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.
"Best of the Best! I have been more than pleased with the care he provided! - Dr O’Brien is a great surgeon! I am a nurse and carefully selected him to provide my abdominoplasty. I have been more than pleased with the care he provided! Thank you Dr O’Brien and staff, you are the best of the best :)"- C. / RealSelf / Jun 23, 2020
"Thank you for updating my old body and making me feel pretty!!"- B.S. / Office Visit / May 19, 2020
"I highly recommend Dr. John O'Brien. I've had two separate occurrences of basal cell cancer on my ears due to too much sun over time. These were about 8 months apart and unrelated. The first occurrence: Dr. O'Brien performed surgery to remove it. The surgery was performed on the day that there was a mobile lab at his office and Dr. O was able to test tissue samples on the spot to ensure all the cancer was removed. Dr. O'Brien not only removed the cancer but did a fantastic job with the appearance of my ear such that one would never even notice any evidence of a surgical procedure. Eight months later: I had MOHS surgery of the ear at my dermatologist and Dr. O'Brien performed a complete repair the following day. Again, the appearance of my ear is such that one would never notice any evidence of a surgical procedure. I look great and am cancer free. Many thanks to Dr. O'Brien and his terrific staff. Highly recommended for any type of procedure. Absolutely first class!"- R.B. / Healthgrades / Apr 14, 2020
"Excellent surgeon and a truly caring physician."- B.B. / Healthgrades / Feb 18, 2020
"I had a great experience with Dr. O'Brien. I had skin cancer on my ear and Dr. O'Brien performed surgery to remove it. The surgery was performed on the day that there was a mobile lab at his office and Dr. O was able to test tissue samples on the spot to ensure all the cancer was removed. Dr. O'Brien not only removed the cancer but did a fantastic job with the appearance of my ear such that one would never even notice any evidence of a surgical procedure. I look great and am cancer free. Many thanks to Dr. O'Brien and his terrific staff. Highly recommended for any type of procedure. Absolutely first class!"- B. / Google / Jan 07, 2020
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