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NYC Breast Implant Revision
Breast Implant Revision Videos
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Breast Revision Surgery in NYC
Women in NYC who have previously undergone breast implant surgery may find that the shape and feel of their implants has changed with time. Patients choose Dr. Nina Naidu when they want to change the size or type of their implants; to replace a leaking or ruptured implant; or to correct complications from their primary Breast Augmentation (such as capsular contracture). Dr. Naidu’s goal is to perform breast revision surgery that gives you a more youthful breast contour and enhances your appearance. Aesthetic and reconstructive surgery of the breast comprise a large part of Dr. Naidu’s NYC plastic surgical practice.
Breast Revision Before & After Photos
Reasons for Breast Revision Surgery in NYC
There are many reasons for breast revision surgery, including:
- Dissatisfaction with the Primary Surgery: The patient is unhappy with the size, shape or appearance of her breasts.
- Asymmetry, Leak, or Rupture: Patients frequently seek breast implant revision if a saline implant has deflated or an MRI indicates a shell break in a silicone implant. Breast revisions can also be performed if the breasts no longer appear symmetrical.
- Implant Placement: Patients may have implants which were initially placed over the muscle or which have shifted into an unnatural position. Implants may be positioned too high or low on the chest wall, or positioned too close or far apart. In some cases, the implant has moved beneath the natural fold beneath the breast, creating the “double bubble” deformity.
- Changing Breast Size: Breasts can lose volume due to pregnancy, weight fluctuations, or aging. Patients may opt to change implant size to correct this change in size.
- Implant rippling: Implant rippling can occur secondary to thinning of the breast tissue, partial deflation of a saline implant, or use of a textured silicone implant. Rippling can be addressed by selecting a different implant and positioning the implant beneath the pectoralis muscle on the chest.
- Capsular Contracture: Capsular contracture refers to firm and sometimes painful scar tissue which can form around the implant. If the scar tissue is soft, it is generally treated with ultrasound treatments or observed. Painful scar tissue typically needs to be surgically removed. The implants are replaced at this time, or left out if the patient prefers.
- Breast ptosis: Breast implants alone do not lift breast tissue. Some patients will opt to have a breast lift as part of their breast implant revision surgery to lift their breasts and/or change the size of their areola.
- Remove implants: Some patients no longer wish to have implants, and may elect to have them removed.
Your First Consultation with Dr. Naidu in NYC
The first part of your breast revision process is a comprehensive consultation in our NYC office during which Dr. Naidu will learn about your aesthetic goals. She will want to know the details of your primary surgery and why you are seeking a breast revision. If you have any information about the initial surgery, such as the size and manufacturer of your implants, or the operative report from your initial surgery, please bring this with you to your appointment.
During your consultation, you will need to tell Dr. Naidu about your medical history and your use of medications, nicotine and/or alcohol. She will examine your breasts and the quality of your skin. She will measure the base width of your breasts and determine the amount of existing breast tissue. These measurements will determine how your surgery will be performed.
If you plan to become pregnant or breastfeed in the future, Dr. Naidu will explain the impact that motherhood will have on your breasts, so that you can make an informed decision about having a breast revision.
Pre-operative photographs are taken at this visit. These photographs are an important part of your surgical planning and are considered part of your medical record. They will never be shown to other patients without your written permission.
Dr. Naidu will explain your options for your breast revision and whether you are a good candidate. Your candidacy for breast revision depends on your anatomy and goals, as well as the decisions made during your primary surgery. Dr. Naidu will fully answer your questions and address your concerns.
Your Second Consultation with Dr. Naidu in NYC
If you decide to proceed with breast implant revision surgery, you will have a second consultation with Dr. Naidu in our NYC office. At this appointment, Dr. Naidu will recommend the best size and style of implants for your revision. She will describe your surgery in greater detail, so that you know exactly what to expect. Paperwork for surgery will also be completed at this visit.
Depending on your medical history, Dr. Naidu may advise you to discontinue certain medications prior to surgery. If you are a smoker, you must not smoke for four weeks before or after your breast revision. Prior to surgery you will be required to obtain routine blood work and preoperative clearance from your primary medical doctor. Dr. Naidu may also order additional screening tests, including a mammogram.
Types of Breast Implants
Your options for new implants include saline implants, which are filled with sterile salt water; and silicone gel implants. The specific implant size and shape will be determined based on your preference and your anatomy. In almost all cases, the implants are placed beneath the pectoralis muscle to provide better coverage, improve mammographic visualization of the breast tissue, and decrease the risk of capsular contracture.
Breast Revision Surgery in NYC
Breast implant revision surgery is performed on an outpatient basis, either in the hospital or in an ambulatory surgery center. The surgery lasts between 1-2 hours, and is performed under general anesthesia. General anesthesia is very safe and makes certain that you will be completely comfortable during your breast revision.
In most cases, the incision site from your primary surgery is used to reach your implant. Through this incision, the old implant is removed and the tissues are evaluated for scarring. Any firm scar tissue is removed. The pocket for the implant may need to be changed. If you wish to have larger implants, the space will be surgically enlarged. If you desire smaller implants, the space will likely need to be reduced with sutures. In some cases, a new pocket will be created for the implant underneath the pectoralis muscle. This will provide improved coverage of the implant and decrease the risks of rippling and visibility.
If the prior implants were too close or too far apart, the scar tissue from the capsule will be manipulated to create a pocket that will place the implants in the appropriate position. If needed, an acellular dermal matrix product will be used to provide additional support.
The size, shape, style and materials of your new implants will have been determined at your first consultation. Dr. Naidu will insert your new implants into the pockets. The incisions will be closed with several layers of sutures. If your breasts are ptotic (have dropped lower on your chest), a breast lift may also be required. In this case, Dr. Naidu will make additional incisions around the areola (the pigmented skin surrounding the nipple) and from the areola to the crease under the breast. Dr. Naidu can also reduce the size of the areola without performing a breast lift.
Finally, some patients may elect to have their implants removed without replacement. In this case, Dr. Naidu will remove the implants and close the incisions with sutures after removing any firm scar tissue.
Breast Implant Revision Recovery
Following your breast implant revision surgery, you will wake up in the recovery area with small dressings on the breasts. If you have had scar tissue removed, drains may be placed for 3-4 days. Once you are fully alert, you will be given something to eat and drink. Once you have recovered, you will be allowed to go home the same day. You must have a responsible adult to escort you home and stay with you for the first night after your surgery.
Dr. Naidu will give you specific instructions to follow after your surgery. She will give you a prescription for pain, as well as instructions about how to take care of your incisions. Some degree of post-surgical assistance will be required. We strongly recommend that you create a plan to take care of yourself and your family, so that you can focus on your recovery.
The day of or the morning after surgery, you may shower, leaving the tapes on your skin intact. Most patients do not complain of severe pain following this surgery, but note that their breasts feel sore for several days. Pain medication is prescribed for any discomfort.
You will return to our NYC office between three and five days after your surgery. Drains will be removed at this time if these were placed during surgery. Most sutures will dissolve on their own. Walking is permitted the day after breast implant revision surgery, but strenuous activity, sexual activity, and heavy lifting should be limited for two weeks.
Swelling will be present for three to four weeks after surgery and may persist for up to three months depending upon the extent of surgery performed. Your scars will continue to fade and soften for up to one year following surgery. Dr. Naidu will provide you with a scar balm to use on the incisions to assist with scar reduction.
Complications of Breast Revision Surgery
During your consultation, Dr. Naidu will explain the risks of a breast revision so that you can make an informed decision about this surgery. As with other surgeries, the risks of breast revision include bleeding, infection and scarring. Specific risks of breast revision include capsular contracture (scar tissue around the implant), rippling of the implants, and implant rupture.
Complications from breast augmentation can be reduced by providing a thorough medical history and carefully following your pre-operative and post-operative instructions.
Cost of Breast Revision Surgery in NYC
Please call our NYC office at 212-452-1230 and we will be happy to provide information about the cost of breast revision surgery. You will be provided with the exact cost of your procedure following your consultation with Dr. Naidu. Insurance generally does not cover the cost of breast revision surgery.
Choosing Dr. Naidu for Breast Revision Surgery in NYC
Aesthetic and reconstructive surgery of the breast comprise a large part of Dr. Naidu’s NYC surgical practice. She has a special interest in breast augmentation and in reconstruction of the tuberous breast. Dr. Naidu completed her undergraduate studies at The Johns Hopkins University and obtained her medical degree from Cornell University Medical College. After completing her general surgery and plastic surgery training at New York Presbyterian – Weill Cornell Medical Center, she performed an additional year of fellowship training at the University of Pennsylvania. Dr. Naidu is Board Certified by the American Board of Plastic Surgery and is a Clinical Assistant Professor of Surgery at Weill Cornell Medical College.
Schedule a Breast Revision Consultation in NYC
Our office is located at 1021 Park Avenue in NYC. If you’d like to learn more about a breast revision please call our office at 212-452-1230 and schedule an appointment.
Breast Revision Before & After Photos
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Rating: 5
Dr. Nina S. Naidu Reviewed by Nicole L.
“Amazing person and exceptional doctor is how I would describe Dr. Nina Naidu. From Pre-Op to Post-Op care, Dr. Naidu and her staff made the process easy and comfortable. Dr. Naidu’s demeanor, talent, and work is phenomenal. I have never had surgery before this and thought I would be nervous, but I wasn’t, because of her! She is so knowledgeable and confident that she made me feel at ease. We had discussions on different sizes that I wanted to be reduced to but I trusted her implicitly to make the final decision to get me to a size that was appropriately proportioned for my build. The results were exactly what I wanted! She far exceeded my expectations, they are perfect!”
FAQs: Breast Implant Revision
How long do I have to wait after my initial implant surgery to have a revision?
What can I expect as I recover from a capsulectomy?
How can I tell if my breast implants are bottomed out?
What can I do to stop repeated capsular contracture development after breast augmentation procedures?
My breast implants are sitting too far apart; can this be fixed with a revision?
I had a breast augmentation with saline implants nine years ago and I am now experiencing pain/discomfort in my breasts; do I need to have them replaced?
I had my implant surgery a year ago and when I flex my pectoral muscle my breast looks deformed; is this normal? Should I have a revision done?
I have implants that are placed submuscularly; can these be moved subglandularly during a revision?
How can I fix rippling of my breast implants?
I want to have my large breast implants removed and smaller ones placed; do I have to worry about having loose skin on my breasts afterwards?