The reasons women come to our Fort Worth, Texas practice for breast revision surgery vary, from wanting different implants to experiencing complications following an earlier breast augmentation procedure with a different surgeon. What these patients have in common is choosing Dr. Steven Camp, a board-certified plastic surgeon whose expertise in breast surgery enables him to perform what is often a more complicated procedure than the initial augmentation.
A Customized Procedure
A breast revision procedure is performed to either provide a more satisfying aesthetic result or to correct a complication. Dr. Camp adapts the procedure depending on the specific reasons a patient wants her implants replaced or removed. Even though most patients are satisfied with the outcomes of their initial breast augmentation procedures, in some cases breast revision surgery is needed. The most common reasons include:
- Changing implant size or placement: Some patients decide they want larger or smaller implants. Revision surgery is also needed when a patient wants to change the placement of the implants (for example, switch from in front of the chest muscle to behind it.)
- Exchanging saline for silicone gel implants: In some cases, women who initially wanted saline implants later decide to get cohesive silicone gel implants, which many patients believe look and feel more like natural breasts.
- Replacing older implants: Breast implants are not designed to last a lifetime. In most cases, implants should be replaced after 10 to 15 years.
- Capsular contracture: This is the most common complication associated with breast augmentation. It occurs when the scar tissue that forms around the implant starts to tighten and harden, which can distort the implant’s shape or cause it to move. In some cases, the condition can be painful.
- Visible rippling: This is mostly associated when patients with little existing breast tissue or thin skin get saline implants inserted above the chest muscle.
- Leaking implant: If a saline implant leaks, it deflates quickly and visibly. A cohesive silicone gel implant that develops a crack retains its shape and the problem is usually first noticed during a magnetic resonance imaging (MRI) test.
- Cosmetic complications: Other issues involving implant malposition (dropping too low in the breast, migrating to the middle or the sides) can look unnatural.
Breast revision surgery can be a complicated procedure because of the scar tissue that forms around implants. There may also be anatomical challenges that aren’t present during the initial breast augmentation, such as compromised skin quality, that require a plastic surgeon with advanced training and extensive experience, such as Dr. Camp.
Dr. Camp may recommend combining a breast lift with revision surgery for patients whose skin is less elastic than when they first got implants. When repairing an implant pocket that is either misplaced or too big, he may use an “internal bra” made of a special bio-compatible material to reinforce support for breast tissue.
As with any surgical procedure, the recovery varies from patient to patient. Expect recovery to be similar to your experience after breast augmentation, although it could be a bit longer. Following the pre- and postoperative instructions provided by Dr. Camp enhances the healing process and should help minimize your discomfort.
Dr. Camp follows up with you personally and we encourage patients to contact our practice with any questions or concerns after they return home.Back to Top