Breast Implant Revision

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Breast Implant Revision in Houston with Dr. Scott Reis

Breast augmentation can be a transformative procedure for the women that choose to undergo this surgery—and for the most part, it’s an incredibly positive experience. But due to not uncommon and non-life threatening1 complications such as capsular contracture or implant malposition, you might not be satisfied with the results of your breast surgery. Conversely, maybe your tastes have changed, and you are simply interested in changing the size, shape or even the type of breast implants you have. Breast Implant Revision Surgery allows you to take control of both cosmetic concerns and the functional irregularities affecting your implants, so you can finally attain the results you desire. 

Board-certified plastic surgeon Dr. Scott Reis is renowned for his Breast Implant Revision results and is a surgeon of choice for women in Houston, Texas. Dr. Reis is known for consistently achieving beautiful, elegant and natural-looking results that enhance each patient’s figure.

Benefits of Breast Implant Revision

There are many benefits associated with Breast Implant Revision Surgery; it can improve self-confidence and increased satisfaction with the appearance of breasts and implants. Breast Implant Revision Surgery affords a great opportunity for patients to:

  • Change the size (larger or smaller) or shape (round or teardrop) of their implants
  • Improve the position of the breasts
  • Correct capsular contracture or implant migration 
  • Treat ruptured implants 
  • Improve outcomes from previous cosmetic breast surgeries
  • Improve symmetry 
  • Change the style of implant (saline or silicone)

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Is Breast Implant Revision Right For You?

There are a variety of reasons that women choose to have a second breast augmentation surgery. Below are some of the most common conditions that motivate patients to pursue Breast Implant Revision Surgery:

Dissatisfaction with breast implant placement, shape, or size: Like most things, our cosmetic tastes evolve as we age, and some women find that the breasts they wanted in their twenties don’t align with their current cosmetic preferences. We also see women who have never been satisfied with the results of their initial breast augmentation. Breast Implant Revision Surgery provides you with the opportunity to get the look you want with new implants more suited to your modern aesthetic.

Capsular contracture: Capsular contracture is the most common complication occurring after breast augmentation and the number one reason for Breast Implant Revision Surgery.2 After implants are placed in a breast augmentation, the body naturally creates a very thin “capsule” of scar tissue that surrounds the implants. For some patients, excess scar tissue can develop, constricting the implants and causing them to change in shape or migrate from their intended location.

Ruptured breast implant: A rupture can happen when the outer shell of the breast implant is torn, ripped, or punctured. Ruptures are generally due to implants that are aged beyond their warranty, or caused by compression during a mammogram, physical trauma, as well as other factors.

Breast implant removal: A change in lifestyle aesthetic tastes may lead to dissatisfaction with current breast implants. Breast Implant Removal Surgery may be an option. If desired, you can choose to undergo a breast lift to restore a natural aesthetic.

Breast rippling: Sometimes rippling or wrinkling can be visible at the edges of a breast  implant. This is a common occurrence with saline implants, in women with little natural breast tissue. While it’s not dangerous, it can be unsightly and unnatural in appearance.

Implant malposition: Implant malposition refers to breast implants that were improperly placed during the initial breast augmentation or breast implants that have migrated from their original location. Implant malposition can cause the appearance of asymmetrical or irregular breasts.

“Double Bubble” deformity: “Double bubble” deformity is a very rare complication that happens when an implant falls below the natural breast crease, leading to the appearance of a second bulge under the breast. A “double bubble” deformity can also happen when a breast implant rises (most often due to capsular contracture), causing the lower part of the breast to look deflated or saggy.

Your Breast Implant Revision Surgery Consultation

Dr. Reis knows that patients can feel overwhelmed by the various treatment options for a second cosmetic breast surgery. With that in mind, he strives to create a comfortable atmosphere for consultations during which he will obtain a comprehensive medical history as well as inquire about your concerns and goals for Breast Implant Revision Surgery. Once he has a thorough understanding of what you’re looking to achieve he’ll review your treatment options and make sure you fully understand them. Breast Implant Revision Surgery is customizable to each and every patient, and your unique treatment plan will depend on your goals, your anatomy, and the cosmetic and/or functional irregularities of your current breast implants.

What To Expect From Your Breast Implant Revision Surgery

Breast Implant Revision Surgery can be more complicated than breast augmentation, as it can include additional procedures such as a breast lift or in the case of capsular contracture, the removal of scar tissue. Dr. Reis will review your custom surgical plan in detail before your surgery, however, generally Breast Implant Revision Surgeries include one or more of the following procedures:

Breast implant replacement: Patients desiring a different shape, size, or type of breast implant will undergo a breast implant replacement. This is generally a straightforward procedure, though more procedures may be necessary if there are complicating factors such as excess scar tissue or considerable loose and/or sagging breast tissue. In some cases, patients may choose a breast augmentation with fat transfer instead of breast implant replacement.

Breast lift: Patients wanting to restore the projection of the breasts may choose to have a breast lift while they are undergoing Breast Implant Revision Surgery. This procedure is routinely performed on patients who choose to have their implants removed but not replaced by new implants, as well as those undergoing implant exchange.

Capsulotomy or capsulectomy: A capsulotomy or capsulectomy is a surgical procedure that releases scar tissue and is indicated for patients who present with moderate or greater capsular contracture. A capsulectomy, where the entire capsule is removed, is indicated for more severe cases of capsular contracture. For some patients, a capsulotomy combined with a partial capsulectomy may be appropriate, after which, new breast implants are placed.

Preparing for Your Breast Implant Revision Surgery

When preparing for your Breast Implant Revision Surgery, it’s important that you follow all preoperative instructions provided by Dr. Reis. Generally, all patients undergoing this procedure should:

  • Stop smoking or using of any type of nicotine product (vaping, gum, patch, etc)3
  • Take any medications prescribed by Dr. Reis
  • Prep the skin for surgery with Alastin Restorative Skin Nectar provided by Dr. Reis
  • Avoid taking anti-inflammatory drugs, aspirin, and any supplements that can increase bleeding
  • Arrange for someone to drive you to and from surgery
  • If you live alone, have someone that stay with you the first night after surgery

Breast Implant Revision Recovery

Since one or more procedures can be performed during a Breast Implant Revision Surgery, each patient’s recovery and downtime varies. In general, immediately following surgery, you will be wearing a surgical bra and will have surgical dressing placed over your incisions.4 It is normal to feel moderate tightness and pain in your breasts the first few days following surgery, as was likely case after your initial cosmetic breast procedure. Dr. Reis will often perform chest wall nerve blocks with EXPAREL, a non-opioid injectable pain medication that lasts for three full days to make you as comfortable as possible. One week after your surgery, you can resume your regular activities, but you should plan to avoid any strenuous physical activity for four to six weeks.5

Breast Implant Revision Results

You can expect that your final Breast Implant Revision results will be obscured by mild to moderate swelling. Swelling is normal and takes approximately six to eight weeks to subside completely. Additionally, your new breasts will gradually feel softer and more natural—it can take anywhere from six to 12 months for breasts to feel “normal” after Breast Implant Revision Surgery.6 Because recovery and healing is different for each patient, for some it can take longer for normal sensation to return, breasts to soften, and scars to fade. Dr. Reis is proud to offer a Fractional Co2 laser treatment to improve scar appearance to all of his patients.

Am I A Candidate For Breast Implant Revision?

Generally, you may be a good candidate for Breast Implant Revision Surgery if you have realistic expectations and:

  • You are a nonsmoker nd do not use any other nicotine products7
  • You are in general good health and at a healthy weight8
  • You are unsatisfied with shape, size or placement of your current breast implants
  • You are having difficulties with your current implants or have concerns about their integrity or condition

Why Choose Dr. Scott Reis For Breast Implant Revision in Houston?

Dr. Scott Reis is considered one of the top board-certified plastic surgeons in Houston. His meticulous approach to preoperative plans and surgery, along with his compassionate bedside manner has successfully shaped his practice. You can rest assured that Dr. Reis cares as much about the result of the surgery as the patient does. Read more to find out why you should choose Dr. Reis for your next procedure.

Frequently Asked Questions About Breast Implant Revision Surgery

How do I know if my breast implants need to be replaced?

Breast implants aren’t meant to last forever, in fact, most newer implants have warranties. However, most surgeons wouldn’t perform an elective cosmetic surgery on a healthy patient who isn’t unsatisfied with the appearance of her breasts and isn’t experiencing any problems with her current implants. If you are experiencing pain in your breast, discover that one or both implants have ruptured, have noticed increased firmness of the breasts, or if you’ve seen the shape of your breasts change, breast implant replacement may be necessary.

Will Breast Implant Revision Surgery correct my capsular contracture?

Unfortunately, patients who have experienced capsular contracture have an increased risk in the future. While Breast Implant Revision Surgery can correct capsular contracture, it’s important to understand that it may recur at a later date. Fortunately though, new techniques, altered placement and even post-operative medications are now available to minimize the chance of recurrent contracture.

I don’t like my recent breast augmentation. When can I get a breast revision?

In most cases, it’s best to wait at least six months to one year after your last breast augmentation before a second surgery. This is because the results of breast augmentation may not be apparent for as many as six months due to swelling as well as settling and softening of the implants.

Contact Dr. Reis for Breast Implant Revision In Houston

If you are interested in Breast Implant Revision Surgery, Dr. Reis has the experience and vision to achieve beautiful and natural-looking results. Contact us with any questions or to schedule your consultation appointment.

References
1 American Society of Plastic Surgeons. What is capsular contracture and how can it be treated? Available at: plasticsurgery.org/news/blog/what-is-capsular-contracture-and-how-can-it-be-treated. Accessed July 22, 2020.
2 Archives of Plastic Surgery. 2015 Sep; 42(5): 532–543. Capsular Contracture after Breast Augmentation: An Update for Clinical Practice. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4579163/. Accessed July 22, 2020.
3 American Society of Plastic Surgeons. What should I expect during my breast implant revision recovery? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/recovery. Accessed July 22, 2020.
4 American Society of Plastic Surgeons. What should I expect during my breast implant revision recovery? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/recovery. Accessed July 22, 2020.
5 American Society of Plastic Surgeons. What should I expect during my breast implant revision recovery? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/recovery. Accessed July 22, 2020.
6 American Society of Plastic Surgeons. What results should I expect after breast implant revision? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/results. Accessed July 22, 2020.
7 American Society of Plastic Surgeons. Who is a good candidate for breast implant revision? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/candidates. Accessed July 22, 2020.
8 American Society of Plastic Surgeons. Who is a good candidate for breast implant revision? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/candidates. Accessed July 22, 2020.

Dr. Scott Reis has either authored or reviewed and approved this content.