Breast revision surgery is performed to correct, remove, or replace current breast implants. The patient may want or need breast revision surgery for medical reasons, to upgrade to a newer type of implant, to change their physical appearance, or because of an implant defect. New York City plastic surgeon, Dr. Dana Khuthaila, can revise breast implants so her patients are satisfied with their new results. Dr Khuthaila and many other plastic surgeons suggest that patients consider implant revision surgery every 10 years after their original breast augmentation surgery. Patients who are not satisfied with their augmentation that may have been performed elsewhere are welcome to call our Manhattan office to schedule a private consultation with Dr. Khuthaila.
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.
"22 Year Old Unhappy with Profile of the Nose - I always felt that my profile was missing something but I didn't know what I wanted to correct. I realized after taking countless profile selfies that the tip of my nose was lacking perky-ness (If that any makes sense). I've thought about having a rhinoplasty to correct it but I didn't want to break my nose in the process being that all I wanted was structure to the tip. Dr.Khuthaila recommended we try a non surgical temporary treatment and we proceed from there. I was amazed with how quickly and instantly the results were! My nose has the perfect uplift I was looking for and she saved me from going under the knife when it truly was not necessary. The result is exactly what I wanted and I cannot thank her enough for all her help and support. <3 "- S. / RealSelf / Apr 06, 2017
"I had undergone a coolsculting treatments few years ago that caused me unfortunate medical condition - I had undergone a coolsculting treatments few years ago that caused me unfortunate medical condition that caused the area treated to keep the fat cells in the form of pokets on both sides , i serched online and found Dr Dana and explained to her that no matter what i did at the Gym those areas wouldn't go away and all reviews onlines indicated that i should have a lipo done . Dr Dana walked me..."- B. / RealSelf / Oct 11, 2017
"Dr. Khuthaila is professional and talented. I have been going to her a number of years now for Botox and fillers, and more recently brought my mother in for a tummy tuck procedure. We can't be more pleased with the results :) I highly recommend her and she remains out most favorite plastic surgeon!"- N.A. / Google / Oct 08, 2017
"Loved my doc - day of surgery - She is just amazing. Super bedside manner , friendly, realistic about results and tells you how it’s going to be and level sets expectations. My kind of doc."- A. / RealSelf / Oct 06, 2017
"I met Dr. Khuthaila through a mutual friend. I have been thinking for a couple years how much I would love to have a breast reduction. Where do you start? Something like this you want to be able to trust in your doctor. Also to know that your doctor is listening to your wants. I found Dr. Kuthaila to be a very dedicated and truly passionate about what she does for people. Plus she listens! I am from Connecticut and was willing to travel into New York so that I could have her do my surgery. I was a bit apprehensive about this , but her location is so easy to get to and out of New York. I started the process and was worried about my insurance coverage from someone out of network. The office people where so helpful and I got my OK. Then we set up date and time and they even booked my hotel for me! Really there was nothing to worry about. Now to the results. I am so happy with the way I look and feel!! No more neck and back pain! Can I say I haven't been this perky since I was 18 years old!! There is a lot to say about being really secure in your choice of surgeons. I would highly recommend Dr. Khuthaila."- L.M. / Yelp / Sep 29, 2017
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 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.
Plan Your Procedure
- Recovery Time
- 3-4 Weeks
- Average Procedure Time
- 2-3 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location