Breast Implant Revision Surgery

When Should I Consider Breast Implant Revision and/or Removal and Replacement  Surgery?

  • A desired change in size, smaller or larger in breast cup size
  • A desired change in shape, improvement in cleavage (less or more cleavage)
  • A desired improvement in implant softness and less firmness or hardness
  • Change in implant pocket size or position of the implant (Displacement of the implant)
  • Improvement of animation changes (appearance of implants with flexion)
  • Ruptured implant or Exchange of implants desired
  • Capsular contracture (scar tissue formed around the implant) correction
  • Rotation of a textured anatomical implant
  • Post-pregnancy or weight loss changes
  • Stretching of the skin envelope, implant capsule, implant pocket following pregnancy
  • Symmastia Repair

Anticipated Results:

  • More full, youthful, uplifted breasts
  • Desired improvement in breast size and breast shape
  • Improvement in cleavage
  • Desired change in breast implant pocket or position of the implant
  • Treatment of breast capsular contracture (breast tightening or firmness resolved); Resulting in a softer, more natural breast appearance
  • Less lateral displacement
  • Less implant movement with flexion

Dr. Kimberly Short, a board certified plastic surgeon,  has been a consultant for Mentor’s LEAD program, which is the Leadership, Experience, and Development for Breast Augmentation.  Dr. Short has also served on the National Council of Leaders for Breast Aesthetics.  Dr. Short is one of the premier breast implant revision surgeons in the Midwest.  Patients seeking implant revision procedures are patients whom have already had implant surgery and are seeking improvements with the breast shape or size or desire to make modifications of the implant or implant pocket. Implant surgery is the most common procedure Dr. Short performs at the Gillian Institute.  Dr. Short’s expertise is breast surgery with emphasis on implant surgery.  Dr. Short is an innovator with implant revisions and performs very difficult, challenging breast cases on a routine basis.  Dr. Short participates in educational forums annually with the most elite breast surgeons in the United States to discuss the advancements and research with implant technology, breast contracture techniques using a protocol for prevention and correction of breast contractures, and using multiple techniques to approach symmastia repair with and without the use of tissue matrix graft.

Dr. Short will discuss options for implant revision surgery based on your specific desires and expectations related to changes in size, shape, implant pocket modifications or implant position, implant selection (saline or silicone). Dr. Short will also discuss options including implant selection, incision types, placement of the implant and desired cup size at the consultation. Every surgery is individualized to best fit each patients specific needs. The implants available are saline (salt water) or silicone. Typically, Dr. Short will utilize the same incision to avoid  a new incision or scar; but in a some patients, a new incision must be made to prevent post-operative complications and to achieve a more improved result. Typically, a small incision may be made under the breast crease (inframammary breast crease), around the inside part of the areolar (periareolar), in the axilla/armpit (transaxillary) or using a previous mastopexy or breast lift incision. The implant may be placed under the muscle (subpectoral), under the fascia (subfascial), partially under the muscle (dual plane), or above the muscle (subglandular). Dr. Short will find the right size implant by taking breast and chest measurements during the consultation, visual pictures selected by you, and by placing implant “sizers” in the operating room and evaluating the sizer appearance in an upright position. Dr. Short also will also discuss in detail your wishes and expectations related to the desired change you wish.

For implant pocket modifications, a capsulotomy (release of the capsule), capsulectemy (removal of the previous capsule) or capsulorrhapy (implant pocket modifications) may be recommended to meet the patients specific desires and expectations. The breast capsule, made naturally by your own body, is immediately formed after surgery. The capsule is typically soft, thin, and mobile. But sometimes, for unknown reasons (usually multi-factorial) , the capsule may become thicker, resulting in scar tissue, that can cause the breast implant to become tight, firm, and difficult to move, resulting in a higher implant position and undesired breast appearance. In order to improve the breast shape and breast tightness, the capsule may need to be released or removed, which is referred to as a capsulotomy or capsulectemy. We will implement a variety of safeguards during surgery and after surgery to prevent the recurrence of a capsular contracture.

In some cases, the breast implant pocket may need modifications i.e. tightening of the outside (lateral breast) or inside (medial breast) implant pocket to ensure the appropriate implant position. Dr. Short may need to use permanent and non-permanent sutures in surgery to perform repairs and corrections of the implant pocket.  Dr. Short may use the same implant pocket with modifications or Dr. Short may need to re-create a new implant pocket.  Dr.  Short may also be able to use the capsule, made naturally by your own body after the original surgery, to stabilize internal sutures and provide a longer lasting result. In many cases, this procedure can be more reconstructive in nature and may require more time in the operating room and more recovery period.  Depending on the surgery, breast drains may be placed after surgery for the first week. In some cases, the breast implants may stay the same and other cases, the breast implants will be recommended to be removed and replaced with new breast implants in order to achieve breast shape, volume, or positioning improvements. All these options will be discussed with you at your consultation and a detailed, customized treatment plan will be discussed.


Planning the Surgery:

Time off Work:

7-14 days; a drain may or may note be placed to the breast pocket depending on the extent of the revision. If the surgery requires minimial implant pocket revisions and/or capsule modifications, then the recovery period will be less.

Caregiver:

You will need a caregiver for the first 24-48 hours after your surgery. If you do not have someone to care for you a nurse can be provided for a minimal fee.

The Day of Surgery:

The procedure is performed as an outpatient basis under general anesthesia. The procedure can take approximately 1-6 hours, depending on the extent of the surgery and the type of revision recommended.

After Surgery:

You will return home with light dressings and you are able to take a shower after 72 hours. If drain(s) are placed, then no shower is recommended until the drain(s) are removed in the office. If drain(s) are placed, the drains are removed between 1-3 weeks after surgery. Skin glue or steri-strips are applied to the incisions for 2 weeks. Scar treatment options are available at your two week appointment. The scars will fade over time. The surgery does not eliminate the ability to breastfeed. Light activities can be resumed as tolerated at 10-14 days. Aerobic activity may resume at 4-6 weeks.

Dr. Short requires that you begin breast massage within 3 days after surgery. The breast massage will aid in settling of the implants, decrease the swelling, and increase the softness of the implants. The breast massage will also decrease the risk of a capsular contracture. If a previous capsular contracture has occurred, then Dr. Short will implement a capsular contracture protocol at 2 weeks following surgery as well to decrease the risk of a recurrence of a capsular contracture. The capsular contracture protocol includes oral medications that have been shown in the plastic and reconstructive literature to reduce the incidence of a contracture, breast massage, and weekly external ultrasound treatments. You will be encouraged to continue the breast massage techniques aggressively for 6 weeks. Light activities can be resumed as tolerated and vigorous aerobic activities may resume approximately three to four weeks post-surgery.

If pocket modificiations have also been performed, then special bras may be recommended to ensure appropriate healing of the breast implant pocket. Typically, these special bras are recommended for the first 6-8 weeks.

Note: It is important to address any concerns with The Gillian Institute at the time of your consultation. There is some risk, as with any surgical procedure. Minor complications that do not affect the final outcome occur occasionally. Major complications are unusual. We can explain the procedure and potential complications to you in detail and she can assist you in determining if a removal and replacement is right for you.

What Patients Are Saying

I had a face lift, eyes upper and lower, neck. To this day I still get the comment. “You look so good” What did you do? It was the best thing I ever did and would recommend it to anyone. No pain, No problems. Thanks to Dr. Short and her team, they make you feel at home. They are the BEST !!!!

 

 

Penny O

I would refer Dr.Short to all of my friend and family. She are her staff was very professional and was willing to answer any question that I had. My surgery was a breast augmentation, I was a size A and went to a cup size D. I am very pleased and so happy with the out come. Dr.Short is the best there is. I would never even consider going any place else.

Jennifer K

I came to Dr. Short for a Breast Augmentation and tummy tuck about 3 1/2 years ago. I was a mother of 5 children and had spent the past 15 years giving birth and taking care of kids. Even before the kids though, I struggled with a poochy tummy. I decided for my 40th birthday that I was finally going to do something about it. I searched the internet extensively and finally found Dr. Short. The results she was showing on her website were exactly what I was looking for. I flew out from Washington State for my consultation and immediately liked her and her entire staff. They put me at ease and answered all my questions.

I was thrilled with the results of the surgery. I went immediately from a size 12 to a size 4. I couldn’t believe it. The surgery got me so motivated that I continued to diet and exercise and have now dropped another 13 pounds and now wear a size 0. In addition to the fantastic results, Dr. Short and her staff made me feel like a girlfriend. I felt that they truly understood what my needs were, not just clinically, but from a woman’s perspective. I can’t recommend Dr. Short and her office enough for any cosmetic procedure. Thank you so much. It’s the best thing I’ve ever done for myself.

Allissa S

I went to Dr. Short 2 years ago with an A cup breast size. She gave me a low C cup, and i get compliments on my breasts daily. They are very natural looking and feeling. A lot of people do not even believe me when I tell them I have had breast augmentation. Shes the best and I’m very very pleased with the outcome of the surgery.

Deborah M

I used Dr.Short for a breast enlargement. I was more then impressed with the results. They did a great job and I recommend her all the time to people who ask for a Dr. I went in with a lot of questions and attended a seminar that helped me feel at ease. The surgery was not as bad as everyone makes it out to be. I was back to normal in no time. The scars left are not even visible unless you look really hard. I highly recommend Dr.Short. They made me feel comfortable by having proper follow up appointments to make sure that everything was ok with surgery. I have nothing bad to say about my whole experience. It is going on three years now and I have had no complications at all. Dr. Short does a great job of giving you a natural look and making sure she keeps the look proportional to your body type. She really does a great job.

Amy B

Northside Location

Plastic & Cosmetic Surgery
8455 Clearvista Place
Indianapolis, IN 46256

317.913.3260

Downtown Location

Plastic & Cosmetic Surgery
317 S Delaware St
Indianapolis, Indiana 46204

317.787.3260

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