Breast Revision


What Is Breast Revision?

Even though most breast augmentation procedures are highly successful and have no complications, unfortunately, that is not always the case. Breast revision is a procedure designed to help patients who struggle with surgical complications or dissatisfying results after their initial breast augmentation. With breast revision surgery, patients can resolve breast implant issues and achieve the beautiful breasts they desire.


The Benefits of Breast Revision

  • Correct surgical complications
  • Improve your results
  • Restore beautiful, balanced breasts
  • Boost your confidence

Achieved With Breast Revision

Better Breast Implants

After breast augmentation, some patients are dissatisfied with the look or feel of their breasts. This usually means that the implants are not the correct type or size. If this occurs, breast revision can replace your current implants with ones that are better suited to meet your aesthetic goals. With breast revision, you can exchange your implants for a larger size, a different material, or even an entirely different style.

Your Breast Revision Techniques

Dr. Schlechter will perform your breast augmentation revision surgery using techniques that will reduce scarring and prevent future complications. Wherever possible, he will create new incisions over your existing scars so that you will not have additional scarring. The exact techniques for your breast revision will depend on your reason for undergoing the procedure. Some common techniques include removal of the scar tissue, tightening of the breast pocket and breast tissues, extraction of any loose silicone, and permanent removal or replacement of the implants. Dr. Schlechter is known for his meticulous techniques and his low rate of capsular contracture (less than one percent!) due to his careful manipulation of the breast pocket during insertion of a new implant.

Testimonials

I was very pleased with how I was treated by Dr. Schlechter and his staff. I had some physical limitations unrelated to my breast implant explantation and breast revision surgery done by Dr. Schlechter, and both he and his staff did everything they could to accommodate me. I was treated in a respectful, confidential manner with every concern of mine addressed perfectly. My experience far exceeded my expectations and exceeded my experiences with most other medical facilities. – KK
Couldn’t have asked for a better experience! Dr. Schlechter and his wonderful staff went above and beyond my expectations. They all made me feel so comfortable and my visits were by far better than any doctor I have ever been to. – NB

FAQs

When can I undergo breast revision surgery?

Patients who experience a surgical complication such as capsular contracture or implant failure should schedule a consultation for breast revision surgery right away. If left unattended, surgical complications can lead to more complications that will require additional attention and correction. On the other hand, patients who are dissatisfied with their results should wait at least one year after their initial procedure before choosing to undergo breast revision. This waiting period is necessary for all swelling to subside and for the breast implants to settle into a more natural position. It also gives the scar tissue time to soften, which can prevent additional scar tissue buildup and may help the breasts to look and feel more natural than they do immediately after surgery. Some women who are initially dissatisfied find that after a year, their results improve significantly, and they no longer want breast revision surgery.

What are some of the breast augmentation surgical complications that require breast revision?

Complications are uncommon after breast augmentation, but all breast augmentation patients should be mindful that they can occur. All surgical complications after breast augmentation must be corrected with breast revision surgery. One of these complications is capsular contracture, which occurs when the scar capsule contracts and squeezes the implant, causing the breast to become hard and even painful. Double bubble deformity is another complication in which the natural breast tissue sags below the implant, creating the appearance of two breast bubbles. Another complication is implant failure, which occurs when the shell of the breast implant is compromised and the implant ruptures. A few other common complications are bottoming out, synmastia, and implant malposition. If you experience any of these complications or if you experience anything unusual with your breast implants, contact Dr. Schlechter right away to schedule your consultation for breast revision surgery.

If my breast augmentation results look “fake,” can breast revision give me more natural-looking results?

Women who desire more natural-looking results can achieve their goals with breast revision. If your current implants are saline, you can switch to silicone implants to give your breasts a more genuine look and feel. Additionally, you can choose more moderately sized breast implants or ask Dr. Schlechter to change the placement of your implants so that your results look more natural.

What are the risks of breast revision surgery?

As with breast augmentation, the main risks of breast revision surgery are surgical complications and dissatisfaction with the results. Other risks are additional scarring and possibly a reduction in remaining healthy breast tissue. Some complications such as capsular contracture tend to be recurrent; however, Dr. Schlechter uses the best techniques to prevent future complications and will communicate openly and honestly with you in answering your questions and concerns. Patients should maintain realistic expectations when undergoing breast revision surgery.

Can breast revision give me the results I want?

As with any plastic surgery procedure, patients should go into breast revision with a healthy perspective and realistic results. If you have communicated openly with Dr. Schlechter regarding your realistic goals and if he has been able to select the ideal breast implants for your needs, breast revision should give you the beautiful and alluring breasts you desire.

The goal of breast augmentation surgery is to achieve fuller, more shapely and attractive breasts. Unfortunately, that’s not always the result. It can be disheartening when your new breasts don’t meet your expectations, and this can leave patients even more self-conscious about their bodies than they were before their augmentation surgery. Thankfully, you don’t have to live with unsatisfactory results. Breast augmentation revisional surgery can correct a previous breast augmentation result and give you the breasts you desire.

Reasons for Unsatisfactory Results

Poor implant choices, post-surgical complications, and under-qualified surgeons can all negatively affect the outcome of your breast augmentation surgery.

Poor Implant Choices

Some patients find that they are dissatisfied with their breasts because they lack a certain look or feel, usually indicating that the implant chosen was the wrong type or size for achieving their desired results. The most common complaint is that their breasts do not meet their ideal size. When implants are too small, the only long-term solution is to remove the implants and replace them with a larger implants.

Women may also feel that their breasts don’t look or feel natural. There can be a number of reasons for this, but the most common is that they chose saline instead of silicone implants. Saline implants often feel firmer and can create a “fake” appearance. Silicone implants, however, provide a much more genuine breast appearance and feel because the cohesive gel closely resembles the feel of real breast tissue. Switching from saline to silicone implants can help patients acquire breasts that look and feel more natural.

Capsular Contracture

Capsular contracture is a common complication of breast augmentation. Unfortunately, it is unknown exactly why or when it might occur. Capsular contracture is the result of the naturally formed scar tissue contracting and squeezing the implant. This complication can cause the breasts to appear firm, feel hard to the touch, and maintain a high position on the chest. To correct capsular contracture, either a capsulotomy (releasing the tissue’s hold on the implant) or a capsulectomy (the complete removal of the scar tissue) may be performed.

“I was very pleased with how I was treated by Dr. Schlechter and his staff. I had some physical limitations unrelated to my breast implant explantation and breast revision surgery done by Dr. Schlechter, and both he and his staff did everything they could to accommodate me. I was treated in a respectful, confidential manner with every concern of mine addressed perfectly. My experience far exceeded my expectations and exceeded my experiences with most other medical facilities.” – K.K.
Read More Testimonials

 

Double-Bubble Deformity

A “double-bubble” deformity occurs when the soft breast tissue sags below the implant and creates the appearance of two bubbles: one from the implant and the other from the breast tissue. A double-bubble deformity can take years to develop as breast sagging appears after the primary surgery. Breast sagging (ptosis) can be caused by pregnancy, nursing, or the natural aging process. In order to correct breast ptosis, Dr. Schlechter performs a mastopexy (breast lift). During this revisional surgery, excess tissue is removed and what remains is tightened. Breast lifts can help create younger-looking breasts and correct the double-bubble deformity.

Ruptures and Leaks

Although rare, implant ruptures and leaks can occur. Ruptures in saline implants are instantly noticeable because the saline solution leaks into the body and the implant deflates. The solution isn’t harmful to the body; you are simply left with a flattened breast. Silicone implant ruptures can only be identified by an MRI. The silicone leaks into the scar tissue capsule and rarely escapes into the rest of the body. During implant replacement surgery, the scar tissue will be excised to remove all traces of silicone from the body. While not dangerous, it is important to seek immediate attention if you believe an implant has ruptured.

Under-Qualified Surgeons

Any licensed physician can legally perform a plastic surgery procedure, but that doesn’t mean he or she is a well-qualified surgeon. Ascertaining that your surgeon is board certified in plastic surgery, has years of experience performing breast augmentation, and has numerous satisfied customers can all help ensure that you are choosing a well-qualified surgeon for your procedure. Dr. Benjamin Schlechter has a strong, established reputation as an excellent plastic surgeon in the Reading area. As a board-certified plastic surgeon with over 20 years of experience, Dr. Schlechter’s dedication and thorough knowledge provide him with the skills to provide beautiful breast augmentation results.

Revision Techniques

When performing breast augmentation revision surgery, Dr. Schlechter utilizes techniques to help reduce the amount of scarring and prevent future complications. In most cases, he will create his incisions over your existing scars to avoid additional scarring. Dr. Schlechter is known for his low rate of capsular contracture. His technique is meticulous and limits the amount of blood that enters the pocket when inserting a new implant, which he believes  helps to reduce the chances of capsular contracture developing.

Candidate Considerations

All patients should wait at least a year from the time of their original breast augmentation before undergoing surgery to correct poor breast augmentation results. The reason for this delay is largely because minor swelling can last up to a year and affect the appearance of your breasts. Some patients find that once all swelling has subsided, their breasts settle into a more appealing place on the chest or appear to be a more fitting size.

Patients should also wait so that their scar tissue has time to soften. Hard scar tissue can create unnecessary complications and results in more scar tissue buildup. The softening of scar tissue can also help breasts look less firm and allow them to feel more natural than they would immediately after surgery.

Patients considering revision surgery should maintain realistic expectations and understand that there are possible complications from surgery. Revision surgery may lead to additional scarring and the reduction in remaining healthy tissue.

Dr. Schlechter’s goal for breast augmentation revisional surgery is to help you achieve the breasts you’ve always wanted. Obtaining this result requires clear and honest communication, and Dr. Schlechter always aims to provide the most comfortable and confidential care possible.

To discuss the causes of your breast augmentation dissatisfaction and possible solutions, schedule your consultation with Dr. Benjamin Schlechter today. He and his knowledgeable staff are here to answer any questions you may have and to help you regain confidence in your body. Please call (610) 624-2740 or fill out our online contact form here to schedule your consultation.

Our Location

Benjamin Schlechter M.D.
2603 Keiser Blvd Suite 207
Wyomissing PA 19610
(610) 624-2740

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