About Breast Revision Surgery
Breast augmentation is one of the most common cosmetic surgeries in the U.S., and in the majority of cases, it yields optimal outcomes. However, sometimes a woman can be unhappy with the results of her breasts and may need breast revision surgery. It is important to note that not all breast revisions are due to surgeon error. While there are a few surgeries that do end with an undesirable outcome, there are also women who want a different size implant while others may have a defect and prefer to have the breast implant revised or taken out altogether. In addition, there are some women who need revision surgery for a unique condition. Dallas, TX board-certified plastic surgeon Dr. George A. Toledo performs breast revision surgery and gives a thorough evaluation at Highland Park Plastic Surgery Center so that the right outcome is achieved.
In addition to having advanced surgical skills, Dr. Toledo is a compassionate, patient, and attentive plastic surgeon. He understands that each patient has unique needs and motivations for pursuing breast implant removal, and he takes the time to get to know each patient so he can provide the highest level of care possible. Dr. Toledo has always operated his practice on the principles of safety, comfort, and privacy, and he is committed to providing patients with results that exceed their expectations.
Breast Revision Reviews
"Excellent, Most Honest Doctor - Highly Recommend - Excellent! Most honest doctor & I truly knew that and believed what he was telling me. I was debating on whether to get new impants with my lift, or not. I had old implants that he had removed. After his suggestion and professional opinion, going with just a lift with my natural breast tissue has left me very happy!!! Esther, Silvia & Dr. Toledo were so patient with me and walked me..."- S. / RealSelf / Oct 10, 2018
If you have any concerns (whether medical or cosmetic) about your breast implants, please schedule a consultation with Dr. Toledo to discuss your needs and wants in order to determine your custom breast revision surgery plan. Whether it is scarring, breast drooping, rippling, or unbalanced breasts, revision surgery can help the problem and provide a more pleasing and healthy outcome. This procedure can also help if you want to change the size, implant styles, or address any other aspect of your breasts.
Common Reasons for Revision
This cosmetic surgery either takes out an implant that is not working or functioning correctly or is no longer wanted. Breast revision surgery may also be performed to switch implant size or go from saline to silicone (or vice versa). There are a few other common cases in which a revision surgery is needed.
Asymmetry occurs when the implants look uneven. This is because of a wrong size implant, ptosis on one side, or another condition that would cause asymmetry. A proper diagnosis would need to be made to determine the cause of the asymmetry, then surgery would be performed to correct the issue, and finally, new implants would be placed to achieve a balanced look.
Bottoming out is a condition that can happen when one or both breasts drop too low or "bottom out." In many cases, this is a placement issue from the first surgery. To correct this, a new placement approach may be considered. In some cases, tissue grafting may be needed, as well as a surgically created pocket to hold the new implant. For most women, moving to a silicone implant can solve this problem.
There are times when breast revision surgery is as simple as receiving a different sized implant. With the original surgery, you may have gone too big or too small. A new breast implant size can be used to achieve the desired outcome.
This is the term used for scar tissue, occurring when the soft tissue around the implant becomes hard and thickens. While most augmentations do result in some internal scarring, most patients will never know. In some cases, the scarring could alter the implant placement, which may change the breast shape and result in an undesirable outcome. Scar tissue removal surgery to remove scarring would be necessary.
Implant rippling occurs when there are visible wrinkles and ripples beneath the skin. This deformity generally forms near the edge of the implant. Rippling is more common in women who are very thin. Often, this condition can be corrected by simply changing to a silicone implant.
While this is rare, implant rupture can occur. If a saline implant ruptures, deflation will take place quickly. Therefore, a visible change will occur. On the other hand, if a silicone implant ruptures, it is only detected through an MRI. Either way, if a rupture happens, revision surgery will be necessary.
Symmastia occurs when implants are placed too close together. In most cases, this is because the implant chosen was the wrong width, shape, or size. Breast revision surgery will correct this visible deformity by selecting an implant that works with your body type and looks proportionate.
What to Expect
After your surgery and an observation period, you should be able to go home to start your recovery. The recovery period varies based upon the complexity of your surgery. A revision that needs any type of reconstruction or grafting will have a longer recovery, which could take up to several months. You should begin to see your results once the swelling begins to disappear. Dr. Toledo or a member of his team will go over what you can expect during your recovery, as well as tips to help speed your healing. You should also schedule your follow-up appointments as directed so Dr. Toledo can assess your recovery and results.
Frequently Asked Questions
What if Dr. Toledo was not my original surgeon?
Dr. Toledo can perform your breast revision surgery even if he was not your original surgeon. Breast revision surgery can be more complex than the original augmentation if you want dramatic changes or have problems so it is important to select a plastic surgeon, like Dr. Toledo, who has years of experience and advanced training in breast surgery. Dr. Toledo also encourages his patients to return to Highland Park Plastic Surgery Center for breast revision surgery after their original breast augmentation if they experience a problem or desire a change.
What about loose skin?
If you are having your implants removed or are changing to a significantly smaller size of implants, you may need to have excess skin removed during your surgery. After listening to your goals and assessing your current implants, Dr. Toledo can discuss the need for a breast lift to remove loose skin. If you lose a significant amount of weight, become pregnant, or breastfeed after breast augmentation, a breast revision combined with a lift can help you receive better results.
Will there be new scars?
Whenever possible, Dr. Toledo will try to make incisions for breast revision surgery in the same place as your original augmentation incisions. However, if this is not possible, he will place the new incisions where they will be less visible. Breast revision surgery typically uses a transaxillary incision (through the armpit), a periareolar incision (on the lower edge of the areola), an inframammary incision (under the fold of the breast), or TUBA incision (transumbilical, through the belly button). Dr. Toledo or a member of his team will go over scar care management so your new incisions heal flat and blend into your normal skin.
Do I have to change my implants?
While implants can last a long time, they usually do need to be replaced at some point. After breast augmentation, it is important to have your implants checked regularly so Dr. Toledo can help you decide when your implants should be replaced. With so many advances in the medical field, you may want to consider the newest implant shapes and types to achieve your best look during breast revision surgery.
Plan Your Procedure
- Average Cost
- $10,000 - $11,000
Change Your Mind
Breast revision surgery is a custom treatment tailored for your specific needs by plastic surgeon Dr. George A. Toledo. If you are not happy with your breast implants or desire a different outcome, we welcome you to contact our Dallas, TX office to schedule your appointment at Highland Park Plastic Surgery Center. There are numerous factors to think about and Dr. Toledo will give you a full physical exam, create your revision options, and help set realistic expectations.