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
"Breasts I Always Wanted! - New York, NY - Fantastic!! She made me feel so comfortable and happy the entire time. I would definitely go back to her and have recommended her to many friends."- J. / RealSelf / May 31, 2017
"Breasts I Always Dreamed Of! - New York, NY - I always had very large and low drooping breasts that I was self conscious about and hurt all the time. After years of debating what I should do about them, being too scared, and countless consultations if found Dr. Khuthaila. I'm so happy I did! She listened to everything I had to say and made me feel really comfortable. She recommended that a lift with some reduction and liposuction of the..."- J. / RealSelf / May 27, 2017
"WHAT A SURGEON! LOVED MY EXPERIENCE and RESULTS <3 - I don't know why it has taken me 3 years to write this review...but better late than never! Dr. Khuthaila and team are amazing. I went in for BA about 3 years ago and from the moment I met Dr. K at the consultation, I immediately felt at ease. Dr. K was the 2nd MD visit on my list of 5 and the only female surgeon. Not to gear this into some feminist rant, but compared to the other surgeons,..."- K. / RealSelf / May 23, 2017
"I recently underwent a double mastectomy with DTI reconstruction with Dr. Khuthaila. After seeing several plastic surgeons I selected her to be the one. I could not be happier to have been in her care for the surgery. Dr. Khuthaila is absolutely amazing. From the very first consultation, her knowledge in the field and her passion for her work, were clear. She listened to my concerns and answered all questions with patience and clarity. She never made me feel rushed, on the contrary, she has the ability of calming down any fear one may have. She walked me through each step of the procedure and held my hand along the way. She may be one of the last doctors that, not only, is extremely skilled but also has a heart and truly cares about her patients.Last but not least her staff is great, extremely professional and kind."- V.B. / Google / May 22, 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