C. U. Kesh Nawada, M.D.

1121 1st St S, Winter Haven, FL 33880

Nawada Plastic Surgery
C. U. Kesh Nawada, M.D.

1121 1st St S
Winter Haven, FL 33880
BREAST REVISION Image

BREAST REVISION

Breast Revision Surgery (Implant Removal or Exchange) - Winter Haven, Central FL

43 Procedures ( View All )

Overview

Breast revision surgery seeks to correct unresolved issues regarding the breast after a previous surgery. Patients who see Winter Haven, FL plastic surgeon, Dr. Kesh Nawada for breast revision surgery are often still trying to achieve their desired look regarding the size and shape of their breasts. Using breast revision surgery, Dr. Nawada works to ensure that the patient's aesthetic goals are met. Even patients who are happy with their original breast augmentation surgery may consider breast revision surgery at some point. Eventually, both silicone and saline implants begin to weaken and may lose their shape. Although this is not medically harmful, many patients choose to replace their implants with newer ones for aesthetic purposes. Patients who are considering breast implant replacements should schedule a consultation with Dr. Nawada to determine if their implants are no longer effective and what options the patient has.

Reasons for Revisions

Some of the most common reasons women undergo breast revision surgery include:

Ruptured Implant

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

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 as the patient desires, often times for medical reasons. 

Breast Size

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.

Capsular Contracture

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).  Dr. Nawada uses a No Touch, or Minimal Touch procedure when he uses silicone implants by using the Keller Funnel2, there is a reduced  incidence of post-capsular contracture.  See the technique in the video above.

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.

Surgical Technique

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.

During/After Surgery

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.

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Average Cost  
$5,000 - $10,000
Recovery Time  
1-4 Weeks
Average Procedure Time  
1-2 Hours
Post-op Follow-up  
5-9 Days
Procedure Recovery Location  
Outpatient
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Expected Costs

The cost for a breast revision procedure will vary greatly, but on average, the range is between $5,000-$10,000. The final cost will depend on numerous factors including:
 

  • If the breast implants are being removed or replaced
  • If breast replacement is occurring with a silicone or saline breast implant
  • If any additional surgical technique will be needed (i.e. a capsulectomy or a breast lift)
  • If the implants were covered by a manufacturer warranty

Related Procedures

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary. Prices given are for information only and can vary from patient to patient, or case by case, based on many factors like age, conditions and size of the anatomical area(s) needing to be dealt with and/or medical conditions and length of surgery, etc. Quoted prices may include: Surgeon’s Fee, Facility Fee, Anesthesia Fee and the cost of Post-Op Garments (Liposuction patients only).

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