Just like how a woman wants to change her hairstyle, she can also change her breast implants with breast augmentation revision surgery. Inland Empire board-certified plastic surgeon, Dr. Childers can remove and/or replace breast implants for any number of reasons. In some cases, a woman may desire larger or smaller implants, a different texture or shape, or a newer model. In other cases, a woman doesn’t want her implants at all and they can easily be removed. Sometimes, it’s a necessity to remove implants in instances of rupture, a shift in the chest, or take on a “rippled” or “bubbled” appearance.
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.
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.
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.
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.
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"I have been wanting to do something about the "bags" under my eyes for years, so when we moved to Upland, I was excited to see that there was a medical skin spa right near our new home. I made an appointment for a consultation just to see what they could do for me. From the second I walked in, I knew that I would be back again! First off, the little reception/waiting area is pink and feminine and beautiful and the ladies at the front desk are so welcoming and kind. Not in a fake way, but genuinely warm and friendly (which is very rare these days)! Amazing ambiance. There's an assortment of yummy beverages (including wine!) and lots of great magazines and pretty things to look at. Secondly, they listen to you! They work with your schedule to make an appointment for a (free!) consultation with the appropriate person and their hours are incredible! I'm a SAHM and can only go when my hubby is home from work (nights and weekends) so their hours really work for me! Thirdly, the consultation was incredibly informative. I spoke with a beautiful woman named Amber and she answered all my questions about my undereyes and recommended Juvederm for me: 1/4 syringe under each eye and the rest in my lips! Score!! I learned that my "bags" aren't bags at all, but the thinning of my facial features with age and time. She was patient with my hesitations and talked to me like a friend. She instantly put me at ease. I couldn't wait to make an appointment. Fourthly, on the day of my appointment, they took me back quickly and spread a numbing cream on my face, let it sit, and I was good to go! She even called Dr. Childers via FaceTime so I could ask him any questions before the procedure! Talk about customer service! I was so impressed. And finally, Amber was so great with the injections, they didn't even hurt and she would ask me to look in the mirror frequently to see the results, which were instant!! Amber really is an artist with that syringe!! I was so happy with the change. It's now the next day and I have no swelling or bruising, Amber is very skilled and knows exactly what she is doing. I am incredibly happy with how my face looks now, I look rested and youthful again, but still like myself. I cannot wait to go back and get Botox from Amber, and I plan to get touch ups as needed in the future. If anyone asks, I'm sending them your way, Sheer Beauty!! THANK YOU!!!"- E.L. / Yelp / May 13, 2017
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.
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
- Recovery Time
- 6 - 8 Weeks
- Average Procedure Time
- 2 - 4 Hours
- Procedure Recovery Location