Breast Revision Overview
While breast augmentation surgery is one of the most popular cosmetic surgeries around, results can fall short of expectations and in some cases, implants must be replaced, repaired or removed with breast revision surgery. Sometimes a patient doesn’t like the look of the implants and other times, they don’t function properly. Regardless of the situation, Charlotte plastic surgeon, Dr. Vincent Voci, can fix the implant issue, helping the patient achieve her desired results. Since Dr. Voci uses a new generation silicone implant, patients with older implants may want to consider upgrading.
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.
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 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.
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.
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.
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.
"I love going to the Voci Center...I am always active in the community, on television, on stage, on runways, and social elite gatherings and I know that I will be looking my best because of Voci Center. It is just like buying an outfit to go out ..you must have shoes, dress, hair, make up, voci center complete and then you are ready."- R.M. / Facebook / May 11, 2015
"Lipo sculpture 3 weeks post op - It was quite a journey for me to finally make my decision to have this procedure. Dr. Voci and his entire staff are wonderful. Dr. Voci took as much time as I needed to throughly answer my questions, explain the procedure, the initial post op, recovery period and final results.Dr. Voci is a artistically gifted, meticulous and experienced surgeon. Dr.Voci wants you to be the best version of yourself while maintaining a natural look. While I am just 3 weeks post op, my results have already far exceeded all of my expectations already!!! I still have several more weeks before all of my swelling is completely gone and final results are evident. I'll post before/after photos as you will see for yourself just how truly gifted, experienced and exceptionally skilled surgeon Dr. Voci is. Photos forthcoming shortly...."- P. / RealSelf / Feb 05, 2020
"Dr Vincent Voci is the BEST Plastic Surgeon in Charlotte!! He is WONDERFUL at what he does...and is super honest. I love his personality and he cares about his patients."- J.D. / Google / Jan 30, 2020
"I have been going to VOCCI Plastic Surgery for years and so far is the best in Charlotte. I recommend him 100 %. Feel very confident and confortable to get to see him. ♥️"- M.V. / Google / Jan 28, 2020
"You will not find a plastic surgeon like Dr. Voci. He excels in knowledge, technique, skill and artistry. His photo results alone, speak for themselves."- M.R. / Google / Jan 25, 2020
Breast Revision 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.
Breast Revision 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.