Even with planning and execution of a breast implant surgery or breast reconstruction, changes in the breasts can and do occur. You may be considering a follow-up revision surgery, which can be implant-related or caused from natural deviations in the breast tissue and skin because of advancing age, fluctuations in weight, and the effects of pregnancy and breast-feeding. Our Miami, FL board-certified plastic surgeon, Dr. LaGrasso’s goal for a first time breast implant surgery is to help the patient achieve their goals by choosing not only the right implant, but also the proper surgical procedure to avoid future complications. He understands there are also situations where a revision is warranted.
The more common reasons for seeking revision breast surgery are implant deflation, a desire to change implant (size or type), capsular contracture, implant position, double-bubble deformity, or a combination issues. Dr. LaGrasso is highly experienced in breast revision procedures, and his surgical skills were refined through his extensive training and experience. He is a world-renown plastic surgeon, who is board certified by the American Board of Plastic Surgery. These elective procedures and your experience and safety are the most important factor to consider. We invite you to call and schedule a consultation.
Breast REvision Candidates
You may be a candidate for breast revision surgery if you have one or more of the following conditions:
- Loss of saline implant volume – implant deflation
- X-ray (MRI) suggesting a silicone implant with a shell leak
- If you desire to change implant/breast size
- Tightening of the scar tissue around the implant (capsular contracture)
- Breast implants that have shifted in position
- If your breast tissue has changed in shape or volume from skin stretch or weight loss/gain
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"Tummy tuck and liposuction - I have my tummy tuck and liposuction back in September 2016. Everything went perfect . Going back in this memorial weekend to get a breast augmentation. I totally recommend him."- Anonymous / Vitals / Mar 21, 2017
"Excellent Surgeon - I am very satisfied with my lipo with fat transfer that Dr. Jeffrey LaGrasso performed on me. I consider him an excellent plastic surgeon. I would definitely recommend him. He is very social and understanding. - - I am very satisfied with my lipo with fat transfer that Dr. Jeffrey LaGrasso performed on me. I consider him an excellent plastic surgeon. I would definitely recommend him. He is very social and understanding."- M. / RealSelf / Jan 02, 2017
"Bbl After Silicone Removal - Six months after my biopolimer removal i decided to do my bbl and so far so good i had to gain 15lbs and i did lipo in arms all belly all back and outer thighs im almost 3 weeks post op i show more pics in a few days im very happy with my outcome so far..i had the removal with dr gallerani and did the bbl with dr jeffrey lagrasso in My cosmetic surgery the 19 of last month i had two drains for 7 days and have had 7 lymphatic massages. i paid 6,000 with carecredit . He is a very kind person and he always talked 100% clear with me said i might need 2 rounds but i can say i am very happy so far with the results"- L. / RealSelf / Nov 06, 2016
"Surgery with Doctor Lagrasso - Miami, FL - I have been wanting to do this procedure for a while. I had shape, but wanted my waist to be smaller and much more defined. I was really unhappy with how I looked and this seemed like a great alternative. After searching through several doctors, I decided to go with Dr. Lagrasso. His bed side manner is truly impeccable, he is patient, professional, and super detailed. I could not be happier with my choice. Today was my surgery, and even though I'm super swollen, bruised, and in ridiculous amounts of pain, I can already see the conturing in my body's shape. I am very hopeful that once the swelling goes down, my body will look like I always dreamed it to. I am staying in the recovery home of Miriam landford, and honestly, I don't know what I would do without her. She has tended lovingly to every single one of my needs. From making me delicious healthy fresh foods to help me gain my strength again, to keeping me warm, comfortable, as well as managing my medications as well. Her house is quiet, peaceful, relaxing, immaculately clean, and beautiful. I couldn't be happier with my choices. Now just waiting for the pain and swelling to go away :("- K. / RealSelf / Oct 17, 2016
Reasons for Revision Surgery
Breast revision corrects circumstances in regard to breast implants. The surgery focuses on removal, replacement, or making a switch from saline to silicone-based implants. Listed below are the most common cases where a patient may be a candidate for this treatment.
Breast Implant Removal
Individuals who wish to undergo breast augmentation do so to increase breast size primarily for aesthetics. However, after breast augmentation, some women may be dissatisfied with their results and opt to revert back to their normal breast size. Others may want to remove their implants because of health concerns or other personal reasons. Breast revision surgery is a process where the implant is removed and the skin over the breast is tightened to make sure the breast sits in a natural position and looks normal.
Despite the guarantee that implants are safe and leakages are rare, there are cases when a shell breaks down. If it is filled with saline, the solution will be absorbed by the body, and there will be a noticeable deflation of the breast. In the case of silicone implants, the gel will settle where it is originally placed and the only way to verify it ruptured is with an MRI because the gel doesn’t deflate. This is also the reason why a patient with silicone implants must undergo routine MRI scans.
The tissues surrounding the implant may develop scars over time, which creates a capsular contracture. The scar tissue tightens around the implant, which causes the implant to be displaced. The patient will feel severe hardening of the breast, which can be a discomfort. This is corrected by a capsulectomy in which the scar tissue is surgically removed. Based on statistics, there are more occurrences of contracture with saline implants compared to silicone-based ones.
A noticeable rippling can sometimes be seen underneath or on the side of the breast. This is generally more common among patients who have very low tissue volume and who are thin. Although not really a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. Rippling is most common with saline implants.
Double Bubble Implants
When an implant moves out of the intended pocket, it may cause the appearance of a double breast where a significant crease is noticeable. Implants not properly placed may drop and extend past the breast’s crease or rise, forming an odd volume on top of the breast. Sometimes implants are displaced by severe capsular contracture or a tightening scar tissue. Patients who experience this will go ahead with a revision surgery as this condition is usually noticeable when wearing tight-fitting clothes.
Breast implants vary in size, texture, shape and base. Some patients may be unhappy with how the breast looks and may consider a revision surgery to improve the appearance according to preference. It may be another size increase or a switch from a rounded implant to a more natural looking teardrop shape. Some patients also later realize that they’d rather have silicone instead of saline. All preferences will be considered to modify the augmented breast.
Revision surgery is tailored according to the cosmetic issue the patient is addressing. With this treatment, a major correction is done to the augmented breast in conjunction to scar tissue removal, if applicable, or a breast lift if there is sagging. There are instances when a strattice (a tissue matrix device) will be needed to act as an internal underwire if additional support is required. Ultimately, the correction aims to fix the issue that’s the source of the patient’s dissatisfaction.
Breast revision surgery is performed with general anesthesia in an accredited surgical facility. The patient may be sent home after treatment depending on the severity of the case. It is recommended to have someone who can drive the patient home and who can provide support within 48 hours. Patients can resume to their normal routine on the second week. It will take a few more months for the effects of the revision to become noticeable and the breast to develop a natural feel and look.
Many women are not good candidates for a breast augmentation alone at the time of their first implant surgery, and should have undergone a breast lift alone or with an implant. A common example of this is a patient who has breast laxity, a sagginess after having had children, losing weight, or aging. Every patient is an individual case, and should be evaluated and treated as such.
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