WHat Is A Breast Revision?
Breast augmentation using implants is one of the most popular cosmetic surgeries in America, and in the majority of cases, it produces beautiful and natural outcomes. However, sometimes a woman can be unhappy with the results of her breasts and at some point may want breast revision surgery. Keep in mind that not all revision treatments are due to surgeon error. While there are a few surgeries that do end with a poor outcome, there are women who want a larger or smaller implant while some may have a visible irregularity and ask to have the implant corrected or removed altogether. Furthermore, some women must have revision surgery for a unique condition. Houston, TX board-certified plastic and reconstructive surgeon Dr. Aldona J. Spiegel offers breast revision surgery. Call for an in-depth evaluation at Aldona J. Spiegel, M.D. so that the desired outcome is achieved.
"I cannot recommend Dr Spiegel and her team more highly. I attended her clinic when having trouble with uncomfortable implants after a previous mastectomy. Dr Spiegel suggested DIEP procedure and I was really not sure. Over the coming months both she and her team explained the procedure, the benefits and results and implications. I decided to go ahead and I could not be more happy with the results. I look like I would have done pre mastectomy. I have been amazed by the continued care and concern of the whole team from the finance folk to the clinic nurses and doctors and their absolute pleasure in seeing my delight. A fantastic experience and I can't thank them enough."- C.A. / Google / Aug 01, 2019
"Dr. Spiegel and her wonderful staff got me through the most difficult experience of my life. Going through mastectomy and DIEP flap reconstruction is traumatic. I chose her over other Houston area surgeons and felt that I could trust her. Everyone in her office supported me each step of the way. First, and foremost, this is a major surgery and you rely on medical excellence to avoid important risks. She is a perfectionist regarding medical safety. Next, her artistry is outstanding. She got the best result that could be possible. Finally, if you have radiation, it is a long journey of several years to get from the beginning to end of the process, involving a year of a temporary expander before the final reconstruction. It is important to have a team that you can have that trusting supportive relationship over time. I feel very lucky and grateful that I was in the hands of this wonderful group of highly skilled women."- L.S. / Google / Jul 08, 2019
"Dr. Spiegel is my guardian angel and I owe her and her entire team and staff a debt of gratitude that I will ever be able to repay! I am one year out from my original Diep flap surgery with her and I feel great- like myself again! After undergoing a prophylactic mastectomy ( due to testing positive for the BRCA 2 gene and strong family cancer) and getting breast implants with another doctor, Dr. Spiegel saved my life by removing the implants and performing Deip surgery. The implants cased me so much pain and diminished my quality of life but now I have it back. I have no more pain and my breasts are soft again and created from my very own tissue. Thank you Dr. Spiegel!"- J.A. / Google / Jul 08, 2019
"Dr. Spiegel was highly recommended by my oncologist. It had become necessary that I look into reconstruction and a lymph node transplant. Dr. Spiegel does amazing work. She loves what she does and it shows in the results that she achieves. I am very happy that I chose her for this journey! Her support staff are wonderful to work with as well!"- D.M. / Google / Jul 08, 2019
"Dr. Spiegel is simply fantastic. I am so grateful to her and her whole staff (Alexis/Nicole/Lisa/Aidee/Angie) for the wonderful care and support given to me from my very first visit to their office. Dr. Spiegel is so thorough that during the course of my visits, she insisted that I consult a GI doctor for my distended stomach. Turns out that I had an H Pylori infection for which I had to be treated. No other doctors had ever looked past their specialties to treat the whole individual, and I am 59 years old. Subsequently, Dr. Spiegel pushed for an endoscopy, and it was discovered that I had an ulcer for which I was treated. From cardio work up, lab tests to chest xrays, Dr. Spiegel ensured that I was in top shape for surgery and made sure that I understood all aspects of the procedure and treatment.During my stay at the hospital, Dr. Spiegel, Alexis, Nicole, Dr. Arroyo, and Dr. Vo infused me with so much strength, support and kindness that I have no words to express my gratitude and appreciation. It's been one month since my surgery and I'm feeling good, healing very well and going back to work next week. Awesome doctor and wonderful staff."- R.L. / Google / Jun 08, 2019
DO I Need Breast Revision?
Should you have any trouble (either medical or cosmetic) with your breast implants, please make a consultative appointment with Dr. Spiegel. She will develop a personalized plan for breast revision surgery. You may have scarring, breast drooping, ripples under the skin, or asymmetrical breasts. Revision surgery will change the outcome if you would like to alter the implant style, size, or address another aspect of your augmented breasts.
Reasons for Implant Revision
Here are a few other common situations in which a revision or secondary surgery is desired or required.
Asymmetry occurs when the implants look disproportionate. This is because of an incorrect size implant, drooping on one side, or a different condition that may cause asymmetry. An in-depth evaluation would need to be made to determine the cause of the asymmetry, then a revision surgery would be implemented to resolve the condition, and finally, new implants would be inserted to create a balanced result.
An implant that is not in a proper position or has shifted over the years may need to be surgically repaired. Contour abnormalities of one or both breasts is a common reason women seek out Dr. Spiegel's breast revision skills.
Sometimes, breast revision surgery is as straightforward as receiving a larger or smaller sized breast implant. During the first surgery, you may have chosen to go too big or too small. A different implant size can be inserted to achieve the desired look.
This is the term used for scar tissue hardening, occurring when the delicate tissue that surrounds the implant becomes thick and hard. Although many implant surgeries do create some internal scarring, most women will never see or feel it. In some situations, the hardening tissue could change the implant placement, which can change the breast shape and result in an undesirable outcome. Scar removal surgery to eliminate scarring would be needed.
Bottoming out is a condition that happens when one or both implants drop too low or "bottom out." Sometimes, this is a positioning and placement error from the original surgery. To correct this, a different placement technique may be considered. For some patients, tissue grafting may be needed, as well as a surgically created pocket to fit the new implant. For most women, switching to a silicone implant can solve this problem.
Also, symmastia happens when implants are placed too closely together. In most cases, this is because the implant used was the incorrect shape, size, and width. A secondary procedure will correct this visible deformity by choosing an implant that is acceptable to your body type and looks proportionate.
This condition occurs when there are obvious rippling and wrinkles under the skin. This deformity generally forms around the edge of the implant. Rippling is generally found in females who are very thin. Many times, this issue can be fixed by simply switching to a silicone implant.
Even though this is rare, breast implant rupture may occur. If a saline breast implant ruptures, the implant will deflate almost immediately. Because of this, a visible deflation will occur. On the other hand, if the implant is silicone based and ruptures, it is only caught through an MRI. Either way, when a rupture occurs, a secondary procedure will be required.
Revising requires Surgery
Depending on your aesthetic goals after breast revision surgery, you may wish to exchange your implants or have them removed altogether. If this is the case, Dr. Spiegel will perform the surgery in an outpatient setting with general anesthesia and using the initial incision placement to not create more scars.
Instead of using an implant, you may also choose to have an autologous tissue augmentation surgery using your own skin, fat, and tissue from a donor site on your body. Since a breast flap procedure uses your own tissue, there is no risk of implant rupture or capsular contracture. The breast will also grow, shrink, and change with the rest of your body as you naturally age or fluctuate in weight over time.
Following your revision
Following your procedure and an observation period, you will be sent home to start your recovery. The overall recovery varies, depending on the complexity of your surgery. A revision that warrants any type of reconstruction or grafting will incur a longer recovery that could possibly take up to 6 – 8 weeks. You should slowly start to see your surgical results once the swelling starts to disappear. Dr. Spiegel or a member of her team will go over what you can expect while you recover, as well as tips to help speed your healing. You should go to your follow-up visits as often as directed so Dr. Spiegel can assess your recovery and results.
Redefine Your Breast Shape
Revision surgery for breast implants is a customized procedure tailored for your specific needs by Dr. Spiegel. If you're displeased with your breast implants or want a different outcome, we invite you to contact our Houston, TX office to schedule your appointment at Aldona J. Spiegel, M.D. There are numerous factors to consider and Dr. Spiegel will provide you with a full physical exam, create your revision recommendations, and help you set realistic goals and expectations.