Breast Implant Revision
“There are many women currently with breast implants that have been in place for longer than ten years. The best recommendation I have is to switch out their current implants for new ones prior to complications arising. It is best to consider having a simple implant exchange prior to a more complex procedure being required if complications arise.” – Dr. Ravi Somayazula
Although breast enhancement surgery is very common, the procedure does have its own risks. Most women are ultimately happy with their experience and results, but, unfortunately, there are a few situations where there may be dissatisfaction or surgery-related complications. These complications include capsular contracture or rippling and, with time, implant deflation or rupturing. These situations arise even with the most skilled surgeon and with all post-surgical instructions being closely followed. A secondary breast surgery or breast revision may ultimately be required to improve these situations. Most plastic surgeons also recommend that breast implants be replaced every ten years–even prior to any issues arising. Some women may also want to increase or decrease their current implant size while other patients may require a breast lift over time.
Houston board certified plastic surgeon Dr. Ravi Somayazula is committed to helping his patients be satisfied with the appearance of their breasts and making sure their breast augmentation results are optimized for many years to come.Breast Implant Revision Can Correct:
- Implant rupture
- Implant rippling
- Asymmetrical implant results
- Animation deformity
- Nipple positioning
- Sagging due to aging, weight fluctuations, or pregnancy
- Capsular contracture (hard scar tissue)
- Dissatisfaction with current size, feel, or appearance of implants
- Symmastia (merging of two implants together)
- Bottoming out
- Lateral displacement
Women may choose to switch from saline implants to silicone implants for a more natural feel with less chance of rippling. This is extremely common because silicone implants were not used from 1996-2006, so, during those years, many women underwent breast augmentation with saline implants.
“I had a breast augmentation in 2000. I decided to book my implant exchange in May with Dr. Ravi. He took the time to listen to my needs and concerns. I never felt rushed and he explained the procedure thoroughly. He was professional, respectful and his bedside manner was to par. As an RN, I have worked with a variety of physicians. My rule is, I would never work for a doctor if I would not allow them to practice medicine on me. I would work with Dr. Ravi!”
– Jenn C., Houston, TX
Who Is a Good Candidate?
Ideal candidates for implant revision surgery are non-smoking women in good health who have realistic expectations of surgery results. A breast implant revision can be performed to replace a damaged implant, upgrade to a new type or style of breast implant, or simply to maintain the appearance of a previous breast augmentation over time.
At the Consultation
Dr. Ravi Somayazula and your patient care coordinator will spend ample time during the initial consultation discussing the various options and techniques, tailored to your individual needs. While keeping your expectations in mind, a thorough examination is performed to evaluate the condition of your existing implants, the current size and shape of the breasts, skin elasticity, and location of the nipples and breast glands to determine the necessary steps for your revision surgery. Precise measurements are taken to help Dr. Ravi Somayazula determine the optimal type of implant revision surgery to recommend.
Dr. Ravi Somayazula has great bedside manner and encourages that you become thoroughly informed during the consultation in order to make a well-informed decision. Please be sure to set aside an hour to an hour and a half for your appointment.
All patients are seen approximately two weeks prior to surgery for their pre-operative appointment. During that visit, all surgical consents are signed, photos are taken, and a detailed informational packet is provided with specific instructions for before and after surgery. A complete list of “dos and don’ts” is also reviewed. Patients receive prescriptions for an antibiotic, as well as pain and anti-nausea medications. Be prepared to follow all recommended pre-surgery and post-surgery instructions closely to ensure your best possible results.
Dr. Ravi recommends stopping use of aspirin and all other non-steroidal anti-inflammatory drugs (such as Ibuprofen) for at least one week before and after surgery to prevent excessive bruising. Herbs and supplements should also be stopped for at least one week prior to surgery as they can interrupt healing. All patients are recommended to stop smoking for at least four weeks before surgery and four weeks after surgery to minimize healing complications.
Breast revisionary surgeries are performed under general anesthesia at a credentialed hospital with a board certified anesthesiologist. How length of the surgery varies, depending on the specific planned procedure, but it generally takes about one to three hours. Dr. Ravi Somayazula may be able to perform the revision through existing incisions/scars, but there are circumstances where new incisions are necessary.
If a capsular contracture has formed, which is a thick scar formation at the initial breast implant pocket, Dr. Ravi Somayazula will first need to soften that tissue or fully remove the scar formation prior to new implant placement. This is done at the same time as the new implant placement.
In certain cases, the skin and internal support tissues will not be able to handle the stress of new, bigger implants. Dr. Ravi Somayazula may recommend acellular dermis matrix in these instances or with recurrent capsular contracture.
A responsible adult should stay with you for 24 hours immediately following surgery. Most patients do feel discomfort at their chest which can last several days after surgery. Patients are encouraged to get up and walk the same day of surgery, and they can expect to perform everyday basic activities, including showering, two days after surgery. The recovery period is approximately one week, but every patient recovers differently. There should be no strenuous activity for two to three weeks. Dr. Ravi Somayazula will closely monitor your recovery in the office following surgery. During your appointments, he will recommend certain restrictions–such as when to return to normal activities, when to resume breast self-exams, and when to schedule mammograms. Houston implant revision surgeon Dr. Ravi Somayazula and his staff are always available to assist you with any questions and recovery-related issues.
While the Internet can provide some basic information, it does not compare to a personal consulation with board certified plastic surgeon Dr. Ravi Somayazula, who can answer all of your questions about breast implant revision in depth. Dr. Somayazula is here to guide you through all the steps of making an informed decision regarding your procedure, and he will map out a customized treatment plan designed to fit your needs. We invite you to schedule a consultation today.
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