Revision Surgery

Breast Revision Surgery in Palm Beach Gardens, Jupiter, and Port St. Lucie

Breast revision encompasses procedures performed on the breasts that have had implants placed previously or prior breast reduction or mastopexy. It is frequently done because the initial operation did not produce the desired results or was impacted by difficulty healing. Even successful breast augmentation surgery may require revision years later. Changes can naturally occur, such as pregnancy, weight fluctuation, and aging that are unavoidable but may also result in a less-than-desirable appearance.

Both Dr. Lickstein and Dr. Forletier are board-certified plastic surgeons who have extensive experience with implant-based breast reconstruction, enhancement procedures, and correction of congenital deformities of the breast. This foundation is essential when considering a revision of prior breast surgery. Before recommending a surgical plan, they carefully listen to each patient’s story and concerns. To help achieve their goals, they utilize state-of-the-art techniques to ensure the best possible outcomes for patients seeking breast revision surgery in Palm Beach Gardens, Jupiter, Port St. Lucie, Tequesta, North Palm Beach, West Palm Beach, and Wellington, Florida.

Breast Revision Surgery

Before & After

A standard of excellence recognized year after year by patients, the community, physician peers, and professional societies. The results speak for themselves.

What is Breast Revision?

Breast revision usually involves breast implant removal or replacement of current implants.1 The most common reasons for revision surgery are changes in breast shape, implant position, or volume. The procedure may be requested because a complication has occurred, or the patient has changed her mind about the body contour she wants to achieve.

Breast revision surgery is more complex than an initial breast enhancement procedure. It is imperative to choose a surgeon experienced in these procedures to ensure the appropriate treatment plan and best possible results. You will also want to communicate your concerns and goals clearly, so the surgeon you choose for your revision surgery has an accurate idea of your expectations.

Common Reasons for Breast Revision Surgery

Bottoming Out

"Bottoming out" refers to a condition where a breast implant settles too low on the chest, causing the nipple to appear excessively high on the breast mound.2 This occurs when the implants descend below the natural crease of the breast, leading to an unnatural appearance and potential discomfort. Factors contributing to bottoming out include improper implant size or placement, inadequate tissue support, and surgical techniques. Correction typically involves a surgical intervention to reposition the implants higher on the chest wall and reinforce the lower breast fold. Addressing bottoming out restores proper implant positioning, enhancing both the aesthetic outcome and patient satisfaction.

Capsular Contracture

Capsular contracture is a common complication associated with breast augmentation, characterized by the formation of scar tissue (capsule) around the implant that becomes thickened and tight.3 This condition can lead to various symptoms, including breast firmness, pain, and distortion of the breast shape. Treatment options range from non-surgical interventions like massage and medication to surgical procedures such as capsulectomy (removal of the scar tissue) or implant exchange.

Double Bubble Deformity

Double bubble deformity is a condition that can occur after breast augmentation surgery, characterized by the appearance of two distinct breast contours, resembling a double fold or bubble beneath the breast. This deformity typically arises when the natural breast tissue descends below the implant, creating a noticeable crease or indentation. It can result from various factors such as improper implant size, placement, or inadequate tissue support. Surgical correction may involve adjusting implant position, resizing, or performing a mastopexy (breast lift) to address the underlying issues.

Malposition of Anatomical Implants

This condition can occur following breast augmentation surgery when teardrop-shaped implants are not properly positioned within the breast pocket. This misplacement can result in asymmetry, unnatural breast contours, or visible implant edges, affecting the overall aesthetic outcome. Surgical correction involves repositioning the implants, either by adjusting the pocket or exchanging implants for a better fit.

Positioning Issues

This encompasses a range of concerns regarding the placement and symmetry of the implants within the breast pocket. These issues can include implant displacement, where the implants shift from their intended position, leading to asymmetry or unnatural breast contours. Addressing these concerns often requires implant repositioning, exchange, or revision, to achieve optimal aesthetic outcomes and restore symmetry.

Ruptured Implant

A ruptured implant occurs when the implant's outer shell develops a tear or hole, causing the silicone or saline filling to leak into the surrounding tissue. This may lead to a change in breast shape or size, discomfort, or asymmetry. While silicone implant ruptures are often silent and may only be detected through imaging tests like MRI, saline implant ruptures typically result in noticeable deflation of the breast. Treatment typically involves surgical removal and replacement of the ruptured implant.

Implant Rippling

With this complication, patients may see the edges of the implant through their breast tissue, which leads to a rippling effect on the outside of the breast. This tends to be most common with saline implants placed above the chest muscle. A correction may involve repositioning the current implants or replacing them with implants that are a better fit for the patient’s body.

Size Change

Patients may seek size changes to achieve their desired breast appearance or address changes in body proportions over time. Whether opting for larger or smaller implants, it's essential to consider factors such as body frame, lifestyle, and aesthetic goals when making size adjustments. Size changes may involve surgical procedures such as implant exchange or revision to accommodate the desired size or address issues like implant malposition or rippling.

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Preparing for Breast Revision Surgery

Your initial consultation for breast revision surgery will be used to identify your specific concerns from your previous breast augmentation and outline the goals you have for this new procedure. It is critical that you discuss this information in detail with your revision surgeon to ensure a firm understanding of what you didn’t like about your first enhancement and what you would want to change with your second. Our surgeons understand the importance of this initial meeting and will take the time needed, so you are confident and comfortable in your decision to pursue revision surgery.

The Breast Revision Procedure

Breast revision surgery is typically conducted as an outpatient procedure in our fully accredited medical center under general anesthesia. The specific approach varies depending on the reason for the revision. It may involve removal and replacement of implants, adjustment of implant position, removal of scar tissue (capsulectomy), or resizing with a different type of implant. The surgery aims to achieve the desired aesthetic outcome while ensuring the safety and well-being of the patient.

Recovery After Breast Revision Surgery

Recovery after breast revision surgery typically involves some discomfort, swelling, and bruising for the first few days, which can be managed with prescribed pain medication. Patients may need to wear a supportive bra and avoid strenuous activities for several weeks to facilitate healing. Light activities can usually be resumed within a few days, but more vigorous exercise should be avoided for 4-6 weeks. Follow-up appointments with the surgeon are essential to monitor progress and ensure optimal healing. Overall, most patients can return to their normal routine within a few weeks, although individual recovery experiences may vary.

FAQs About Breast Revision Surgery

Women considering breast revision surgery often have several concerns about their previous procedure or the one they are now contemplating. Questions that might come up in that initial consultation might include:

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Am I a good candidate for breast revision?

Despite their dissatisfaction with their initial results, some women are hesitant to undergo additional surgery to improve their outcomes. However, women who are in good physical health, do not smoke, and are willing to take sufficient recovery time tend to do well after revision surgery. The Lickstein Plastic Surgery doctors will do a careful assessment of your health, concerns, and aesthetic goals to determine whether a revision is the right choice for you.

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Should I use the same surgeon for both procedures?

Some women feel compelled to return to the surgeon who performed their original augmentation for their revision procedure. While this may be a good choice in some circumstances, it is important to note that surgeons with experience in primary augmentation may not have the same level of skill or experience when it comes to revision procedures. When you choose an experienced surgeon for your revision, rest assured that the doctor can contact your initial surgeon if necessary to get details of your procedure that might create even better results from your revision surgery. Sometimes a change is good and provides fresh perspective and energy in a difficult situation.

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Can I make changes to my appearance during revision surgery?

A breast revision is an opportune time to alter the appearance of your breasts in terms of size, shape, or profile. Some women also opt to undergo a lift with their revision augmentation to restore breasts to a more youthful, perkier position on the chest wall.

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How much does breast revision surgery cost?

The cost of revision procedures will vary dramatically, depending on the type of implant used, the extent of the correction needed, and whether a breast lift will be performed at the same time. The Lickstein Plastic Surgery doctors and staff will discuss all of the variables with you at your initial consultation so that they can provide you with a detailed quote on the price of your procedure.

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Can I combine any other procedures with breast revision surgery?

Yes, breast revision can often be combined with other cosmetic surgery procedures to achieve a comprehensive makeover and rejuvenation. Depending on individual needs and goals, procedures such as liposuction, facelift, tummy tuck, Botox, and injectables can be performed concurrently. However, the feasibility of combining procedures depends on various factors including the patient's overall health, the extent of surgery required, and the recommendations of our providers.

Schedule A Consultation

Ready to achieve the breast aesthetic you desire? If you're in Palm Beach Gardens, Jupiter, Port St. Lucie, Tequesta, North Palm Beach, West Palm Beach, or Wellington, Florida, our expert team is here to help. Schedule a consultation for breast revision today and take the first step towards the confident, beautiful you. Contact us to book your appointment and let us guide you on your journey to enhanced self-confidence and satisfaction.

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Trused Source Icon - Checkbox Sources

1 ASPS. What is breast implant revision surgery? Available: Accessed March 6, 2024.

2 Handchir Mikrochir Plast Chir. Bottoming out in augmentation mammaplasty–correction and prevention. Available: Accessed March 6, 2024.

3 Archives of Plastic Surgery. Capsular Contracture after Breast Augmentation: An Update for Clinical Practice. Available: Accessed March 6, 2024.

The Doctors at Lickstein Plastic Surgery have either authored or reviewed and approved this content.
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