The way you feel about your breasts factors into your feelings of femininity, maybe more than any other part of the body. This fact is why breast augmentation is one of the more popular cosmetic surgeries in the United States. And because there are so many breast surgeries performed by physicians of varying skill and expertise, the number of unsatisfied patients is high as well. Breast augmentation revision is designed to correct complications resulting from surgery or to increase size after an initial implant was not enough.
The most common complications patients experience are Ptosis (stretched tissue and sagging breasts), poor implant position, and capsular contracture – all of which are motivators for revision surgery. Board-certified surgeon Dr. Chris Livingston has extensive experience in performing breast augmentation surgery as well as breast revisions to help patients love their results.
Patients may choose to undergo breast augmentation surgery for any number of reasons, including underdevelopment of the breasts and changes to the size, shape, and/or position of the breasts due to pregnancy, loss of weight, heredity, trauma and/or breast cancer. Dr. Chris Livingston has extensive experience performing breast augmentation surgery or augmentation mammoplasty, as well as revision breast augmentation surgery.
What is Breast Augmentation Revision?
This surgery is performed to correct problems occurring after breast implant surgery, whether that’s a medical issue, aesthetic problem, or overall patient dissatisfaction. Below is a detailed explanation of the most common complications we see after breast augmentation surgery.
This problem happens when scar tissue forms around breast implants, causing the breasts to feel abnormally hard. It may cause some discomfort as well. The complication is one of the more common reasons women seek breast revision surgery.
Dr. Livingston has seen many cases of capsular contraction at his practice in Houston. He understands what causes it and what is necessary to correct it. His goal is the same with revision surgery as it is with any procedure: to minimize the number of treatments and provide the desired result.
Another common issue is poor positioning of the breast implant. This problem occurs when the breast implant is positioned on the chest wall incorrectly. There are four general types of malposition:
- Riding high
- Bottoming out
- Symmastia (implants come together)
- Falling outward
With each problem, there are aesthetic concerns. These unnatural results can be corrected to achieve the shapely contour and pleasing appearance each patient deserves after breast surgery.
This term is medical terminology for sagging breasts. With Ptosis, the breasts may look deflated. This complication may become prevalent after weight fluctuation, saline leakage, or pregnancy after surgery. The breast augmentation revision process to correct this issue may include replacing the implants and a performing a breast lift.
Old or Malfunctioning Implants
Breast implants may need replacing because of outside factors including hormonal changes, significant fluctuation in body weight and implant failure. Patients may find that they prefer a different shape or size or that their implants ruptured, requiring that they are swapped out for a newer variety.
Implant Replacement and Revision Surgery
Treatment typically involves making changes to implants, pockets, or capsules which have shifted or ruptured. For instance, a capsule may need repositioning, so the implant sits better on the chest wall, to create a better breast contour. Sometimes implants will shift to one side or below the crease beneath the breast, or the implants may be too apparent and cause the skin to wrinkle.
In each case, the solution is specific to the individual needs of the patient. Your customized surgery includes several solutions, all of which should are performed by our experienced, licensed plastic and reconstructive surgeon.
What You Should Know about a Second Breast Surgery
Breast augmentation revision surgery is an outpatient procedure using general anesthesia. The duration of surgery can be from thirty minutes to two hours depending on the required correction.
Recovery varies from patient to patient. Most patients return to daily responsibilities within two weeks after surgery. Strenuous exercise should be avoided for at least three weeks and with Dr. Livingston’s permission. Swelling and bruising should subside within three weeks as well.
After initial breast surgery, scar tissue may develop at the incision locations and around the implants. This scar tissue adds to the complexity of your second treatment. Dr. Livingston will require as much information as possible to formulate a revision plan to correct the issues which developed after your first surgery.
How Your Treatment is Determined
- Incisions – More times than not, Dr. Livingston, places incisions along the same line as the initial surgery. This minimizes the spread of scarring; however, a larger incision may be necessary if the procedure involves exchanging saline implants with silicone or larger implants.
- Recovery after breast revision – Recovery guidelines and duration are about the same as with your initial surgery. Your instructions will be similar as well as any precautions you should take.
- Customization – Dr. Livingston tailors breast revision to body type, complications, and his patient’s goals. The removal of implants and the creation of a new pocket may be necessary during revision as well.
Choosing Your Plastic Surgeon
Because of the complexity of breast revision surgery, the most critical decision you make is the surgeon you choose. It is important not only to have an experienced surgeon but one who has extensive training and is current on the latest techniques and advancements in plastic and reconstructive surgery.
Dr. Livingston has thousands of satisfied patients in the Houston area because of his attention to detail. He is board-certified and practices the latest advancements available in aesthetic surgery.
He also is a popular choice for patients who live outside the Houston area and fly in to receive his care and expertise. If you are not happy with the results of your breast augmentation surgery or your implants need replacement, Dr. Livingston would be happy to consult with you on the options you have available.
For Houston breast implant revision surgery, trust Dr. Livingston. Request a consultation today to learn more about how we can help you love your results.
FAQs about a Second Implant Surgery
Can breast revision surgery correct asymmetry?
After augmentation, asymmetry (breasts are not equal size) may occur. This problem may be the result of poor technique but is often because of the way the implants settle. Existing asymmetry before initial surgery may continue if proper steps were not taken during the first procedure. Revision may include replacing one or both breast implants to achieve desired results. A breast lift may also be necessary.
Should I have breast revision surgery if my implants are old but still look great?
Breast implants need no replacement if there isn’t a problem with them. After your initial surgery, you should schedule regular mammograms to make sure the implant shell remains intact. However, if you feel discomfort or you notice a change in position or appearance, you should call your surgeon. Unless you’ve noticed a change in appearance or physical discomfort associated with your implants, they do not require replacement.
How can a breast revision satisfy me if the initial surgery did not?
This feeling is completely understandable. Although revision can fix many issues resulting from your initial surgery, the goal is to improve aesthetics safely and efficiently. Realistic expectations play an important role in achieving desired results. Too often the patient is over-promised and is not happy because expectations were not met. However, revision surgery in the hands of a qualified surgeon can resolve these issues and provide satisfying results.
Does insurance cover breast augmentation revision?
While most breast augmentation surgeries are considered cosmetic, implant revision is unique and is sometimes covered by health insurance companies when performed medical reasons, such as contour irregularities, breast implant rupture, and capsular contracture. The coverage itself will vary from provider to provider, so you will need to check with your insurance plan ahead of time.