Breast Augmentation Revision
Breast implant revisions done are our second most common surgical procedure. We review and revise breast implants done from all across the globe on a regular basis, and take great pride in fulfilling the original goals of the procedure. Similar to the aging process, the female breast image depends upon multiple anatomic and physiologic factors, and must be viewed in many lights to be understood and improved upon. Bigger is not always better, and one technique never fits all patients.
Common Breast Implants Problems:
Patients often come to our office after obtaining breast implants by other surgeons at other facilities because they have suffered undesirable outcomes and wish to have their breast augmentation corrected. This is referred to as revisional or secondary breast implant. The most frequent problems that we treat in our office are as follows:
1) My plastic surgeon didn’t listen to me, and this is not what I want.
This is our most common scenario, and it often occurs when patients go to a non-board certified plastic surgeon for their breast augmentation. They often do not hold the same comprehensive understanding of the female breast.
In this situation, we start all over. We review all of your records, if available, and treat the consultation as if it were your first. We then plot a course to reverse the effects of the previous procedure, and provide you the best results possible. We commonly offer either an implant exchange procedure with capsule modification, or in severe cases, a neopectoral pocket procedure.
2) When I lie flat, my breast implants fall into my armpit.
Most common complaint in women over the age of 45. As the breast ages, it commonly loses support laterally. This can result in the breast implant falling towards the armpit over time. Depending on the degree of laxity, this can be treated by oversewing the lateral breast, or with creation of a neopectoral pocket. In severe cases, use of an acellular dermal matrix like Strattice is our treatment of choice as it durably solves this problem.