breast implant revisions
Breast augmentation (breast implant) is one of the more popular cosmetic procedures performed on women and is usually a very satisfying operation with predictable results. However, their are documented studies of secondary procedures of up to 25%. What are secondary procedures or revisions? And why such a high precentage? Well, in some instances, the implants can be too small (rarely) or too large (more common). The implants can be placed too high or there can be significant asymmetry. An implant rupture can occur or the implants begin to feel hard and painful (capsular contracture). Capsular contracture rates are approximately 15% depending on the type of implant and placement. If these occur, then a secondary or revisonary surgery is usually necessary to satisfy the patient and plastic surgeon. Revision breast surgery can include implant exchange, implant reposition, release or removal of the capsule around the implant, or breast lifting. The outpatient surgical procedure is usually shorter in duration and less painful. Results are very dependant on the experience of the plastic surgeon, as well as the amount of deformity, and overall health of the patient. Certainly, multiple breast procedures can increase the risk of complications, all of which can be discussed in detail with the board certified plastic surgeon of your choice.
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You mentioned rivisionary surgeries in regard to breast implants. How common are revisionary surgeries when it comes to women who have had a breast reduction? Let’s say there was a great deal of breast tissue removed. I imagine it can be difficult at times to get both breasts equal in size. If this is the case, what would be done? If taking more tissue out of one breast to even them out isn’t a desirable option for the patient (or for you), would you then look at implants? Would this be more difficult after a reduction has already been done and would there be any greater risk for complications?
Thank You,
Angela
asymmetry after a breast reduction is unfortunately very common. Options when this occurs are implants that are different sizes if the patient wishes larger and fuller breasts or liposuction and/or resection if the patient wishes smaller breasts. Complications are not common and can be addresses during the plastic surgery consulation.
Dr. Livingston,
Can you explain how this process would work? If a person initially had a breast reduction surgery that was covered by insurance and then needed to have a revision, such as implants to even her out…..would this 2nd procdure typically be covered by insurance, or would she have to pay this out of pocket? Can you give an estimate of what this might cost?
Thank You,
Angela
unfortunately, if volume is necessary after a breast reduction, implants are required and not covered by insurance plans. Cost is approximately $6000.
Hey doc!! We haven’t heard from you in a while…hope you’re still doing your blog!
I do have a question for you. I had implants done by a local Houston doctor a few years ago (would probably be best not to mention his name on here). At one time the implants looked great. Now they are looking uneven and maybe have shifted. I’m not happy with my look at all. I’ve talked to the doctor and he seems to just dismiss what I have to say so now I’m looking somewhere else. And yes, I have shown my sister and some close friends and my boyfriend of couse sees them and they agree, so it’s not just in my head. Another problem from that surgery, which was never corrected, was some bad scarring. He talked about doing scar revision surgery, but then dismissed that as well.
So my question is, do you have a problem going in an correcting someone else’s mistakes??? I’m 28 years old and don’t think I should be this unhappy about my breasts. It’s not like I’m 40…I want to look good!!
Liz
Dr. Livingston,
Ppertaining to my question above….is the situation any different if the breast reduction has caused my breasts to be 2 different sizes? Supposing the implants are more for corrective puposes after an initial surgery rather than the desire for fullness?
Thanks!
Angela
insurance will still not reimburse for implant corrective breast surgery following breast reduction. If you will to have smaller breasts, they may reimburse for a secondary breast reduction
it sounds like you have capsular contracture which occurs in approx 25% of breast implant patients. It occurs when scar tissue forms around the implant and usually displaces the implant upward causing your asymmetry. It can be corrected with surgery, replacing the implants and removing the scar tissue. All of which is very straightforward. Please call for a consultation 7137970085. Thanks DR L
Dr. Livingston,
I have a problem that is starting to be bothersome. I had breast implants done about a year ago. Lately I’ve noticed an uncomfortable sensation on the left side near where my breast meets my underarm area. The area here feels harder underneath, compared to the other side. It sometimes feels hot and sensitive to touch and at times is difficult to lay on my left side. This is something that comes and goes. I had this operation done in Sweden, which is why I am not contacting the doctor that performed it. It seems kind of senseless unless I have to go back to him, which becuse of the distance, I would prefer not to do. Are the sensations that I’m having normal or is this something I should be worried about? I don’t want to be scared about this, but quite honestly I am beginning to be.
I am anxious to hear what you have to say about this.
Best Regards, Sylvia
I honestly don’t know the answer without evaluation and consultation. You may need to see your primary care physician first. I certainly recommend obtaining your operative report from the plastic surgeon and seeking medical attention very soon.