Breast revision, or breast augmentation revision surgery at Contour Aesthetic Center can help women who are dissatisfied with a previous breast enlargement or breast reconstruction procedure. By correcting complications or unhappiness with results stemming from your first surgical experience, Dr. Ali Heidari can perform breast revision surgery to address those concerns and provide you with the beautiful, natural-looking results you had originally hoped for. Dr. Heidari has specialty training in breast surgery procedures and are committed to helping you attain your ultimate goals.
Specific revision procedures are used depending on the situation:
Capsular Contracture (breast hardness) can occur as soon as four to six weeks after the original surgery. A capsule forms around any foreign body placed within the human body, like the breast implant. This capsule can harden in response to trauma or an infection and can be mild to very severe. Capsular contracture rates can be higher when implants are placed above the muscle rather than below the muscle. Therefore, in most cases Dr. Heidari recommends breast implants be placed under the pectoral muscle.
Capsulotomy/Capsulectomy is a procedure where the hardened capsule is opened and released or sometimes partially or totally removed. This creates a softer breast. Sometimes, removing the capsule also may reduce the incidence of recurrent scar tissue, but this is not always the case. Just because a capsule is removed, does not mean that it will not reoccur. In treating this condition, Dr. Heidari will evaluate your unique physical anatomy, your breast and chest wall, as well as the placement of your implants by your previous surgeon. Together you can decide on the best solution.
Removing or replacing breast implants depends upon your previous surgery. If the implants are in good shape and are not ruptured, often, they may be left in place and a new implant may not be required. However, some studies have found that capsular contracture may be associated with micro-infections; therefore, removing the implants, replacing them with new ones after cleaning and irrigating the pocket with antibiotic solution, may help to reduce recurrent infection and capsular contracture. It is important to note that breast implants will not last forever. About 25% of women will need to have their implants replaced about 10 years after the initial surgery.
Double bubble breast deformities can occur when an improper surgery was performed to correct breast sagging or constricted breast deformity. In these cases, two problems occur at the same time. The first problem is that there is a loss of volume in the breast, requiring a breast implant, usually a submuscular placement. Second is excess skin that needs to be removed through a breast lift. Dr. Heidari often uses a combination of augmentation and breast lifting in order to remove extra skin and to give you normal-appearing breasts.
Body size and proper implant size are important in determining the right proportions for your body. Prior to breast revision surgery, Dr. Heidari considers many different factors. Physical characteristics such as your weight, height, breast and hip width affect the size of the implant needed to provide the right cup size. Along with these physical factors, Dr. Heidari also considers your lifestyle and physical goals to help you decide what implant size is appropriate for you. As a general rule, Dr. Heidari prefers full projection implants that give you volume and lift without making your chest look heavier.
The recovery process for breast revision procedures is dependent on which type of revision surgery you have undergone. Implant removal typically results in some mild discomfort, bruising, and swelling after surgery; however, this can be managed with medication. Implant replacement patients can expect some bruising, swelling, and discomfort in the few days after the procedure, although this can also be managed with medication. Patients who have undergone implant replacement may also be fitted for a compression bra for a few weeks after surgery to help the progression of healing.
Breast revision surgery patients are advised to not participate in strenuous activities or activities that could strain or harm the breasts for at least six weeks after surgery. Depending on the procedure you have undergone, most patients are able to resume normal daily routines a few days after the procedure.