About Breast Revision
Breast Revision surgery seeks to correct unresolved issues regarding the breast after a previous breast augmentation. Patients who see board-certified plastic surgeon, Dr. John O’Brien at St. Petersburg Center for Plastic Surgery in St. Petersburg, FL, for breast revision surgery are often still trying to achieve their desired look regarding the size and shape of their breasts. Most patients that choose to undergo this surgery are unhappy with the size and shape of their breast following a previous augmentation and would like the issues to be corrected. The most common issue that is found to be corrected is the size of implants, which are either too small or too large. Dr. O’Brien will work closely with you to find a viable solution for you breast issues so that you may have the look you so much deserve.
Breast Revision Reviews
"Dr. O'Brien was in for a challenge when he agreed to down size my 27 year old capsuled DD to a C. I can't thank him enough for the amazing job he did! I would definitely recommend him!"- C.W. / Google / Jul 28, 2020
"Dr. O'Brien was in for a challenge when he agreed to down size my 27 year old capsuled DD to a C. I can't thank him enough for the amazing job he did! I would definitely recommend him!"- C.W. / Google / Aug 02, 2020
"I had breast augmentation in my twenties because I was very unevenly sized. The original implants were not stellar, but acceptable. After 30+ years they became very contracted, hard and uncomfortable. I had the old implants and scar tissue removed and replaced as well as some reconstructive work on my right breast. The results were excellent and my breasts look and feel better now than they did the first time."- L. / RealSelf / Jun 18, 2016
"Had breast implant removal and new ones put in their place. it was a difficult surgery but Dr O'Brien made sure I came through with it all with no complications. I got the size and look I was going for. His staff is was very gentle and kind. I knew I was in good hands."- D.K. / Google / Aug 04, 2023
"23 year old saline implants - Better than expected - I had searched for years in considering changing out my 23 year old saline implants that I had no problems with except some minor distortion on one side and a desire to have them closer. I was told by everyone it couldn’t be done. I stumbled across Dr OBrien by chance because I was interested in sientra implants and no many used them. I met him and loved that I did not long for any information. He told be 500 more things that I wouldn’t have thought to ask but was glad I knew. He made no promises but was willing to try to help me achieve my goals. Upon first seeing myself without the wrap, both of my problems were resolved and they were so much closer. Not knowing a single person who went to him, I made the best decision to trust him. He was hands on through the whole process. From my consultation, when he came to get me out of the waiting room to the day of surgery when he helped me get up on the OR table and helped position me himself. Wow!!! What doctor does that. I loved the stitch technique he chose that makes the scar look better too. I am very pleased and very thankful for great results."- L. / RealSelf / Sep 15, 2023
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, 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% chance) 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.
Breast Revision Surgical Technique
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, GalaFLEX mesh 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 During/After Surgery
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 can 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.
Breast Revision Expected Cost
The cost for a breast revision procedure will vary greatly, but on average, the range is between $5,000-$10,000. The final cost will depend on numerous factors including:
- If the breast implants are being removed or replaced
- If breast replacement is occurring with a silicone or saline breast implant
- If any additional surgical technique will be needed (i.e. a capsulectomy or a breast lift)
- If the implants were covered by a manufacturer warranty