Patient had the following procedures: implant removal, capsulectomy, mastopexy and fat grafting…
The goal of breast augmentation is to provide patients with an ideal shape and size, but breast implants do not last forever. At some point, implants will need to be replaced or removed. When exploring breast implant revision at Beverly Hills’ Cassileth Plastic Surgery, many patients are concerned that their breasts will sag or look deflated after the implant removal. Dr. Lisa Cassileth and Dr. Kelly Killeen are industry leaders in breast explant and breast implant revision surgery, utilizing highly specialized techniques to restore breast fullness and size, as well as to correct placement issues from prior surgeries.
Both plastic surgeons specialize in assessing and correcting breast implant issues with a uniquely tailored approach for each patient. This individualized breast implant revision process provides a personalized solution that helps restore confidence along with a beautiful look. Some women have an implant rupture, while others developed visible complications—or simply want a different look. No matter the motivation or need, all breast implant revision patients can benefit from the Cassileth team’s advanced fat grafting techniques and other strategies.
Breast Implant Revision Before & Afters
What can breast implant revision improve?
All breasts are naturally asymmetric. As Dr. Cassileth says, “They are sisters, not twins!” Noticeable differences in size, shape, and position due to a poorly performed initial breast augmentation can be remedied by our board-certified breast surgeons. In addition to natural asymmetry or unsatisfactory initial surgery results, other reasons a patient may seek breast implant revision surgery include a rupture or leak of the implant, capsular contracture, or the unfortunate effects of aging on otherwise intact implants. Symmetry may be achieved by working on one, the other, or both breasts in order to ensure the left closely matches the right. In some cases, a breast lift may be recommended.
Poorly Positioned Implants
Implants that sit too high or low on the chest can create undesirable creases, bulges, and odd shapes. Repositioning the implant can give the augmented breast a more natural appearance. Your breast implant revision surgery may also involve repairing the pocket so the implant it contains stays in place in the future, instead of “popping out” the top or sliding to the side or bottom.
Divots or Hollows
As skin ages, it can stretch—especially if something is pulling it downward. Breast skin is no exception, so even if an implant is placed properly and intact, gradual tissue changes can cause it to drop or sag. This can cause a loss of fullness to develop at the top of the breast. Contour irregularities on the implant can also cause visible rippling, divots, and similar issues, all of which can be addressed by implant revision surgery.
Some women develop constricting scar tissue in the breast pocket where the implant is placed. This tissue can contract around the implant itself, squeezing the device out of shape and causing a hardening and visible change in the breast, as well as discomfort. Breast implant revision for this problem involves removing the implant, excising the scar tissue, and inserting a new implant into the pocket. Learn More.
Muscle Flex Deformity
Augmented breasts should move with the surrounding tissues in the body, not work against them. A muscle flex deformity occurs when chest muscles push against an implant while contracting, which squeezes and pushes the implant out of shape, resulting in an undesirable breast appearance. Breast implant revision surgery focuses on preventing future unfavorable interactions between the muscles and the implant that initially caused the distortion.
Preparing for your Breast Implant Revision surgery
Dr. Cassileth or Dr. Killeen will meet with you personally to discuss your concerns about your breast implant revision in our private Beverly Hills office and help you determine the best solution for your specific issues. Together, you will develop a breast implant revision plan designed to correct your specific problem and create the look you originally desired.
We suggest that you bring photos of breasts you like in terms of size, shape, and position. Being realistic when it comes to choosing a size that will be right for your frame is critical for your final result. Making good decisions about your breast size and shape is of the utmost importance to obtain a good outcome from implant revision procedures.
What to expect after your Breast Implant Revision surgery
Plan on relaxing at home the first two days after your implant revision procedure. You will wear a comfortable surgery bra with adjustable straps and may take pain medication during this time. After the first few days, most women can get up and move around, stop all prescription pain medications, and usually have resumed basic activities. However, it is important to avoid all exercise, heavy lifting, and other more strenuous activities for the first three weeks following implant revision surgery.
You only have one chance to heal, and this will be that time. It is vital you adhere to your surgeon’s directions for decreased activity during this healing process. If you go to work, expect to be more tired during your first week back and sore by the end of the day. If your work involves a lot of moving of your upper body, take the entire first week after surgery off. This ensures your body will have the time and energy to heal properly, giving you an optimal final result.
We insist that all patients undergo a six-month treatment regimen after breast implant revision surgery to minimize scars. During the healing period, at about four to six weeks post-surgery, patients often notice tight or small lumpy areas where the internal sutures are located. This is normal and expected. These sutures are absorbable and will resolve on their own, restoring smooth and normal skin as they dissolve internally. In total, breasts require up to two months to fully heal and “settle” into their final shape. Our team will discuss with you what kind of support and activity you will need during this time.