About Breast Revision Surgery
Women who undergo breast augmentation often love their results, but some may choose to change their implants later in life based on size, after pregnancy, or for other reasons. Our surgeons perform hundreds of breast augmentations per year and are often consulted to give a second opinion after a patient has already had surgery somewhere else and was unhappy with her breast augmentation result.
In some cases, women may decide to have their implants removed to return to their pre-surgery size. In other instances, women may opt for a different implant size for a more dramatic or subtle result. Our board-certified plastic surgeons at Austin-Weston, The Center for Cosmetic Surgery have years of experience and expert training. Call our Reston, VA office today to schedule a consultation to learn how breast revision surgery can help you.
Why is this surgery needed?
Breast revision surgery may be needed due to a breast augmentation procedure that did not turn out well, an implant that has ruptured, or for a simple change of aesthetics. Women decide to have this procedure for a number of different reasons, including:
A desire to have a different breast size
After having breast implants for several years, some women decided to change the size of their implants to smaller or larger ones. This may be a personal aesthetic preference to shape, type of implant, texture of the implant. It may also be necessary as a woman’s weight fluctuates with age or changes after pregnancy.
The removal of breast implants
Some women desire to have their breast implants removed all together, as they no longer wish to have them or if their breasts have naturally grown after childbirth or menopause.
Saline and silicone breast implants can both rupture. If this happens, our plastic surgeons will recommend the implant be replaced, and based on the age of the implants, they may also recommend the other non-ruptured implant also be changed. This is a great opportunity to change any other issues the patient has with the breast such as a desire to change the size of the breast or have a more lifted appearance.
A double bubble refers to a breast implant that has gone below the natural fold of the breast, creating two breast folds. One of these is the natural breast crease and one is the lower border of the implant. This can be a result of too large an implant being placed, lax breast folds pre-op or after weight loss, or aggressive dissection at the time of implant placement. The correction for this typically involves changing the implant and re-securing the fold with special sutures or mesh.
Scarring or capsular contracture
Every breast implant placed has a thin capsule surrounding it. On rare occasion, this capsule, which is made of scar tissue, can thicken and become hard. Medications can sometimes be used to treat an early capsular contracture, but a late contracture that has been present for years may require removal of the implant and surrounding capsule, and placing a new breast implant.
When a breast implant develops a ripple or a wrinkle within itself, it sometimes can be seen under the skin around the outside of the breast of the patient. This is more prone in very thin patients with saline implants that are not under the muscle. Options for revision include fat grafting to the breast to conceal the ripple, changing the implant to a sub-muscular plane, changing to a more firm implant such as a cohesive gel, using a special mesh to help support the implant, or a combination of the above-described options.
"Austin-Weston is amazing. My first experience with them was in 2007 when I had a life-changing breast reduction. I healed quickly, had minimal scarring and was able to finally buy a shirt that buttoned within weeks of the surgery. 10 years later, I'm still thrilled with the results.For the past year, I've been seeing Savannah for laser hair removal of some hair in undesirable places. Each time, Savannah is incredibly nice and gentle... And there's a noticeable difference each time. After 6 full sessions and a few touch ups, you can't even tell! And after 30 years on this earth, she informed me that I did not have oily skin and switched me over to an Austin-Weston moisturizer that has greatly improved my complexion and made my skin look so much better!The hair removal has greatly improved my confidence and I'm so excited about the results!"- N.C. / Yelp / Dec 12, 2017
"I've been seeing dr. Christopher knots for a little over a year now at Austin Weston Center I've been seeing dr. Christopher Knotts for fillers and Botox I have to say he is the most talented plastic surgeon I've ever been he has a very artistic eye and he is so very kind and he listens to what you want and I highly recommend dr. Christopher Knotts at the Austin Weston Center for any kind of plastic surgery you will not be disappointed"- D.F. / Yelp / May 01, 2018
"Jocelyn is a miracle worker ! She wholly has an aesthetic eye for detail and perfection. I've come to her at least four times now. Each time, she has taken the time to listen (and truly listen! Not cutting me off or dismissing my concerns or questions like previous medical professionals I have encountered). I usually come with a list of 5-7 questions and an ideal beauty goal in mind. She is very knowledgeable and patient. And most of all, she's realistic in her approach and practice. I appreciate that very much. She doesn't upsell procedures like other greedy doctors and nurses. As you can tell, I've had appalling experiences in the past. But, Jocelyn has shown me the light! I feel valued as a patient whenever I come into the Austin-Weston Center. I will never let anyone else touch my face but her! [Update] I am beyond satisfied with the results that Jocelyn has given me! The fillers look so natural and has enhanced my facial features . I am so pleased:)"- F.T. / Yelp / Apr 27, 2018
"Dr. Knotts is simply one of the best doctors in the field of cosmetic surgery. He cares about conditions faced by his patients, listens to their concerns, and actively works with them to address the issue. He is considered as an authoritative figure in the field, based on the success of procedures he performed, and the extensive paper and journal articles he has written on the subject."- J.H. / Healthgrades / Apr 21, 2018
"One of the Best Doctors in His Field - Dr. Knotts is simply one of the best doctors in the field of cosmetic surgery. He cares about conditions faced by his patients, listens to their concerns, and actively works with them to address the issue. He is considered as an authoritative figure in the field, based on the success of procedures he performed, and the extensive paper and journal articles he has written on the subject."- Anonymous / Vitals / Apr 20, 2018
What to Expect
Breast revision surgery is usually less painful than the initial breast augmentation surgery, but it depends on the surgical case and what is being addressed. For women who are getting a smaller size or a removal, a breast lift may be necessary to correct loose skin. For other patients who have scar tissue, rippling, double bubble, or an implant rupture, a more involved procedure may be performed to prevent a recurrence. Our plastic surgeons will address the issue at hand and resolve the problem with a realistic outcome discussed prior to treatment. Patients should keep in mind that the more difficult the procedure, the longer the recovery will be.
Breast revision patients typically take one week off work and can expect most bruising to resolve in the first few weeks. Patients should limit strenuous exercise, but still get up and move around to promote healing and blood circulation during the first week. Most patients are back in the gym and recovered by 6 weeks and are often extremely happy with their breast revision results. Final photographs are taken around 3 months after surgery.
Plan Your Procedure
- Average Cost
- $5,800 - $11,200
- Recovery Time
- 1-6 Weeks
Achieve the Right Look
If you are not happy with your current size, shape, texture, or look of your current implants, please contact us today. If your implants are ten years or older, you may want to have a consultation to discuss your breast health as well. We want all of our patients to be pleased with their breast augmentation. At a private consultation, we will answer all questions and concerns (even if our plastic surgeons did not perform the first surgery). Please schedule a consultation today with our front office staff.