Breast augmentation is one of the most popular body contouring procedures available to women who wish to improve their breast appearance and body outline. While implants can last many years, even decades, women’s visions of their figures can change within that time. Sometimes implants that become displaced or enclosed in scar tissue may need to be treated. Breast revision surgery resolves these issues and reshapes breasts for the woman’s vision at her current stage of life.
Several issues bring women in for breast revision in the Scottsdale and Phoenix area. They include:
- The size is not to the woman’s satisfaction
- The implant ruptures
- The skin covering the implant ripples
- Capsular contracture (excess scar tissue around implants)
- Unsatisfactory aesthetics
Breast revision surgery may replace or remove the implants, change the location of the pocket, soften the breasts, and lift sagging breast tissue. Finding a qualified plastic surgeon in the Phoenix and Scottsdale area is critical to receive the safest and most effective procedure plastic surgery has to offer.
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Why Breast Revision Surgery
Breast revision surgery is an individualized procedure that differs for each patient. The main problems women face after breast augmentation include:
Deflation Of Implants
Older saline implants may rupture or leak, which will cause the affected breast to look deflated or sagging. Saline that has leaked is not dangerous at all as it is a normal part of body tissues. A saline implant deflation will cause the breasts to appear unbalanced however. Many breast revision surgeries involve the removal of saline implants to replace them with a more natural feeling silicone gel breast implant. Another option is to exchange older saline implants with the more natural feeling saline filled IDEAL IMPLANT®
Change Breast Size
Patients who are interested in changing the size of their breasts often opt for revision surgery to change the size of the breast implants. The process of removing one set of implants and inserting another is a relatively quick and painless procedure in Dr. Weinrach’s hands. You should try and bring as much information as possible about your original implants to your consultation. The implant card given to you after your original surgery and the original operative report contain valuable information which helps the process of changing implants go much more smoothly.
Capsular contracture happens when the normal capsule located around the implant starts to thicken. This process can shift the implants into a different position. The cause of capsular contracture is not precisely known; it is thought that bacteria may play a role. Breast implants that are located above the muscle have higher risk of capsular contracture than under the muscle breast implants. Treatment of higher grades of capsular contracture involves removal of the breast capsule, placement of a new implant, changing the pocket location to submuscular if the original location was on top of the muscle, the use of specific antibiotic irrigations, and can include placement of Strattice. These techniques all reduce the risk of recurrence of a capsular contracture.
Strattice is an acellular dermal matrix (ADM) that is commonly used in the breast as an off-label use of this material. Strattice is very effective in helping to reduce the recurrence of capsular contracture.
Lower grades of capsular contracture can sometimes be successfully treated nonsurgically, with a medication called Singulair. Singulair is an anti-inflammatory medication indicated for the treatment of asthma; however it has been used successfully off-label to treat lower grades of capsular contracture.
Breast implants may be out of position if the pocket where they rest is too large or too small. Dr. Weinrach addresses this issue by enlarging or shrinking the size of the pocket. There are a variety of techniques available to accomplish this including cutting the capsule (capsulotomy), removing the capsule (capsulectomy), inserting internal sutures to correct the size or shape of the implant pocket (capsulorrpahy), and placement of additional supportive scaffolds. The technique used varies depending on the woman and her individual situation.
The Breast Revision Surgical Process
As with any surgical procedure, the process of breast revision begins with a thorough history and physical examination with Dr. Weinrach. Dr. Weinrach will carefully listen to your concerns, thoroughly review your records, and perform a physical examination. Dr. Weinrach will then recommend a treatment plan that he feels will deliver the best possible results. After a thorough evaluation and discussion, and when you are completely comfortable with the plan and expectations, surgery will be scheduled.
Good candidates for revision surgery are patients who are healthy, have realistic expectations, and do not smoke. Smoking decreases blood flow and inhibits the tissues ability to take up oxygen, greatly increasing the potential for complications.
Technology Matters - GalaFORM® 3D Surgical Scaffold
Often with breast revision patients, there is a decline in breast tissue essential for optimal implant support. GalaFORM® 3D Surgical Scaffold is designed to provide the extra tissue support necessary to maximize proper implant position for the long term. It is the only three-dimensional scaffold with a reinforcing rim for plastic and reconstructive surgery which repairs, reinforces, and elevates soft breast tissue.
This surgical scaffold will slowly absorb while the breast tissue grows into the device, resulting in tissue three-five times stronger than natural tissue after 18-24 months.
Dr. Weinrach is dedicated to helping patients achieve their aesthetic goals through an individualized approach to patient care and commitment to safety. His extensive experience and unique skill set produces long-lasting, natural looking results.
Breast Revision Recovery
Recovery from breast revision surgery is highly variable and depends on the complexity of the procedure. A simple breast implant exchange may have very little downtime – back to normal activities the next day. More complex revisions such as an implant exchange combined with a breast lift, capsulectomy, and placement of GalaFORM scaffold, would require longer recovery times. Heavy lifting and strenuous exercise are avoided for six weeks in these cases.
Our office works closely with patients during the recovery process and will follow up regularly to answer any questions, address any concerns, and guide progression of activity.
Do I Need To Have My Original Surgeon Perform My Breast Revision Surgery?
While the surgeon who performed your original implant insertion will know the details about the procedure, he or she might not be the best candidate to revise.
The original surgeon may not still be in practice, you may not still live near your original plastic surgeon, and sometimes you simply just may not feel the original doctor is the best plastic surgeon for the job. Jonathan Weinrach MD FACS has carried out a multitude of breast revision surgical procedures for patients in Scottsdale and Phoenix. He has many very satisfied patients in this area. His extensive experience with revision breast surgery is reflected in his beautiful results.
Correct Unsatisfactory Breast Enhancement Results with Revision Breast Surgery
Did you have a breast enhancement that did not work out as you hoped? Or are you interested in changing your current breast implants for ones that better flatter your figure?
At the office of Dr. Jonathan Weinrach, an experienced plastic surgeon serving residents in the Scottsdale and Phoenix region, we take pride in our history of helping countless women improve their figures with revision breast surgery.
During a personalized consultation at our office, Dr. Weinrach will review your medical records, examine your breasts, discuss your goals and desires, and then work with you to come up with a personalized treatment plan that will improve the shape, size, and symmetry of your breasts.
We are happy to discuss various options with you before finalizing a surgical plan to make sure treatment is in line with your goals and expectations. If you are ready to rejuvenate your body or are looking for a change in breast appearance, contact us today for a consultation.
Please note: If your original breast surgery was for breast reconstruction purposes (e.g. after mastectomy, breast cancer, breast tumor removal), then you will have to see a breast reconstruction specialist. Dr. Weinrach is very talented at cosmetic breast surgery, but does not do breast reconstruction. We can not bill any insurance company including Medicare for any breast surgery.
Breast Revision FAQS
Breast Implant Exchange with Gel Implants (same size implant; change in implant size and/or pocket revision will result in additional cost): $9,421
Breast Implant Exchange/Pocket Revision with Gel Implants: $9,921
Breast Implant Exchange/Pocket Revision with Saline Implants: $8,586
Breast Implant Exchange with Saline Implants (same size implant; change in implant size and/or pocket revision will result in additional cost): $8,000
Breast Implant Exchange with Ideal Implants (same size implant; change in implant size and/or pocket revision will result in additional cost) : $10,200
Breast Implant Exchange/Capsulectomy with Gel Implants: $11,008
Breast Implant Exchange/Capsulectomy with Gel Implants and Pocket Location Change: $13,338
Breast Implant Exchange/Capsulectomy with Saline Implants: $10,173
Breast Lift with Implant Removal: $9,234
Breast Lift with Implant Exchange with Gel Implants: $11,528
Breast Lift with Implant Exchange with Saline Implants: $10,593
Breast Lift with Implant Exchange with Ideal Implants: $12,310
*Above prices include facility, anesthesia, implants, and surgeon fees. Prices are estimates based on average cases. Any individual case could cost more or less; a consultation is needed to best determine cost.
This depends greatly on the situation. Larger procedures that involve removing a capsular contracture (capsulectomy) and changing pocket locations or adding supporting scaffolds can involve more discomfort than a straightforward saline to gel implant exchange for example. Even still, discomfort is usually very controllable even with the biggest cases. Simple implant exchanges can involve very little to no discomfort at all. Activity should be kept light for the first week, with gradual increases in activity after this. This includes use of a treadmill – slow walking for the first week, followed by gradual increase in walking speed over the next two weeks. Heavy treadmill running should be avoided until 3 weeks after surgery. Swimming can generally be resumed two weeks after surgery after clearance by Dr. Weinrach.
Some surgeons do recommend changing breast implants after certain numbers of years. This number varies by surgeon and is a matter of opinion. The reason usually give to consider changing breast implants after a certain number of years is to remove them before they rupture, as the risk of breast implant rupture does increase with time. However, if a breast MRI is done 3 years after placement of a gel breast implant and every two years after placement which is recommended, and there is no sign of implant rupture, then it is certainly not mandatory to change your breast implants.
Capsular contracture is when scar like tissue forms around the breast and is more firm or thick then the usual normal thin capsule that normally forms around every breast implant. The exact cause of capsular contracture is not known but bacteria are thought to be involved in the process. Placing a breast implant underneath the pectoralis muscle as opposed to on top of it greatly reduces the risk of developing a capsular contracture.
This also depends greatly on the situation and what the starting problem is. Expected outcomes are always discussed during an evaluation with Dr. Weinrach.
All surgery carries some risk. Any surgical procedure carries some risk of bleeding and infection. These are very unusual complications of breast implant revision surgery. No woman has two perfectly symmetrical breasts, and some degree of asymmetry can always be expected, with or without surgery. Capsular contracture is a risk involved with any breast implant surgery.
To the best of our knowledge, the great majority if not all insurance companies will not pay for the cost of breast revision surgery if the original surgery was for cosmetic purposes. Dr. Weinrach is not contracted with any insurance plans.