About Breast Revision Surgery
Breast augmentation is one of the most effective cosmetic surgeries in America, and in many cases, it produces terrific outcomes. However, sometimes a woman can be unhappy with the results of her breasts and at some point may want breast revision surgery. It is important to note not all revision treatments are due to practitioner error. While there are a few surgeries that do end with an unpleasing outcome, there are women who wish to have a different size of the implant while others may have a visible irregularity and would like to have the breast implant revised or taken out altogether. In addition, there are some women who must have revision surgery for a particular condition or the state of their implants. Board-certified plastic surgeon Dr. Timothy Katzen offers breast revision surgery and gives a thorough exam at J. Timothy Katzen, M.D. Beverly Hills so that a healthy and desired outcome is attained.
"My experience with Dr. Timothy Katzen is wonderful. His surgical skills are top notch and he has great bedside manner. I have had 3 procedures with Dr. Katzen and happy with all three."- K.Y. / Google / Nov 05, 2019
"Dr. Timothy Katzen is well known and prominent in the weight loss community. When I was looking to get my body lift done, he was always at the top of my searches with very positive comments from his patients and more importantly, he has thousands of before and after photos. I was amazed. My body lift was no different. It turned out wonderful!!!! So grateful for a talented and kind surgeon. Thank you Dr. Katzen for everything!"- A.P. / Google / Sep 12, 2019
"The last 2 years has been life changing for me. I had the sleeve and lost over 130 pounds. I started to exercise and eat better. One of the best things about this transformation is meeting Dr. Katzen and having a thigh lift and body lift by him."- J.A. / Google / Jun 15, 2019
"Amazing experience, wonderful, attentive, caring staff. Great bedside manner. I felt like I was in great hands. So grateful for Dr. Katzen!"- E.K. / Yelp / Nov 14, 2019
"I had arms that flapped after I lost a significant amount of weight. I went to Dr. Katzen for an arm lift and you would never be able to tell I had anything done. Dr. Katzen placed the incisions carefully where you wouldn't see them unless I raised my arms. My scars are healing very well. I can't wait for my incisions to fade like many of his post ops that I met."- H.C. / Google / Oct 18, 2019
If you have any trouble (whether medical or aesthetic) with your breast implants, please schedule a consultative appointment with Dr. Katzen to go over your wants and needs and to develop your personalized plan for breast revision surgery. Whether scarring, drooping or sagging, rippling, or size variations between the breasts is troubling you, revision surgery can help correct the condition and result in a more normal and healthy outcome. This procedure can also help if you are wanting to change the size, implant styles, or address any other aspect of your breasts.
Common Reasons for Revision
Breast revision surgery most often involves the removal of an implant that is not functioning properly or is no longer wanted. Breast revision surgery may also be performed to switch implant size or go from an implant to a fat transfer (or vice versa). There are a few other common cases in which a revision or secondary surgery could be desired or required.
Asymmetry occurs when the implant sizes look disproportionate. This is often due to an incorrectly sized implant, sagging or drooping on one side, or another condition that may cause asymmetry. A physical examination would need to be performed to determine what is leading to the asymmetry, then surgery would be needed to correct the problem, and finally, new implants would be positioned to create a symmetrical result.
Bottoming out is a condition that happens when one or both breasts drop too low or "bottom out." In many cases, this is a result of a positioning error from the first treatment. To modify this, a new placement positioning approach may be needed. In some cases, tissue grafting most likely will be required, as well as a surgically formed pocket to encircle the new implant. For most women, going to a silicone implant will usually solve this problem.
There are times a secondary breast surgery is as simple as receiving a smaller or larger sized implant. With the original surgery, you may have opted to go too conservative or gone a bit too large. A new breast implant size can be chosen to reach the desired goal.
This is the term used for scar tissue hardening, occurring when the delicate tissue around the saline or silicone implant becomes hard and thickens. Although many implant surgeries do result in some internal scar tissue, most women will never see or feel it. In some patients, the scarring could interfere with implant placement, which can change the breast shape and implant functionality and deliver an undesirable outcome. Capsular contracture surgery to clean up and remove scarring would be recommended.
This condition occurs when there are obvious rippling and wrinkles beneath the skin. This irregularity generally forms just along the edging of the implant. Rippling is more common in patients who are of low body weight. Often, this condition can be fixed by simply changing to a silicone implant.
Even though this is a rare occurrence, implant rupture can possibly occur. If a saline implant type ruptures, deflation will take place almost immediately. Therefore, a visible defect will occur. On the other hand, if the implant is silicone-based and ruptures, it can only be observed through an MRI. Whether silicone or saline, if a rupture happens, an additional procedure will be required.
RAW SILICONE INJECTION REMOVAL
Another reason why a patient may require immediate breast revision surgery is if they received raw silicone injections in the breasts from an unqualified provider. Raw silicone injections in the breasts are illegal and not approved by the FDA so if you or somebody you know has undergone this dangerous procedure, Dr. Katzen urges you to seek treatment as soon as possible. He has performed raw silicone removal surgery for the breasts for many women and has helped to restore the natural, healthy state of their breasts.
Symmastia is a condition that takes place when implants are inserted and placed too close together. In most cases, this is because the implant used was the wrong shape and width. A revision treatment can correct this problem by simply selecting an implant that suits your body frame and looks pleasing to the eye.
What to Expect
After your surgery and an observation period, you can go home to start your recovery. Recovery from a revision surgery varies based upon the complexity of your surgery. Revision surgery that warrants complex revision techniques will need a longer recovery that could possibly take up to several months. You should begin to see your results once the swelling begins to disappear. Dr. Katzen or a member of his team will go over what should be expected during your recovery, as well as recommendations to help speed your healing. You should go to follow-up appointments as directed so Dr. Katzen can assess your recovery and results.
Frequently Asked Questions
What if Dr. Katzen wasn't my original surgeon?
Dr. Katzen can perform your revision surgery even if he wasn't the surgeon who did your original breast augmentation. Breast revision surgery can be more complex than the original augmentation if you want dramatic changes or have problems so it's best to find a board-certified plastic surgeon, like Dr. Katzen, who has years of experience and advanced training in breast surgery. Dr. Katzen also welcomes his patients to return to his Beverly Hills, CA office for revision surgery after their augmentation surgery if they have a problem or want a change.
What about loose skin?
If you are having your implants removed or are changing to a significantly smaller size of implants, you may need to have excess skin removed during your surgery. After listening to your goals and assessing your current implants, Dr. Katzen can discuss the need for a breast lift to remove loose skin. If you lose a significant amount of weight, become pregnant, or breastfeed after augmentation surgery, a revision with a lift can help you get better results.
Will there be new scars?
When possible, Dr. Katzen will make incisions for revision surgery in the original augmentation incisions. However, if this is not possible, he will place the new incisions where they will be less visible. Breast revision surgery typically uses a transaxillary incision (through the armpit), a periareolar incision (on the lower edge of the areola), an inframammary incision (under the fold of the breast), or TUBA incision (through the belly button). Dr. Katzen or a member of his team will go over scar care management so your incisions heal smoothly and blend into your skin.
Do I have to change my implants?
While implants can last a long time, they do need to be replaced at some point. After augmentation surgery, it is important to have your implants checked regularly so Dr. Katzen can help you decide when your implants should be replaced. With so many advances in the medical field, you may want to consider the newest implant shapes and types to achieve your best look during breast revision surgery.
Change Your Mind
Revision surgery for breast implants is a custom treatment tailored for your aesthetic goals by board-certified plastic surgeon Dr. Timothy Katzen. If you notice a visible defect with your breast implants or desire a different outcome, we welcome you to get in touch with our Beverly Hills, CA office and schedule your appointment at J. Timothy Katzen, M.D. Beverly Hills. There are so many factors to consider when it comes to this highly personalized surgery. Dr. Katzen will perform a full physical assessment, create your revision treatment plan, and help set realistic expectations for your outcomes.