Revision Breast Surgery

Revision breast surgery is a surgical procedure performed to address and improve the results of a previous breast surgery. It is commonly performed to refine the aesthetic outcome, address changes in breast appearance, or correct complications. Dr. Landis has extensive experience with breast surgery and will discuss the process thoroughly based on each individual’s concerns.

Reasons for Revision Breast Surgery:

• Complications: Complications can occur following a previous breast surgery, such as breast augmentation, breast reduction, or breast lift. These complications may include implant-related issues (such as capsular contracture or implant malposition), implant rupture or deflation, asymmetry, visible scarring, or changes in breast shape and size. Revision surgery aims to correct these complications and improve the overall outcome.
• Changes in Breast Appearance: Over time, changes in breast appearance may occur due to factors such as weight fluctuations, aging, pregnancy, or breastfeeding. These changes can affect the shape, size, and symmetry of the breasts. Revision surgery can address these changes and restore or enhance the aesthetic appearance of the breasts.
• Patient Dissatisfaction: If a patient is unhappy with the results of their previous breast surgery, revision surgery can be considered to address their concerns and achieve their desired outcome. It is important for patients to communicate openly with Dr. Landis about their expectations and concerns to ensure realistic goals and outcomes.

Types of Revision Breast Surgery:

• Implant Revision: If complications arise with breast implants, such as capsular contracture, implant malposition, implant rupture, or deflation, 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.
• Breast Lift Revision: If a previous breast lift surgery did not provide the desired lift or the breasts have sagged over time, revision surgery may involve repositioning the breast tissue, removing excess skin, and reshaping the breasts to achieve a more youthful and lifted appearance.
• Breast Reduction Revision: In cases where a previous breast reduction surgery did not achieve the desired size or shape, revision surgery may involve further reduction or reshaping of the breasts, or scar revision to improve symmetry and proportion.
• Fat Grafting Revision: Fat grafting can be used in revision surgery to address contour irregularities, improve breast shape and symmetry, or enhance the overall appearance of the breasts. It involves harvesting fat from one area of the body and injecting it into the breasts to achieve the desired outcome.

Procedure:

Breast revision surgery is unique to each patient, and Dr. Landis will guide them through the process. The breast 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, breast lift revision, breast reduction revision, or fat grafting. 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.

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

Recovery and Aftercare:

After breast revision surgery, patients may experience temporary soreness, swelling, and bruising. An appropriate surgical dressing or surgical bra 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 revision surgery patients are instructed to rest at home for one week, refraining from driving or lifting anything greater than 5 lbs. 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, revision breast surgery carries potential risks and complications. These may include:

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

 Dr. Landis will discuss the potential risks and benefits of revision breast surgery, as well as your expectations and concerns, before deciding to undergo the procedure.

Cost:

Breast revision surgery cost includes the surgeon fee, facility fee, anesthesia fee, and any labs or imaging that may be required before or after surgery. The total cost for breast revision surgery ranges 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:

Revision breast surgery is a surgical procedure performed to address and improve the results of a previous breast surgery. It can correct complications, refine the aesthetic outcome, or address changes in breast appearance. If you are considering revision breast surgery, 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. Open communication with Dr. Landis is essential to ensure realistic expectations and a successful outcome.