There are a number of reasons why a patient may require a breast implant revision. The most common is actually not due to a complication such as rupture or capsular contracture. The main reason that women come in to discuss breast augmentation revision surgery is because they are unhappy with the size and position of their breast implants. For some women, this dissatisfaction is immediate. Their original implant feels too big or too small. For others, however, this dissatisfaction is the result of time. A patient who got her original implants in her early 20’s may no longer be happy with that size breast in her 40’s.
Board-Certified Plastic Surgeon, Dr. Mark Deuber, is a breast implant revision specialist. He has years of experience correcting breast augmentation problems. This is critical as any secondary revision surgery is going to be more complicated than your original surgery. Meticulous planning prior to surgery is a cornerstone of Dr. Deuber’s practice philosophy. It’s truly at the heart of the Deuber difference. His goal is to create the highest quality patient experience for his Dallas area and beyond patients. This always begins with an in-person consultation.
Reasons for Breast Implant Revision Surgery
Part of what makes breast implant revision surgery more complicated is that there are so many different reasons why a patient may need one. These include:
- Dissatisfaction with size or shape of original implants
- Rupture or deflation of the implant
- Implant malposition (symmastia, bottoming out)
- Changing aesthetic with age
- Capsular contracture
- Old implant that needs to be updated or switched from saline to silicone
- Problem with the implant (pain, sagging, rippling)
During your breast augmentation revision consultation, Dr. Deuber will listen closely to what is bothering you about the look and feel of your breast implants. He will perform a thorough physical examination, taking precise measurements, in order to assess the underlying cause as well as the best procedure for achieving your desired goals. Together, the two of you will review front-view and side-view photos of breasts that you admire as well as ones that you feel are too big or too small in order to ensure that he understands the “look” that you want and that you understand the limitations of surgery. Some deformities may not be entirely correctable due to a permanent change in your anatomy from your original surgery. Dr. Deuber will always be honest about what he can and can not achieve. Having appropriate expectations is one of the keys to an exemplary result.
Am I an Ideal Candidate for Breast Implant Revision Surgery?
is unhappy with the size, shape or feel of her breast implants and who is in:
- Good overall health
- Within 10 lbs. of a maintainable goal weight
This may include patients who simply want to replace their original implants for another size or who are suffering from a complication that will require surgery on the capsule around the implant.
Breast Implant Revision vs Replacement vs Removal
Today’s silicone gel breast implants can last much longer than the 10 year average. However, no device lasts forever. Furthermore, tastes change. Replacing a breast implant for another size may be a simple exchange through your original breast augmentation incision assuming that your skin and tissues are in good shape. However, lifetime events such as:
- Weight gain/loss
These can all weaken the collagen and elastin in your skin so that your breasts sag or droop. Removing the implant or downsizing will only make this more apparent which is why Dr. Deuber may recommend a breast lift in addition to placing a smaller breast implant or implant removal. Some patients who have gained more volume in their breasts with age, who desire a smaller breast aesthetic or who are simply tired of their breast implants decide to remove them altogether.
Patients who are experiencing problems with the appearance of their breast implants such as capsular contracture, which is a hardening of the capsule that naturally forms around the implant, or implant malposition, where the implant has bottomed out or fallen below the inframammary fold beneath the breast, are going to require a more complicated implant revision surgery that addresses both the breast implant itself as well as the capsule that surrounds it. All of these options will be discussed with you in detail during your initial consultation
Why Choose Dr. Deuber for Breast Implant Revision?
Dr. Deuber’s calm demeanor under pressure and background on Wall Street where he had a successful career analyzing complex problems with multiple moving parts make him an excellent problem solver. This is one of the many reasons why he is a breast implant revision expert. He also has a highly attuned artistic eye that permeates every aspect of his life from the gorgeous food that he cooks on his Instagram famous stove, to the home that he and his wife, Cary, have designed together, to his exemplary aesthetic results.
Furthermore, as a practitioner of the 24 hour breast augmentation, Dr. Deuber is keenly aware of the importance of recovery for delivering the highest quality result for his patients. In all of his breast surgery procedures, he uses a cutting-edge technique that produces significantly less bleeding and trauma to the tissues so that you recover faster and reduce your risk of post-operative complications. This is a game-changer for breast implant revision patients who may have undergone more than one previous dissatisfying breast augmentation
Breast Augmentation Revision Procedure Overview
Dr. Deuber performs most of his breast implant revision procedures under general anesthesia at Lemmon Avenue Surgery Center, his on-site, state-certified and fully accredited day surgery center in Dallas. The specifics of your procedure are going to depend on what, exactly, needs to be done to correct your individual issues. A straightforward implant exchange can be performed through your initial incision.
However, in patients with implant malposition or asymmetry, Dr. Deuber may need to perform a capsuloraphy. This is where he places internal sutures to tighten the capsule so that your implant stays in position. In patients who are suffering from capsular contracture, he will perform either an open capsulotomy or capsulectomy. In the former, he will score the capsule in order to loosen its hold on the breast implant. In the latter, he will remove the capsule entirely. The right choice for you is going to depend on your needs, but one of the tenets of the Deuber difference is meticulous planning and attention to detail. Dr. Deuber and his staff will have mapped out every step of your surgery before they ever step foot in the door.
As discussed, the defining surgical difference with the 24 hour breast augmentation is that Dr. Deuber will use the electro-cautery technique so that all the blood vessels are cauterized prior to cutting. This results in virtually no bleeding, minimal swelling and significantly less post operative pain. He will then close your incisions with absorbable sutures and steri-strips which will need to stay in place for about 10 days.
Breast Augmentation Revision Recovery Process
The extent of your breast augmentation revision recovery is going to depend on your procedure. In general, secondary surgery may require more recovery than your original breast augmentation. However, Dr. Deuber’s unique electro-cautery technique for breast surgery allows him to cauterize your blood vessels before cutting. This results in virtually:
- No bleeding
- Minimal swelling
- Significantly less post operative pain
All of these factors deliver a much faster recovery. Dr. Deuber uses absorbable sutures and closes your incisions with steri-strips which will need to stay in place for 10 days. In general, he wants his breast surgery patients up, moving and back to their normal routines as quickly as possible. He does ask that breast implant revision patients refrain from strenuous exercise for 2 weeks, but you can pick up your toddler, drive car pool and put away groceries as soon as you feel able.
Breast Augmentation Revision Cost
Breast augmentation revision cost is going to depend on which procedure or procedures that you need in order to achieve your desired result. However, secondary surgeries are always more complex than a primary breast augmentation with potentially longer surgery times and, therefore, higher fees. After your initial consultation, someone from Dr. Deuber’s team will sit down with you and discuss exactly what you can expect in terms of cost. So, if your breasts are not looking exactly as you’d like, make an appointment to come in and speak with us about a breast implant revision. In Dr. Deuber’s hands, you can finally get the breasts that you’ve always wanted.