Breast Implant Revision Surgery
Breast implants can be an effective choice for women who would like to improve their overall figure, whether to decrease asymmetry in the breasts, make their proportions more balanced, or increase their cup size.
Unfortunately, not every breast augmentation is up to the high standards of the American Board of Plastic Surgery. A botched breast implant surgery can leave patients with breasts that aren’t the desired size, are abnormally shaped, asymmetrical, or malpositioned. If you are unhappy with your current implants or if they have caused you to experience medical issues, a breast implant revision with William Franckle, MD, FACS, a board-certified plastic surgeon, can help you regain comfort and confidence.
What Is Revision Surgery?
Breast revision is a general term for the various procedures done to correct issues after breast augmentation surgery. Implants may need to be removed or replaced because of medical complications or for cosmetic purposes. Whatever the reason, revision surgery can help restore the contour, comfort, and appearance of breasts.
Is Breast Revision Surgery Right for You?
Before deciding if you should undergo surgery, you will meet with Dr. Franckle for a one-on-one consultation to discuss your goals for revision surgery. As a candidate for a breast revision, you should be in good physical health, a nonsmoker, and not pregnant or currently breastfeeding. Dr. Franckle will examine your current implants and create a customized surgical plan to address the complications caused by your initial breast augmentation surgery.
Here a few common cosmetic concerns:
- The initial breast implant is too big or too small.
- There has been a change in the shape of the breasts as a result of weight fluctuation.
- The breasts need a lift because of the natural effects of aging.
These are some common medical complications:
- The implant has ruptured or deflated.
- Scar tissue has hardened around one or both implants (capsular contracture).
- The ripples of the implant(s) are visible through the skin.
- The implants or nipples are misaligned.
Meet With Dr. Franckle Today
If you experience any of the above symptoms or are simply unhappy with your breast implants, call William Franckle, MD, FACS at 856.772.6500 to schedule your consultation. Dr. Franckle will discuss your current health and surgical goals to help improve the overall look and feel of your breasts.
What to Expect
The consultation, surgical techniques, and recovery from breast implant revision surgery will vary depending on the type of revision you’d like to make. Dr. Franckle will discuss your goals and what you specifically should expect at your consultation.
Vectra 3D Simulation
This technology is one of the keys to our consultation process. Vectra 3D Imaging allows our patients to preview the results of their breast revision surgery. Using specialized 3D cameras, this system takes multiple pictures from a variety of angles to construct a 3D model of your body. After the photos have been taken, Dr. Franckle will make alterations based on your requests.
Breast Revision Surgery Procedures
It is essential to understand the different techniques used to correct specific issues:
- Implant Size Revision: Although a surgeon can make sure that the proportions of your implants fit the size and shape of your chest, various factors can contribute to a patient deciding to alter the size of their implants. For women who would like larger implants, Dr. Franckle can use the original surgical incision to increase the size of the “pocket” (the area that surrounds the implant inside of the breast). For women who would like smaller implants, the pocket size is decreased by using sutures. Keep in mind that when reducing implant size, breast lifts are typically needed and can be performed along with a revision.
- Capsular Contracture: When scar tissue forms around breast implants and causes the breasts to harden, surgery is needed to reduce scar tissue. The effects of capsular contracture range from altering the shape of the breasts to causing discomfort due to the tightening of the capsule. Capsular contracture is treated in a few different ways. A capsulotomy is a procedure that uses an incision in the capsular contracture to promote a reduction in scar tissue by giving the implant more space, while a capsulectomy is the complete removal of the existing scar tissue.
- Implant Reposition: When the implant pockets are created too far or too close together, a repositioning procedure must be undertaken for correction. During this surgery, Dr. Franckle will utilize the original incision to reenter the breast pocket and craft the existing scar tissue around the capsule to appropriately reposition the implant.
- Implant Removal: If you and Dr. Franckle decide that none of the above breast revision techniques are right for you, complete removal of the implants may be necessary. Using the same incision that was created for insertion, the implants and any scar tissue surrounding the pocket will be removed.
Augmentation Revision Recovery
Patients typically experience bruising, swelling, and sensitivity around the surgical area after a breast revision. You may be prescribed pain medication to help reduce soreness. A compression garment or sports bra should be worn after surgery to keep the implants in place and help control swelling. Light walking is encouraged to maintain blood flow, but you should avoid any strenuous activity during the first two weeks of recovery. Dr. Franckle suggests at least two to four weeks before returning to normal day-to-day activities.
A full recovery may take about three months, but this can vary depending on the type of breast revision procedure.
Because every revision procedure is different, the cost of the surgery will vary. At your initial consultation with Dr. Franckle, you will be given an estimated cost. Financing is available through CareCredit® and Prosper Healthcare Lending to help you create a payment plan. Read more about our financing options and feel free to call us at 856.772.6500 with any questions.
How to Prepare
Before scheduling your consultation with Dr. Franckle, make a list of any questions you have about the entire process, from pre-operation to post-operation recovery. In preparation for surgery, he will ask you to stop taking aspirin and other anti-inflammatory medicines because they may increase surgical bleeding.
General anesthesia will be administered for the surgery. Because breast implant revisions are typically outpatient procedures, please arrange for someone to drive you to and from the surgical center and stay with you for the first night.
Generally, implants last about 8 to 10 years, but this may vary depending on the type of implant used and how well taken care of the implants are. During your consultation, you and Dr. Franckle will decide which type of breast implant best suits your situation based on your previous augmentation surgery, current implant conditions, and desired outcome.
We offer saline, silicone, and gummy-bear implants. Read our blog post to learn more about the differences between these three types of breast implant.
When a saline implant ruptures, its saltwater leaks out in a few days and is safely absorbed by the body. When silicone implants rupture, the thick gel leaks out more slowly and is often difficult to notice, thus the name “silent rupture.” Common symptoms of a silicone implant rupture include the following:
- Changes in breast size or shape
- Increased pain, firmness, or tenderness at the implant site
The body doesn’t absorb silicone gel, so it is crucial to address symptoms of a ruptured implant as soon as they occur. If you suspect your implant has ruptured, please contact our team immediately to discuss revision and replacement options.