Women who opt for breast augmentation (breast enlargement) with saline or silicone implants may not be happy with the results or have complications as the implants age within the body. At Aydin Plastic Surgery, we know there are many reasons why women want to exchange or remove their breast implants. Our board-certified plastic and reconstructive surgeon, Dr. Bill Aydin holds private breast revision consultations at his Paramus, NJ and White Plains, NY practices for women (regardless if he performed the original plastic surgery) who want to change the size of the implants, are experiencing post-surgical complications, or want the implants removed completely. Although considered safe, breast revision surgery to correct problems with breast implants may be more complicated than the first surgery, cost more, and take longer to recover.
"Best Decision I Ever Made in my Life, I Have Never Looked Better! - Paramus, NJ - Dr Aydin is the best Plastic Surgeon and I will NEVER use anyone but him if I ever need any work done again. I had a full tummy tuck, lipo sculpting for fat transfer and I am so grateful for Dr Aydin! I look better now, then most 18yr olds and I just turned 40 with 3 kids! You know a Doctor is good when 2 of your friends go to him after they see your results. He has also done my botox, my friends botox, he removed a Callus on my finger, he cut it out and the scar looks like the natural line on my finger, he is REMARKABLE! I trust him with my life, I know he knows exactly what a woman wants and he makes that a realty. Dr Aydin and his team, are unlike any other, they took care of me, he called to check on me all the time, he took his time when he was doing my surgery (most doctors rush), he made sure his work was perfect (he is a perfectionist), he even made a house call, there is no Doctor like Dr Aydin and I am so grateful for all he did to help me look amazing! ?? "- J. / RealSelf / Jan 09, 2016
"Thank you Dr. Aydin & Staff!!! - I was beyond impressed with my experience with Dr. Aydin and his amazing staff! He is extremely intelligent, a compassionate and caring person, and a truly outstanding experienced plastic surgeon. From entering the office, to the cleanliness and order of the procedure, all the way to the follow up after my surgery - professionalism is second to none! I was completely blown away by how helpful..."- L. / RealSelf / Jun 01, 2017
"34 Year Old Male, Tumescent Liposuction of Lower and Upper Abdomen, Flanks, and Upper Back - Personable, easy to talk to, patient, attentive to detail, exceptional at his practice."- E. / RealSelf / May 30, 2017
"-Very professional -Friendly environment -Relaxing & quiet environment that provides privacy which is important for patients seeking this type of services -Very nice staff"- A.A. / ZocDoc / Feb 16, 2017
"Amazing experience - Once I stepped into the center, l felt at ease and all "surgery" fear, went away.Immaculately clean center. Very well kept. You are promptly greeted by Miray and Victoria, beautiful, sweet, smiling and very respectful girls. Less than 5 minutes, you are called in. You pass by more smiling faces and very clean rooms. Two minutes and the doctor is in greeting you.Dr Aydin is very nice,..."- A. / RealSelf / May 16, 2017
Revision surgery is tailored according to the cosmetic and/or medical issue the patient is addressing. With this treatment, a major correction is done to the augmented breast in conjunction to scar tissue removal, if applicable, or a breast lift for sagging. There are instances when a strattice (a tissue matrix device) will be needed to act as an internal underwire if additional support is required. Ultimately, the correction aims to fix the issue that’s the source of the patient’s dissatisfaction.
Breast revision surgery is performed with general anesthesia in an accredited surgical facility. The patient may be sent home after treatment depending on the severity of the case. It is recommended to have someone who can drive the patient home and who can provide support within 48 hours. Patients can resume to their normal routine on the second week. It will take a few more months for the effects of the revision to become noticeable and the breast to develop a natural feel and look.
Breast Implant Removal
Individuals who wish to undergo breast augmentation do so to increase breast size primarily for aesthetics. However, after breast augmentation, some women may be dissatisfied with their results and opt to revert back to their normal breast size. Others may want to remove their implants because of health concerns or other personal reasons. Breast revision surgery is a process where the implant is removed and the skin over the breast is tightened to make sure the breast sits in a natural position and looks normal.
Despite the guarantee that implants are safe and leakages are rare, there are cases when a shell breaks down. If it is filled with saline, the solution will be absorbed by the body, and there will be a noticeable deflation of the breast. In the case of silicone implants, the gel will settle where it is originally placed and the only way to verify it ruptured is with an MRI because the gel doesn’t deflate. This is also the reason why a patient with silicone implants must undergo routine MRI scans.
Reasons for Revision Surgery
Breast revision corrects circumstances in regard to breast implants. Even when breast-implant revision surgeries are successful, new implants are still subject to the same problems as the original implants. The surgery focuses on removal, replacement, or making a switch from saline to silicone-based implants. Listed below are the most common cases where a patient may be a candidate for this treatment.
The tissues surrounding the implant may develop scars over time, which creates a capsular contracture. The scar tissue tightens around the implant, which causes the implant to be displaced. The patient will feel severe hardening of the breast, which can be a discomfort. This is corrected by a capsulectomy in which the scar tissue is surgically removed. Based on statistics, there are more occurrences of contracture with saline implants compared to silicone-based ones.
A noticeable rippling can sometimes be seen underneath or on the side of the breast. This is generally more common among patients who have very low tissue volume and who are thin. Although not really a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. Rippling is most common with saline implants.
Double Bubble Implants
When an implant moves out of the intended pocket, it may cause the appearance of a double breast where a significant crease is noticeable. Implants not properly placed may drop and extend past the breast’s crease or rise, forming an odd volume on top of the breast. Sometimes implants are displaced by severe capsular contracture or a tightening scar tissue. Patients who experience this will go ahead with a revision surgery as this condition is usually noticeable when wearing tight-fitting clothes.
Breast implants vary in size, texture, shape and base. Some patients may be unhappy with how the breast looks and may consider a revision surgery to improve the appearance according to preference. It may be another size increase or a switch from a rounded implant to a more natural looking teardrop shape. Some patients also later realize that they’d rather have silicone instead of saline. All preferences will be considered to modify the augmented breast.
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