Even successful breast surgery may require revision year later. Natural breast changes can occur. Pregnancy, weight fluctuation, and the effects of aging are unavoidable. Dr. LIckstein has extensive experience with implant based breast reconstruction and enhancement procedures, breast lift, and correction of congential deformities of the breast. This foundation is essential when considering revision of prior breast surgery. In recommending a surgical plan, Dr. Lickstein carefully listens to each patient’s history and concerns. To help achieve their goals, he utilizes state of the art techniques such as the placement of dermal matrices or conversion to a neosubpectoral pocket.
Common Reasons for Breast Revision Surgery
The most common reasons for revision surgery are changes in breast shape, implant position, or volume.
Bottoming out occurs when the breast implant descends below the breast crease after surgery, causing the breast to lose volume in the upper portion. This may also cause the nipple to appear too high on the breast.
Capsular contracture is one of the most common breast augmentation complications. This complication occurs when the scar tissue surrounding the implant hardens, squeezing the implant and producing discomfort and/or an unnatural breast appearance.
Double Bubble Deformity
Double bubble deformity can occur when the breast implant slides below the breast crease and creates a second area of fullness, or “bubble,” on the bottom of the breast.
Malposition of Anatomical Implants
Anatomical implants, commonly called “teardrop-shaped” implants, are often desired because they have a very natural shape that creates more fullness in the lower portion of the breasts and taper upward. Although rare, these implants can cause the breasts to appear oblong or misshapen if they are rotated within the breast pocket.
When breast implants are placed too closely together, too far apart, or when they do not “settle” into the correct position once the final breast augmentation results develop, further surgery may be required for correction.
The rate of implant rupture has decreased significantly over the last few years. Rupture can occur with either silicone or saline implants. Rupture of a saline implant will result in an obvious deflation of the breast, whereas silicone implant rupture generally requires MRI screening to detect. Dr. Lickstein’s staff will discuss implant warranty coverage with you.
The desire to change implant size is the most common reason for breast revision surgery. Some patients may desire to have larger breasts than the primary augmentation achieved. Others may have a change in weight or lifestyle that might lead them to consider a smaller, more proportionate implant. During your consultation, Dr. Lickstein will assess your chest width and utilize biodimensional planning to help you achieve the desired result.