Breast Reconstruction Revision

Breast reconstruction revision is a surgical procedure that aims to improve the results of a previous breast reconstruction surgery. It may be necessary if there are complications, changes in the breast shape or size, or if the patient is dissatisfied with the initial reconstruction outcome. Here is some important information regarding breast reconstruction revision:

Reasons for Breast Reconstruction Revision: 

• Complications: Breast reconstruction surgery, like any surgical procedure, carries the risk of complications. These may include infection, implant-related issues (such as capsular contracture or implant rupture), poor wound healing, asymmetry, or changes in breast sensation. Revision surgery may be necessary to address and correct these complications.
• Changes in Breast Appearance: Over time, changes in the breast shape, size, or symmetry may occur due to factors such as weight fluctuations, radiation, aging, or the natural healing process. Revision surgery can help improve the overall appearance and symmetry of the reconstructed breasts.
• Patient Dissatisfaction: If a patient is unhappy with the results of their initial breast reconstruction surgery, revision surgery can be considered to address their concerns and achieve their desired outcome. It is important for patients to communicate openly with their plastic surgeon about their expectations and concerns to ensure realistic goals and outcomes.

Types of Breast Reconstruction Revision:

• Implant Revision: If complications arise with breast implants, such as capsular contracture (scar tissue formation around the implant), implant malposition, or implant rupture, revision surgery may involve removing and replacing the implants. Dr. Landis may also perform additional procedures, such as a breast lift or fat grafting, to improve the overall appearance and symmetry.
• Autologous Tissue Revision: In cases where autologous tissue (flap) reconstruction was performed initially, revision surgery may involve adjusting the shape, size, or position of the reconstructed breast using techniques such as tissue rearrangement or fat grafting. This can help address issues such as asymmetry or changes in breast appearance.
• Combination Revision: Some patients may require a combination of implant revision and autologous tissue revision to achieve their desired outcome. This approach allows for a more customized and tailored approach to address individual patient needs and concerns.

Procedure:

Breast reconstruction revision surgery is unique to each patient, and Dr. Landis will guide them through the process. 

The breast reconstruction revision surgery will be performed under general anesthesia for patient comfort and safety. The specific techniques used will depend on the type of revision required and discussed with Dr. Landis during the consultation. This may involve a combination of techniques, such as implant revision or autologous tissue revision. Or a combination of both. Dr. Landis will make incisions (typically in the location of existing scars), remove, or adjust the existing implants or tissue, reshape or reposition the breast, and perform any additional procedures necessary to achieve the desired outcome. Additional procedures, such as fat grafting, breast reduction or breast lift, may be performed as needed.

If the patient is older than 40, she must have an up-to-date screening mammogram prior to undergoing surgery.

Recovery and Aftercare:

The recovery process after breast reconstruction revision is similar to that of the initial breast reconstruction surgery. After breast reconstruction revision surgery, patients may experience temporary soreness, swelling, and bruising. An appropriate surgical dressing may be provided on the day of surgery and is worn continuously for the first week to minimize swelling and provide support during the healing process. It is essential to follow Dr. Landis’ post-operative instructions regarding medication, wound care, and physical activity restrictions.

Breast reconstruction revision surgery patients are instructed to rest at home for one week, refraining from driving or lifting anything greater than 5 lbs. Most patients may shower 2 days after surgery, but may not submerge in a bath tub or pool for 6 weeks. After one week a patient may return to normal daily activities and a desk job. Patients with a more physically demanding job may require more time off work. All patients are cleared at 3 weeks to slowly resume exercise activities. 

Potential Risks and Complications:

As with any surgical procedure, breast reconstruction revision carries potential risks and complications. These may include:

• Infection
• Bleeding
• Poor wound healing
• Changes in breast sensation
• Implant-related complications (in implant revision)
• Donor site complications (in autologous tissue revision)
• Unsatisfactory aesthetic outcome

 Dr. Landis will lead a thorough discussion about the potential risks and benefits of breast reconstruction revision, as well as your expectations and concerns, before deciding to undergo the procedure. Patients must have a BMI <35, diabetes under good control, and no nicotine use of any kind to undergo this procedure. This ensures a safe surgery with the best possible outcome. 

Cost:

Breast reconstruction revision surgery cost includes the surgeon fee, facility fee, anesthesia fee, and any labs or imaging that may be required before or after surgery. If we do not participate with your insurance provider, the total cost for a breast reconstruction revision surgery can range from $6,000 – $12,000 and varies if any additional surgery is required. Dr. Landis will formulate a plan specific for each patient and a detailed estimate will be provided. CareCredit is available to our patients, and we’d be happy to discuss this option with you!

Conclusion:

Breast reconstruction revision is a surgical procedure that aims to address and improve the results of a previous breast reconstruction surgery. It may be necessary to correct complications, address changes in breast appearance, or fulfill patient dissatisfaction. If you are considering breast reconstruction revision, it is important to consult with a qualified, board-certified plastic surgeon like Dr. Landis who can evaluate your individual needs and goals, discuss the potential risks and benefits, and create a personalized treatment plan to achieve the desired results. Dr. Landis has extensive experience in breast reconstruction and breast reconstruction revisions. Open communication with her is essential to ensure realistic expectations and a successful outcome.