Do you wish you had gone with bigger breast implants? If so you are not alone. According to the FDA, 37% of all breast revision surgeries in the United States are done to switch out implants for a larger size. Houston breast surgeon, Dr. Bryan Correa has corrected a variety of problems arising from a primary surgery. He specializes in correcting problems that have developed from primary augmentation surgeries and is fast becoming one of Houston’s most sought after breast revision surgeons.

Dr. Correa’s philosophy on breast revision

“Patients seek revision of previous breast surgery for a number of reasons. Thankfully as plastic surgeons we have many tools to address the variety of problems that can develop and therefore have confidence we can improve your look.”

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Reasons for breast revision

Breast revision surgery is done to correct an earlier breast surgery, and involves removing or replacing implants. Complications arising from an original augmentation procedure are not uncommon. It is estimated that 20% of breast augmentation surgeries will require revision. Other than simply wanting to change the size of the implants, some of the problems that occur are:

  • Ruptured implants
  • Shifted implants
  • Capsular contracture
  • Muscle flex deformity
  • Poorly positioned implants

Ruptured implants

Implants are made of shells that contain a saline solution or a thick silicone gel. If a saline implant ruptures it is unmistakable physically, as breast volume visibly decreases. The more modern silicone implants can rupture with no visible signs of decrease as the silicone is thicker and is designed to stay within the shell. Patients with silicone implants are encouraged to visit their doctor for regular checkups to detect any ruptures. If you are concerned about a possible rupture of an implant be sure to set up an appointment to be evaluated.

Shifted implants

Most implants stay where they were put, but sometimes they can migrate in any number of directions—for example, toward the outside of the chest or closer to the sternum. Additionally, it is also possible for implants to slip below the inframammary fold (crease under the breast); this is a particular concern if the inframammary fold was altered during the first operation. Not only do these conditions make the breasts look unnatural, they can be very uncomfortable.

Capsular contracture

The body naturally encloses any foreign object, including a breast implant, with scar tissue. This is a normal process in all cases. However, in some women the scar tissue becomes very thick and contracts, compressing the implant. This can cause the breast to become misshapen and hard, as well as cause the implant to move (usually upwards on the chest). Sometimes only one breast is affected which also causes asymmetry in the chest with one breast higher than the other. This condition can be painful.

Animation or “muscle flex” deformity

Women who notice their implants moving abnormally when lifting heavy objects or working out have what is called animation deformity. To some degree, this is unavoidable whenever an implant is placed below the pectoral muscle. However, in some patients it becomes worse or more noticeable with time and thus is bothersome enough to motivate evaluation.

Implant malposition

On some patients, implants can migrate to other positions after surgery. This can happen for a variety of reasons but is commonly related to implants that are too large for a person’s chest. It is also possible that things did not heal normally after the first operation or that the first operation was problematic. Implant migration or malposition is typically only a cosmetic concern and depending on severity can be minimally noticeable to extremely bothersome and unnatural.

Patient Testimonial

“I was very fortunate for Dr. Correa to help me when my body rejected my implants. I had my breast augmentation done out of the country. My scar is barely visible and my breast still appears lifted. He did an excellent job.”

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What you can expect in your initial consultation:

It is very important to Dr. Correa that his patients understand all aspects of breast revision before making the decision to move forward with surgery. It is his philosophy that his success as a plastic surgeon is dependant not only on his surgical skills, but also his ability to fully understand the needs and goals of his patients. By taking the time to understand each patient’s desires, he can ensure they get the treatment or procedure that is truly right for them.

Your initial consultation with Dr. Correa will last about an hour. During this time Dr. Correa will:
  • Perform a comprehensive examination of the issues you are seeking to remedy
  • Ensure he completely understands your goals for the procedure
  • Recommend a treatment plan that encompasses your goals
  • Explain the basis for his recommendations
  • Answer any questions you have about the procedure as well as insurance coverage or financing

You will have the opportunity to examine photographs of his other patients who have undergone breast revision so you can see his work and know what to expect if you decide to proceed. Dr. Correa will discuss the changes that you can expect to achieve and make recommendations regarding the best surgical methods to use to achieve your goals. You are encouraged to ask many questions and also to share any anxiety you may be having. Attaining your goal is a team effort. You and Dr. Correa must agree on the aesthetics and methods of your surgery so that you can obtain a result that meets or even exceeds your expectations.

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Breast revision surgery consultation

Breast surgery revisions are more complicated than original surgeries. Houston breast surgeon, Dr. Correa will be happy to meet with you to discuss ways of correcting your particular problem so that your breasts look natural and do not cause you pain or discomfort. If your implant has ruptured your options vary based on the type of implant. Saline implants typically need to be replaced due to the obvious change in size that occurs. Silicone implants that rupture can often be simply watched and do not need surgery; this is determined on a case-by-case basis.