Breast revision is a surgical procedure designed to correct unsatisfactory results from a previous breast (lift or augmentation) surgery.
Breast revision surgery can improve the shape, size, projection, and symmetry of the breasts. Depending on your condition, breast revision may involve the removal (explant) or replacement of one or both of your breast implant(s).
Reasons a patient may consider breast revision surgery
This is the most common complication in breast enhancement surgery. This occurs when the fibrous tissue capsule that forms around the implant after surgery tightens and squeezes the implant. The breasts may become firm and distorted.
Concerns About Safety
All breast implants have their advantages and disadvantages, but some things, Dr Bartell believes your health and safety are not worth risking! The type of breast implant safety concerns that come up the most are issues of implant rupture and capsular contracture. These risks aren’t very common, but they do happen. The FDA has recently been studying complications related primarily to the safety of silicone implants. Certain types of silicone gel breast implants that have textured surfaces have been shown to be associated with a rare form of lymphoma. As a result these have been removed from the market in many countries. This may be a reason for some women to choose a breast implant revision surgery. Women are switching from a textured implant to a smooth-surfaced one, where there has been no known case of lymphoma association.
Poor breast shape may occur as a result of complications or from poor surgical technique used during the primary procedure.
Rippling or Wrinkling
Patients with insufficient natural breast tissue (very thin patients) to cover the implant or who have too large an implant placed may experience visible implant rippling or wrinkling through the skin. This is why we prefer the Ideal Implant which has proven results to minimize the signs of rippling on the thinest of patients.
Rupture or Leakage
A rupture occurs when the silicone shell of an implant breaks open or tears. An MRI may be required to detect a silicone implant rupture. This is called a silent rupture because many patients do not know the silicone is leaking into the body. With a saline rupture it will will usually display an obvious “deflation” of the breast. Another reason why we prefer the Ideal Implant. Because the implant has 2 chambers, the odds of both chambers deflating are very small so you would never experience a complete deflation.
If the breast implants have shifted from their original placement, revision surgery can reposition them into a more appropriate location for a better position.
Sizing and Asymmetry
It is almost impossible to achieve perfect breast symmetry, but breast revision can correct a noticeable difference in the size, shape, and/or projection of the breasts. Dr. Bartell prefers saline because they are adjustable in the operating room. 9 out of 10 patients have a breast that’s larger than the other so it’s important your surgeon be able to help with symmetry.
Various Implant Options to Consider for a Revision
Not all implants are created equal. For that reason, each comes with its own rate of potential risks. Learning about the different types of implants and what you’re willing to risk in regard to breast implant safety is a crucial step to take before selecting breast implants. If you already have implants, but want a breast revision, the best thing to do is ask yourself what you like and don’t like about your current implants. Take this opportunity to give yourself an implant upgrade. Choose an implant that gives you the look and feel you want with the peace of mind you need.
Safety of Silicone Implants vs. Saline Implants
Even though silicone gel implants are a popular choice among women who want extremely natural looking and feeling implants, they tend to come with higher breast implant safety risks than other implants. In the majority of cases where there is a negative response, it involves the silicone gel coming into contact with tissues either through rupture or seeping through the shell. It does appear that some women may be reacting to the implant shell itself, which is in saline filled implants as well. With silicone gel implants, silent rupture is what usually occurs. This means that a woman could go months, even years, without realizing that her implant has ruptured and may still be in contact with her tissue, creating more complications in the future.
The benefit of saline filled implants, is that they will noticeably and instantly deflate in the case of implant rupture, allowing women to seek revision right away. As in the case of any medical device, the safety of silicone implants will always have an unknown factor. Fortunately, women have options for breast revision or removal of implants. Saline filled implants provide women with peace of mind through instant rupture detection and the safety of saline solution.
About Dr. Thomas Bartell
Dr. Thomas Bartell is a trusted Madison, WI plastic surgeon, known for his over 30 years of experience. He’s performed hundreds of below-the-neck procedures and his exceptional expertise in plastic surgery. If you are looking for a surgeon who can give you beautiful and natural looking results without visible scarring, call Dr. Bartell.
In conclusion, Dr. Bartell’s patients appreciate his friendly bedside manner, professionalism and knowledge. He has decades of experience and his ability to create gorgeous and natural looking results. He comes highly recommended for providing the rare commodity of an amazing first impression and overall experience. Researching the safety of breast implants? Contact Dr. Bartell today to discuss your options. Simply call 608-271-0500, or visit Dr. Bartell’s office located at 6418 Normandy Lane, Suite 210 Madison, WI 53719. Contact Dr. Bartell’s office for a no-obligation consultation today.