Breast Revision 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.
"Dr. Nawada is hands down the BEST Plastic Surgeon in Central Florida. Prior to my surgery I was well informed and given 100% confidence. In result, my instincts were spot on selecting Dr. Nawada to perform my elaborate procedure. Surgery went smooth and follow up was very caring & professional. He is an artist that helped me gain my confidence back. Thank you Dr.Nawada & Amazing Nurses!!"- J. / Healthgrades / Apr 09, 2016
"Dr. Nawada and his staff are amazing! So sweet too!"- M.S. / Facebook / Apr 04, 2019
"The doctor and his staff are excellent in every way. Professional and caring and honest! I had the most amazing experience in this facility and highly recommend this doctor. He is like no other! ??"- S.B. / Google / Jan 13, 2019
"Dr. Nawada is AWESOME!! Along with his staff. I had a BOTCHED breast reduction from a surgeon at Lakeland’s Watson Clinic in 2003. I was promised the moon and back and was left mutilated. I wasn’t the only one who went too this “so called plastic surgeon “ and received botched results. My breasts were so botched I would cry looking at them in the mirror. The scars were horrendous and hurt all the time. I couldn’t wear a bra, not that I needed one anymore bc all I was left with going from a 38HHH too barely A cups which were scars. I heard so many great things about Dr. Nawada so I went for a consultation 5 years later. He is very upfront and tells you like it is which I truly liked. Some take that as he doesn’t have a good bedside manner, but it’s they want things the way they want it not reasonable for the best results. Not only did he fix the scars which when he did it left my breast concave, but he put in appropriate size, shape and form of saline implants proportionate too my body. Along with the breast reconstruction he tandemly did an apron tummy tuck and gave me the cutest belly button ever. (I had weighed almost 300lbs in my teen years and lost over 100 leaving the skin too skin touching which was removed) All I can say is everything was perfect then and still too this day 10 years later I’m still loving the way I look. My daughter who is 21 went through this with me mind you she was only 12 at the time and now she has one breast 2 2 1/2 sizes smaller. Dr. Nawada examined her when she was 18 and told her too wait until she was 21 and come back and he will augment her breast too make them fuller and even. I appreciate his honesty and telling her too wait because most would have done it back when she was 18 and as he told her her breast will be about done growing around 21-22 keeping the need of an additional surgery if she were too have done at 18. She’s preparing soon too have her surgery and I feel SUPER COMFORTABLE AND SAFE putting my baby’s life and vanity in Dr. Nawada’s and his staffs hands. It doesn’t hurt either that his head Nurse/office director was a high school classmate of mine. If you want the BEST NAWADA AND ASSOCIATES is the place too go??!!"- A.S. / Google / Nov 25, 2018
"It has been 17 years, but was an exceptional experience. I wish Dr. Nawada was here in the Atlanta area...."- V.A. / Facebook / Jun 20, 2018
Reasons for Revisions
Some of the most common reasons women undergo breast revision surgery include:
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 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.
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.
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.
Breast Revision 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.
Breast Revision 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.
Plan Your Procedure
- 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
Breast Revision 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