ensure proper healing. Our team provides a personalized recovery timeline during the post-operative visits.
Why should I choose Dr. Ferraro for breast implant revision surgery?
Dr. Frank Ferraro has extensive experience in breast implant revision surgery and employs advanced techniques to correct implant-related concerns while maintaining a natural breast appearance. He specializes in:
- Capsulectomy and Implant Exchange: Removing hardened scar tissue and replacing implants to improve comfort and aesthetics.
- Pocket Revisions: Adjusting the implant pocket to correct positioning issues and enhance symmetry.
- Internal Bra Technique: Reinforcing implant support using suturing methods or acellular dermal matrix when necessary.
With a focus on precision and patient satisfaction, Dr. Ferraro ensures that each revision procedure is tailored to the patient’s aesthetic goals and long-term results.
Schedule a Consultation
Whether you’re dissatisfied with your breast augmentation results from another surgeon or you feel ready to remove and/or replace previous implants, Dr. Ferraro has the skills to produce results you will love. For a consultation about breast implant revision, contact Plastic Surgery Specialists of New Jersey in Bergen County at 201-664-8000.
