Breast implant revision is a procedure that empowers women to improve upon their past enhancements.
Enhancement is not always a linear process. We make strides forward, but we sometimes shuffle back. If a breast augmentation procedure from your past no longer reflects your current ideal, you may want to consider a replacement or removal surgery.
Dr. Alyson Wells is a double board-certified plastic surgeon specializing in the implementation and perfection of breast implants. Under her esteemed leadership, Valley Plastic Surgery & Medi-Spa proudly serves the needs of Baltimore and beyond. Contact our office online or call (410) 628-8200 to schedule an appointment. We are conveniently located in Cockeysville, Maryland, but we also provide virtual consultations to best suit your lifestyle and busy schedule. No matter where you log on, Dr. Wells wants to connect with you.
- 1 Before and After Photos
- 2 Replacement, Removal, Rejuvenation
- 2.1 Saline Implants
- 2.2 Silicone Implants
- 3 Benefits of Breast Revision
- 4 Eligible Candidates
- 4.1 BIA-ALCL
- 5 Private Consultation in Baltimore
- 6 Preparation
- 7 Procedure Options
- 7.1 Breast Implant Replacement
- 7.2 Breast Implant Removal
- 7.3 Partial Capsulectomy
- 7.4 Complete Capsulectomy
- 8 Recovery and Results
- 9 Complementary Procedures
- 9.1 Breast Lift
- 9.2 Tummy Tuck
- 10 FAQ
- 10.1 How much does breast revision surgery cost in Baltimore?
- 11 References
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Replacement, Removal, Rejuvenation
Our bodies mature and our science evolves. It is a symbiotic relationship that celebrates innovation and individuality. If you received breast implants as a younger person, they may no longer fit your physique. If your weight has changed, you might want a bust to reflect your overall dimensions. Dr. Wells can help with a breast augmentation upgrade that accentuates your curves as they gracefully age.
Medical technology advances in tandem with humanity. Breast implants of today are leaps and bounds more varied than they were even a decade ago. The Food and Drug Administration (FDA) recommends that women refresh their breast implants approximately every 10 years. Women who seek a revision procedure can use the opportunity to enhance their breasts with all of today’s amenities at their disposal. Patients can choose to change the placement of their implants, the size of the implants, or the type of material within them.
Saline solution is a naturally tolerated liquid that the body can easily absorb in the unlikely event of an implant rupture. Women with natural fullness may opt for saline implants to give them a subtle boost in volume and shape. Your surgeon inserts an empty implant casing into the breast pocket. Once this shell is situated correctly, your doctor fills it with saline through a small tube. This technique allows your surgeon the chance to make a smaller incision than the incisions associated with silicone implants.
To allow women an array of textural options, Dr. Wells offers a wide variety of silicone implants. If your past augmentation procedure left you feeling generic or awkward, you will be thrilled to learn how far implant design has advanced. Your revision procedure will feel like a fresh start, courtesy of Dr. Wells and her attentive associates at Valley Plastic Surgery & Medi-Spa.
Benefits of Breast Revision
Choice is the best benefit of all. You may have had inadequate experiences with other surgeons in your life, but Dr. Wells will open your eyes to the possibilities available to you here and now.
In addition to the many aesthetic options that a breast revision procedure offers, it also provides a plethora of functional advantages. When an implant is introduced to the breast pocket, the human body may react by forming a pocket of scar tissue around the foreign device. This is called a capsule, and it may cause some women discomfort. A revision procedure will address the look and feel of capsule material, ushering patients toward a better tomorrow.
If you are dissatisfied with the appearance or sensation of your breast implants, you may be an ideal candidate for revision surgery. Dr. Wells can determine your eligibility for a replacement or removal procedure during your comprehensive consultation.
In rare instances, implants of the past have been associated with a condition called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This is a completely treatable occurrence, and Dr. Wells is a valuable resource when it comes to health maintenance and revision surgery options. If you received Allergan implants in the past and are concerned about their ramifications on your current and future wellbeing, please call Valley Plastic Surgery & Medi-Spa at (410) 628-8200.
Private Consultation in Baltimore
Communication is a cornerstone of health and happiness. When you meet with Dr. Wells, you will be encouraged to share your medical history, including the details of your previous breast enhancement procedures. Tell us why you are dissatisfied and how we can help alleviate your concerns.
In a continued effort to open the lines of communication with our Baltimore friends and neighbors, we regularly update our blog. Feel free to peruse our posts and enjoy our insights and information. Bring any questions that may arise with you to your breast revision consultation.
During your consultation, Dr. Wells and her associates will provide detailed instructions to prepare you for breast revision surgery. These directions will be customized to your enhancement journey, taking into account past procedures and future goals. Please follow Dr. Wells’ advice closely and contact us if you have any questions about the breast revision preparation process.
In addition to being a world-class surgeon, Dr. Wells is a champion listener. She will follow your wishes regarding how to move forward with your breast enhancement quest. Based on your conversation, Dr. Wells can recommend which procedure is right for you.
Breast Implant Replacement
If you want to upgrade your augmentation or change the shape, size, and texture of your implants, a replacement procedure is in order. Dr. Wells can strategize the best approach to concealing incisions along the same areas where your past incisions were made. You can switch from silicone to saline, vice versa, or simply explore your options with the same type of implant you received previously.
Breast Implant Removal
Perhaps your implants no longer reflect the person you have become. Dr. Wells can gently remove your breast implants and skillfully close all incisions, allowing your natural form to reclaim its shape. If your body has formed a capsule around the implant, Dr. Wells can remove part or all of the capsule along with the implant.
Capsules that form around breast implants can become hard over time. When capsular contracture affects the sensation or appearance of your bust, consider removing part of the capsule surgically. Dr. Wells can contour the interior of the breast pocket to remove the unwanted portion of a capsule, leaving only the material that accentuates your natural beauty.
Dr. Wells can also remove the entirety of a capsule that forms around your implant. A complete capsulectomy procedure can be performed in conjunction with the removal of the implant itself.
To discuss the many breast revision options available to you, please in Cockeysville, Maryland.
Recovery and Results
To get a glimpse of your remarkable results, please visit our reviews page. We are proud to deliver 5-star service to the greater Baltimore area and we are eager to have you join our happy, healthy clientele.
Immediately following your breast revision procedure, a caring medical professional will monitor your progress. You will be fitted for a compression garment to cradle your chest and facilitate proper healing.
When you are ready, you will be released into the care of a loved one to drive you home so you can resume your recuperation there. Please follow Dr. Wells aftercare instructions, including any necessary prescriptions and dietary restrictions.
An implant revision empowers you to upgrade or change the size and shape of your previous augmentation. If you struggle with excess skin or sagging features, you may want to consider one of the other aesthetic procedures offered here at Valley Plastic Surgery & Medi-Spa.
Ptosis is the medical term for drooping tissue. To address the occurrence and persistence of sagging breasts, Dr. Wells can perform a lift procedure. By removing excess skin and tightening the contours of the chest, a breast lift restores a woman’s silhouette to its youthful dimensions.
When excess skin affects more than just the breasts, a tummy tuck may be the perfect solution. Dr. Wells can remove unwanted fat and redrape the skin to create a flat, flattering midsection. Enhancement at Valley Plastic Surgery & Medi-Spa is holistic. Instead of focusing on only one feature or another, Dr. Wells takes an overall approach to aesthetic improvement. To benefit from her dedication and expertise, please contact our office.
How much does breast revision surgery cost in Baltimore?
You deserve a straightforward approach to the medical billing process. Dr. Wells will provide transparent pricing during your breast revision consultation. The final cost will hinge on which type of procedure you request and the style of replacement implant (if any) you desire. Please visit our financing page to learn more about our payment options, or call (410) 628-8200 to discuss your budgetary concerns.
- Spear, S. L., Low, M., & Ducic, I. (2003). Revision augmentation mastopexy: indications, operations, and outcomes. Annals of Plastic Surgery. 51(6), 540-546. DOI: 10.1097/01.sap.0000096450.04443.be
- Clemens, M. W., Jacobsen, E. D., & Horwitz, S. M. (2019). 2019 NCCN consensus guidelines on the diagnosis and treatment of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). Aesthetic Surgery Journal, 39(Supplement_1), S3-S13. https://doi.org/10.1093/asj/sjy331
- Gerzenshtein, J. (2020). The Dishonesty of Referring to Total Intact Capsulectomy as “En Bloc” Resection or Capsulectomy. Plastic and Reconstructive Surgery, 145(1), 227e-228e. DOI: 10.1097/PRS.0000000000006362
Breast augmentation is consistently one of the most commonly performed aesthetic operations every year. Unfortunately, revision rates following primary augmentation remain as high as 36%.How long does breast implant revision surgery take? ›
Length of procedure: 30 to 150 minutes, depending on the type of revision required. Estimated recovery time: Patients can usually expect to return to work after 1 to 2 weeks following breast implant revision surgery, and they should avoid vigorous activities for 3 weeks.Who pays for breast revision? ›
Breast reconstruction procedures should be covered by your health insurance plan, whether they are done right away, soon after mastectomy/lumpectomy, or many years later. This includes procedures that may be needed over time to refine the reconstructed breast and/or to create symmetry (balance) between the two breasts.Is breast revision more expensive than augmentation? ›
Breast implant revision surgery may cost slightly more than a primary breast augmentation procedure. It may involve a more intricate surgical procedure, depending on the reason why the revision needs to be performed.Should plastic surgeons charge for revisions? ›
If revisions are needed, and depending on the reason for the revisions, it is the doctor's prerogative to determine if he or she will charge a fee for the additional work. In most cases, patients should expect to be charged a facility fee and a fee for the anesthesia (if necessary).How painful is breast revision surgery? ›
Unfortunately, the sutures we use to close the capsule are generally painful, and for most patients a month or more of discomfort is common. I've had a few patients complain of this sharp painful feeling along the perimeter of their breasts for at least three months.Is breast implant revision easier? ›
Secondary surgery is always more difficult than primary breast augmentation, for several reasons. First, the presence of scar tissue makes it more difficult to predict a good result. In addition, the surgeon is dealing with the stretching of tissues or anatomical changes caused by previous implants.How do I prepare for breast revision surgery? ›
- Get lab testing or a medical evaluation.
- Get breast or implant imaging, such as a mammogram, ultrasound or MRI.
- Take certain medications or adjust your current medications.
- Stop smoking.
During a revision, we'll remove your old implants, correct any breast problems, and replace your implants. This allows us to change implant size and type and to address implant complications. We can use the same type and size of implant again if you're happy with your breast size/shape.How do I talk to a plastic surgeon about revision? ›
You should discuss how your surgeon plans to perform the revision surgery, whether you will have more scarring, and what to expect from the wound-healing process. Depending on what caused the issues after your initial procedure, there may be extra precautions for you to take both pre- and post-op.
The cheapest state to get breast augmentation
If you're looking to get a breast augmentation, then states such as South Carolina, Kansas, and Montana are some of the most affordable options. With average costs ranging from $2,500 to $11,000, you can get the breast size you want without breaking the bank.
The possible risks of breast implant revision surgery include, but are not limited to: Anesthesia risks. Asymmetry. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) or other very rare cancers in the capsule around the breast, such as breast implant-associated squamous cell carcinoma (BIA-SCC)Are breast revisions common? ›
Also, many breast implants have a lifetime warranty on the actual implant device, but after ten years the costs associated with having surgery to replace the implants are no longer covered. Because of this, many women will elect to replace or update their breast implants at or around the 10-year time frame.What is the most real looking breast augmentation? ›
Silicone implants require a larger incision and cannot be adjusted after placement. On the other hand, silicone implants look and feel more natural, even when placed above the muscles of the chest, and are unlikely to ripple, wrinkle, bisect, or otherwise become aesthetically impacted.
In a procedure to insert larger implants, the surgeon opens the breasts along the original incision lines, removes the old implants, and inserts the new, larger implants in the same breast pockets. While it sounds simple, the procedure is more complicated than the original augmentation surgery.Should you go to same surgeon for revision? ›
If you have decided revision surgery is necessary to achieve your aesthetic goals, it is important to choose your revision surgeon with great care. Look for a surgeon that is experienced in revision procedures, since these are often performed in a different fashion than the original plastic surgery.Who pays for a revision? ›
In any revisionary procedure, the patient is always financially responsible for all outside charges including operating room fees, anesthesia fees, implant or garment fees, and supply fees.How long after plastic surgery can you get a revision? ›
Wait until your full results develop before having another procedure. It's important to take your time. In most cases, your revision surgeon will want you to wait about 1 year before re-operating.How long do I have to sleep on my back after breast revision? ›
It's important you get the rest you need after surgery as this is when your body recovers. Simply put, sleeping on your back keeps your breasts in an optimal position for healing. We therefore recommend you keep this position for eight to 12 weeks post-surgery.How do you sleep after breast revision? ›
Typically, your best option is to sleep on your back with your upper body slightly elevated on pillows or in a recliner. This position reduces fluid buildup, prevents excess pressure on your chest, and minimizes stress or irritation around your incisions.
A breast implants revision may be performed for numerous reasons, both medical and cosmetic. It can address breast changes that may happen over time due to: Age, pregnancy and weight related body changes. The condition of your implants and surrounding breast tissue.When should I get breast implant revision? ›
Painful or uncomfortable implants can indicate a number of issues that require a breast implant revision, including capsular contracture, damaged lymph nodes, a developing seroma, pinched nerves or poor implant placement. If you have silicone implants, pain may be a sign your implant has ruptured or is leaking.Do implants drop after revision? ›
As tight muscles relax and acclimate to your new implants, you can expect your implants to "drop" to a lower, more natural-looking position on your chest, as well as "fluff," or fill out the lower area of your breasts.Is a second breast augmentation easier than the first? ›
Less painful — Typically, the plastic surgeon will use the same incisions that were employed the first time around, minimizing scarring and discomfort. Since there is no need to make a new capsule within the chest, the surgery overall is much shorter and requires less downtime.Can I sleep on my side after breast revision? ›
Following breast reconstruction, it will be important that you avoid placing significant weight or pressure on the breasts for two to four weeks. This means no sleeping on your side or stomach.What not to do before breast surgery? ›
- Aspirin and medications containing aspirin.
- Ibuprofen and anti-inflammatory agents.
- Vitamin E.
- St. John's wort.
- Garlic supplements.
- Green tea or green tea extracts.
- Estrogen supplements.
- Oral contraceptives / birth control.
The surgery can be done under local anesthesia, where the patient remains awake and only the breast is numbed to block the pain, or under general anesthesia, where medicine is given to make the patient sleep. Most women receive general anesthesia for this surgery.Can you get bigger implants the second time? ›
We have had many patients come back to us after having breast augmentation surgery asking if it's possible to go larger. The short answer is yes, it is possible to increase the size of your breast implant after you've had the surgery, but there are a lot of things to consider before doing so.Can I have 2 implants next to each other? ›
A person can have several of them placed at the same time. But a patient should take into account several aspects. These include the number of missing teeth that need to be replaced, the cost, time and stability.Can I make my implants closer together? ›
It is important to respect the natural border of your breasts and it's not really possible to force the implants to sit closer together. Fat grafting can help fill in the inner part somewhat.
Corrective Surgery May Solve the Problem
If you are unhappy with the results of your surgery, your plastic surgeon may offer to do corrective surgery at no charge to you.
However, the success rate for revision surgery is usually lower than that for the original surgery because the bone is weaker. Complications from revision hip surgery may include: Infection (in only 2 to 4 percent of cases) Loosening of the new prosthesis (in 10 to 15 percent of cases.How do you tell your plastic surgeon you're not happy? ›
That said, if you are feeling anxious, speak up. “When you visit your plastic surgeon for follow-up care, it's okay to voice your concerns to them or to the staff and say that you are feeling disappointed or worried.What is the cheapest city to get breast implants? ›
Our findings summarize that the cheapest city to receive saline breast augmentation is Miami followed by Washington, Austin and Chicago. The most expensive out of the top ten list (based on the lowest price offered at various clinics in the location) are San Francisco, Dallas and Seattle.Will insurance company pay for breast implant removal? ›
If your implants were put in after a mastectomy and your doctor believes that removing your implants is “medically necessary,” then your health insurance is legally obligated to cover your breast implant removal under the Women's Health and Cancer Rights Act of 1998 (WHCRA).How common are top surgery revisions? ›
Chest reconstruction top surgery is a complicated procedure and there are no absolute guarantees. Though most patients only require a single surgery to achieve their desired outcome, in our practice there is a 3-4% chance that you will need revision surgery following chest reconstruction top surgery.What is the safest breast reconstruction surgery? ›
The pre-pectoral procedure is the most minimally invasive breast reconstruction option. Your doctor can perform a mastectomy by removing breast tissue through a small incision underneath the breast. Through this incision, a tissue expander can be placed on top of the muscle to create a breast mound.What can you replace breast implants with? ›
Are There Natural Alternatives to Breast Implants? The most viable alternative to breast implants is breast augmentation via fat transfer or fat grafting. This technique uses fat harvested from elsewhere in your body (often the abdomen, thighs, or hips) to add volume to your breasts.What is the healthiest breast augmentation? ›
SILICONE BREAST IMPLANTS
Standard silicone gel filled implants are round in shape and are chosen most often by patients for these reasons: Excellent safety and performance record. Feel like natural breast tissue compared to saline implants.
Silicone Gel Breast Implants
The benefits of silicone-gel breast implants include: Feel soft, like natural breast tissue. Look real. Feel lighter in the body than saline implants.
In terms of size, 250cc to 400cc medium to high profile implants usually give a natural-looking size increase depending on height and weight.How long does breast revision surgery take? ›
Length of procedure: 30 to 150 minutes, depending on the type of revision required. Estimated recovery time: Patients can usually expect to return to work after 1 to 2 weeks following breast implant revision surgery, and they should avoid vigorous activities for 3 weeks.What is the best surgery to increase breast size? ›
Breast augmentation — also known as augmentation mammoplasty — is surgery to increase breast size. It involves placing breast implants under breast tissue or chest muscles. For some women, breast augmentation is a way to feel more confident. For others, it's part of rebuilding the breast for various conditions.How often do implants need to be redone? ›
On average, today's implants are designed to last more than a decade, with the chance of rupture increasing by one percent each year. So, the older your implants are, the greater your risk of rupture or other complications. In many cases, breast implants can remain in good shape for 20 years or more.What percentage of breast implants result in capsular contracture? ›
Capsular contracture can occur in one or both sides at any point after mammaplasty, and most cases are likely to occur within the first 6 months after surgery. The incidence rates of capsular contracture have been reported to vary from 2.8% to 20.4% [2-6].How many times can you replace breast implants? ›
Most silicone and saline implants are FDA approved for 10-20 years, but this does not mean that you have to get them replaced every 10-20 years. You can safely go beyond these time frames, and most patients only have to have 1-2 replacements in their lifetime.How to get the most realistic breast implants? ›
Use the Right Silicone Implant Material
Women seeking a more natural appearance often opt for silicone since the material feels more like natural breast tissue. Silicone teardrop implants aren't round like standard implants. Instead, they have a sloped contour and texture that mimics the shape of natural breasts.
There is no age limit for breast surgery. People can get breast implant surgery or surgery to lift breasts at any age.What happens if you leave breast implants in too long? ›
They can rupture or leak, and saline implants may deflate. Capsular contracture may also occur, which is shrinkage of natural scar tissue that your body produces around any implanted medical device. This may result in firm or hard breasts or a deformity which you can feel or see.How do you know when its time to change your implants? ›
Painful or uncomfortable implants can indicate a number of issues that require a breast implant revision, including capsular contracture, damaged lymph nodes, a developing seroma, pinched nerves or poor implant placement. If you have silicone implants, pain may be a sign your implant has ruptured or is leaking.
Submuscular Implant Placement. By placing your implant under the chest muscle, Dr. Armijo can significantly lower your risk of capsular contracture. If you choose completely submuscular placement, you'll only face a 4 to 8% lifetime risk of capsular contracture.What surgery removes capsular contracture? ›
Capsulectomy: During a capsulectomy, your surgeon will remove the existing implant and the surrounding tissue capsule and insert a new implant that is wrapped in a sheet of dermal matrix material (a skin substitute made mostly of collagen).What happens if you don't massage your breast implants? ›
This capsule, made of primarily of collagen, can contain some scar tissue which, over time, may harden and squeeze the implant. This condition, known as capsular contracture, can produce discomfort and can alter the appearance of your breasts.