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Breast Implant Revision in Baton Rouge

What is “Breast Implant Revision” surgery?

Breast Implant Revision Surgery involves a secondary operation on a patient who has already had Breast Implant surgery. Over time, the patient’s tissue may change or the patient may desire a different look/size. These secondary surgeries can be challenging operations and should be performed by a surgeon with experience in these secondary procedures. This category encompasses numerous different types of procedures that are specialized to correct the specific problem that the patient wants addressed.

What are the common procedures performed with Breast Implant Revision?

The most common Breast Implant Revision surgery is an implant exchange to larger or smaller implants. This is a very common procedure and has a very easy recovery. Sometimes, patients present with more complex problems, which require more complex surgery. The implant can be in the wrong position (Implant Malposition), the breast may be abnormally “firm” (Capsular Contracture), or the implant may have deflated (Deflated Saline Implant) or ruptured (Ruptured Silicone Implant).

How can I tell if I need Implant Revision Surgery?

Typically, patients notice that their breasts look uneven. Often, one side appears normal and the other side appears different with changes from previous shape or size. Sometimes the implant stretches off to the side or downward in different positions (lying down or standing up). Occasionally, nothing appears wrong; but a radiographic image of the breast (MRI, Mammogram, or Ultrasound) shows a damaged implant. If you notice that your breasts look different, you should be seen by your Plastic Surgeon to determine if everything is OK.

What is Capsular Contracture?

Occasionally, the scar tissue around the implant becomes hardened or tightens (Capsular Contracture). This makes the breast firmer than previously, and often makes the breast rise on the chest abnormally. This hardened scar tissue, or capsule, will distort the shape of the breast and may even lead to pain. Over time, Capsular Contracture tends to worsen unless it is corrected. Surgical repair of Capsular Contracture involves a combination of procedures including: replacement or removal of the implant, removal of the scar tissue (Capsulectomy), or placement of the implants into a different position (Neosubpetoral Pocket or Pocket Exchange). The treatment is individualized to each patient and depends on a host of factors including: patient tissue characteristics, prior surgeries and incisions, and the patient’s desired result.

What is Implant Malposition?

Implant Malposition is when the implant is in the wrong position on the chest. Sometimes, the implant can stretch to the side (Lateral Malposition). This is noticed when the patient lies down and notices that the implant falls off to the side. The implant can also stretch inferiorly (Bottoming Out) and sit too low on the chest, giving an unsightly appearance to the breast and elevating falsely the nipple. Finally, the implant can stretch too far towards the middle, leading to Symmastia (Synmastia). This may allow the implant to appear to cross over abnormally to the other side. Implant Malposition can often be corrected by surgically correcting the pocket with Capsulorraphy. Occasionally, if there is not enough tissue or poor support, additional prosthetic tissue is used to reinforce the capsule to prevent recurrence of the problem.

What is a Deflated or a Ruptured Implant?

Breast implants are man made objects and will not last forever. At some point in time, the implant will become damaged and will need replacement (or removal). A Saline Implant (filled with normal saline solution) will deflate, and the breast will appear much smaller than previously. The saline solution will be absorbed by the body without any trouble or danger. A Silicone Implant (or Gel Implant) will rupture, and the breast will appear relatively unchanged. The gel or silicone will stay within the breast pocket and not leak throughout your body – this has been studied for many years and supported with multiple scientific studies. The recommendation for both situations is removal of the damaged implant with replacement with a new implant.

I may need Breast Implant Revision. What is the next step?

Schedule a consultation today to meet with Dr. Freel at (225) 924-7514, or schedule a consultation online using this link. Patients are seen expediently and surgery can be arranged at the patient’s convenience. At the consultation, the problem can be identified along with a solution. The exact procedure, expected recovery process, and the cost can be determined at this time.