BREAST REVISION

BREAST REVISION – FLEMING ISLAND, FL*

OVERVIEW
Every year, many women in the Fleming Island area make the decision to have breast augmentation surgery with implants. Commonly, women are thrilled with their augmentation results, however, some patients may decide to have the implants removed or replaced. At Fleming Island Plastic Surgery, Dr. William Wallace performs breast revision surgery to correct, remove or restore an existing implant that is causing issues such as rupture or leaking, or is no longer cosmetically wanted or desirable. Since silicone implants are a manmade product, over time, the implants may need to be refreshed, especially in women who have had them in place for more than a decade. Dr. Wallace is readily available to assist you in your breast revision, no matter the reason.
REASONS FOR REVISION SURGERY
There are various circumstances as to why a woman may decide to undergo breast revision surgery. The most common reasons are listed below.

 RUPTURED IMPLANT
If a saline implant ruptures, the implant device will deflate due to the leakage of saline. This will result in an obvious deflating of the breasts. Silicone implants will not deflate visibly, however a break in the shell may still occur. The only true way to detect a shell break is through an MRI, which is why routine check-ups are recommended throughout the years.

 BREAST RIPPLING
Breast rippling and/or wrinkling can occur along the side of the breast, or underneath it. This occurs within saline implants resulting in an unnatural appearance under the skin. This is most common in women who are extremely thin.

 DOUBLE BUBBLE IMPLANTS
“Double bubble” is a rare complication with women who have breast implants. This occurs when the implant drops down behind the natural breast crease, or it has risen and now over-drapes (double folds) the breast. When this occurs, an unnatural indention will result in a “double” breast appearance. This is usually caused by improper breast placement from the original surgery, or severe capsular contracture, which shifts the implant from its position.

 BREAST IMPLANT REMOVAL
Some women may decide later in life they no longer wish to have breast implants in place. Breast implant removal is a procedure that removes the implants and tightens the skin around the breasts to create a natural look.

 BREAST SIZE
Some women will be unhappy with their breast size following breast augmentation surgery. They may desire a secondary surgery to replace the implant with one of a different size, texture or shape. Some women may want to go from saline to silicone, or vice versa to achieve the results they desire.

 CAPSULAR CONTRACTURE
Scar tissue that has formed around the implant may create a capsular contracture. When this occurs, excessive tightening of the capsule will result in a hard feel of the breast. Sometimes, in order to correct this, a capsulectomy must occur. This is the removal of scar tissue from around the implant. In general, silicone implants have a higher incidence of capsular contracture (approximately 10-15% chances) than saline implants (5% chance).

 IMPLANT BOTTOMING OUT
This can occur post-surgery when an implant shifts or moves from its original location. This can also occur with aging, gravity, trauma to the chest area, or with excessive scarring.

 SURGICAL ERROR
Some women are not good candidates for breast augmentation surgery. Instead, they should first have a breast lift. Women who have sagging breasts and undergo breast augmentation surgery alone will not have strong results. The breast will continue to sag further due to the increase weight of the implant. 
SURGICAL TECHNIQUE
Patients who wish to have their implants replaced will undergo a procedure where an exchange of one or both implants may occur. These revision surgeries are generally straightforward. If scar tissue does exist around the implant, an additional step will be taken to remove this. Some patients may require a breast lift during the revision surgery. In addition, a tissue matrix device known as a strattice may be used if added support is needed. The goal of the revision process is to resolve or overcome issues in a way that satisfies the patient’s aesthetic goals. 
DURING/AFTER SURGERY
Breast revision surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. The ease of recovery will depend on exactly what was being done during the revision process. Most women are able to resume their normal work activities after a full week of rest. Exercise will be a gradual process. It may take up to a full year for the scars to begin to fade and for the newly revised breast or chest area to look and feel natural. 
BREAST AUGMENTATION FAQS
 IS SILICONE SAFE?
Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often. 

 BREAST AUG OR LIFT?
Breast augmentation will help with size, but it will not correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.

 RISK OF RUPTURE?
Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect. 

 HOW LONG DO THEY LAST?
Most implants will last about 10 to 15 years. Some can last even longer. If there is no rupture, leakage, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or have any type of secondary surgery.  
CONTACT RELATED PROCEDURES
LOCATION

FLEMING ISLAND PLASTIC SURGERY
1715 Eagle Harbor Pkwy
Suite B
Fleming Island, FL 32003
Phone: 904-900-2704
Fax: 904-621-9272
HOURS

Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
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