Beverly Hills Breast Revision Procedures
Keeping Your Enhancements Looking Their Best
Women elect to undergo breast revision surgery for a number of reasons.
However, breast implants do not come with a lifetime guarantee, and although
the most breast implants last an average of 10 years, there are many occasions
where complications (ie. Capsular contracture, implant rupture or deflation)
necessitate a revisionary surgery within a shorter time frame. In some
cases, the health of the breast implants is not the cause of the revisionary
surgery. Some women elect to have a second breast surgery to increase
or decrease the size of the original breast implant or to change the shape,
type, projection, or placement of their implants. At Gabbay Plastic Surgery,
located in Beverly Hills, CA, Dr. Joubin Gabbay M.D. is highly experienced
performing all variations of Beverly Hills breast revision surgery and
will listen carefully to your goals and surgical objectives, and then
formulate a treatment plan to bring your goals to fruition. Dr. Gabbay
wants you to be 100% satisfied with your breast surgery and will take
great care to correct and resolve the problems that have inspired you
to seek out a secondary surgery.
Options for Breast Revisions
Secondary breast revision surgery may sometimes be more difficult than
your original breast surgery, which is why it is imperative to select
a skillful, experienced plastic surgeon for this type of procedure. Dr.
Gabbay understands how to circumnavigate challenges such as the presence
of excess scar tissue during breast revision surgery, and utilizes techniques
to minimize scarring and to prevent future complications. Dr. Gabbay uses
advanced techniques in order to minimize any pain or discomfort for his
patients and to shorten the required post-operative recovery period.
Breast revision is a corrective surgery, aimed at resolving issues or complications
from a previous breast surgery. At Gabbay Plastic Surgery, Dr. Gabbay
will work tirelessly to ensure you achieve the exact aesthetic look you
want for your breasts, and will also restore your breasts and breast implants
to good health, correcting any problems of capsular contracture, rupture,
or deflation. If you would like additional information about a secondary
breast revision surgery, please contact Gabbay Plastic Surgery today.
We look forward to discussing all of your breast revision options with
you and setting up a complimentary, initial consultation with Dr. Gabbay.
Why Choose Breast Revision?
It is natural for breast shape and appearance to undergo a number of changes
over time, but when you are disappointed with the way your breasts look
or have health complications because of a previous breast surgery, a breast
revision procedure may be the best option.
Some of the most common aesthetic and/or health-related reasons women seek
out breast revision surgery include:
Breast Volume and/or Shape Change: weight fluctuations, age, pregnancy, and breastfeeding can lead to changes
in the shape or volume of your breasts
Saline Breast Implant Deflation: saline breast implants can rupture or leak, causing implant deflation
Silicone Implant Shell Leak: silicone implants can rupture and leak, which can be detected with an MRI
Breast Implant Exchange: for various reasons, some breast augmentation patients request to change
their implant type (from saline to silicone or vice versa) to address
their personal cosmetic or health concerns
Capsular Contracture: a common complication of breast augmentation surgery, capsular contracture
results when the scar tissue around the implants hardens
Implant Malposition: if the pocket that surrounds the breast implant is too large, it will
allow the implant to shift in position, leading to implant malposition
Shifted Breast Implants: when implants do not have enough support from the surrounding muscle,
they may shift, causing asymmetry.
Infection or Allergy: although it is very rare, in some cases a woman’s body may reject
a breast implant, causing an infection
Implant Coverage Problems: if the breast tissue covering the implant is too thin, you may see the
rippling of the implant through the skin
Symmastia: if the pectoralis muscle is cut during the original breast augmentation
surgery, this can cause the breast implants to fall towards the sternum
at the center of the chest, creating unnatural looking cleavage and a
Bottoming Out: this complication occurs when nipples appear too high or an inframammary
fold appears unnaturally low. This condition occurs more frequently in
patients with very thin breast tissue because the implant can pull the
breast downward causing it to bottom out
Double Bubble: the double bubble complication occurs when the breast implant drops below
the natural fold of the breast, causing breast tissue to hang and droop
Breast Implant Removal: for women who have determined that they no longer wish to have breast
implants, breast revision surgery can be performed to remove the implants
and/or perform a breast lift on the remaining breast tissue
Correction of Scarring Associated with Primary Breast Surgery: excess scarring from breast surgery can be ameliorated surgically
Implant Size Revision: women who are not satisfied with the size of their original implants may
elect to have breast revision surgery to increase or decrease their implant size
If any of the above concerns apply to you and you are in good mental and
physical health, you may be a candidate for a breast revision surgery
at Gabbay Plastic Surgery.
Are You a Good Candidate?
Because every patient’s motivation for seeking out breast revision
surgery is different, Dr. Gabbay will work with you to design a comprehensive
treatment plan that is customized to meet your individual needs and goals.
You should come to the consultation prepared to discuss your current and
past medical history, including any information about medical conditions,
drug allergies, previous surgeries you have had (including breast biopsies),
and the medications or supplements you currently take. If you are planning
to lose a significant amount of weight, you should tell Dr. Gabbay, as
he may recommend that you stabilize your weight prior to undergoing breast
revision surgery. If you are planning a future pregnancy you should mention
this as well, because pregnancy can alter breast size in an unpredictable
way and could impact the long-term results of your breast revision surgery.
Details of the Procedure
Breast revision surgery can take 1-4 hours and is performed under general
anesthesia or IV sedation. The specific technique used during your breast
revision surgery will depend upon your surgical goals and the breast issues
that need to be addressed. During a surgery to correct capsular contracture
problems, the capsule and breast implant may be removed from the pocket
and a new breast implant will be inserted (in some cases, a new pocket
will be created for the breast implant). In cases where an existing breast
implant has ruptured or lost shape, the breast implant will be removed
and replaced. If the ruptured implant is silicone, the remaining silicone
material will be removed from the pocket, and the pocket will be thoroughly
cleaned and sterilized prior to the insertion of a new implant. To address
issues of aesthetically problematic changes in breast shape, a breast
lift may be performed in conjunction with the insertion of new breast
implants. If the breasts do not require a lift, the “dual-plane”
technique may be used for re-augmentation, in order to improve the shape
and overall appearance of the breasts.
Following your revision surgery, a thin tube may be temporarily placed
under the skin to drain any excess blood or fluids, and gauze or bandages
will be applied to your incisions. The use of an elastic bandage or support
bra will help minimize swelling and support the newly revised breasts.
In general, recovery from breast revision surgery will be similar to your
original breast augmentation healing process. For the first 2-3 days,
any discomfort will be controlled with oral pain medication, and it is
important that during this time you rest and keep your arm extension to
a minimum to help prevent the muscle and tissue from stretching or separating.
Bruising and swelling are common after this type of surgery and should
subside within a few weeks. Most patients return to work after 1-2 weeks,
although you will need to avoid reaching or lifting for an additional
3-4 weeks. It is crucial that you follow all of Dr. Gabbay’s post-op
instructions and attend your follow-up visits in order to avoid infection
and other complications. Your scars will be pink for several weeks, but
will eventually fade and after the swelling period ends, your breasts
will begin to feel softer and more natural.
Although rare, potential breast revision surgery complications include
hematoma, capsular contracture, rippling, rupture, infection, bleeding,
loss of nipple sensitivity, and immune system disorders.
At Gabbay Plastic Surgery, our highly skilled surgeon can help to reposition,
replace, or alter your existing implants. Call (310) 928-2558 today
to schedule a consultation for your Beverly Hills breast revision procedure!