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Breast Revision

        Breast Revision and Implant Replacement in Los Angeles, CA

Some patients benefit from revision of previous cosmetic breast surgery. For these patients and others who want to replace their implants and improve their results, breast revision is the best procedure.   Breast implants can provide long-lasting results, but over time, they may require replacement.  Breasts’ appearance also tends to deteriorate after 10 or more years in some patients and scar tissue may form.

Revisional surgery helps improve breast shape, remove scar tissue, re-lift the breast, and improve breast size and body proportions. Learn more about your options for breast revision surgery and implant replacement in Los Angeles, CA.

Dr. Bresnick Is a Breast Revision Expert

Dr. Bresnick has performed over 2,000 revisional breast surgical procedures. He is a breast revision specialist in Los Angeles, and has lectured on the topic at national plastic surgery teaching seminars. His goal is to help you improve your breast appearance, remove scar tissue, and help you enjoy improved results.

Breast Revision Surgery: What Is It?

Breast revision surgery is a procedure designed to address unsatisfactory results from an initial breast augmentation surgery. Many women who have breast implants will eventually need revision surgery at some point.

You and Dr. Bresnick may decide you need a breast revision for many reasons, including:

  • Desire to change breast implant size (to be larger or smaller)
  • Implant-associated problems like capsular contracture, leak, or rupture
  • Breast changes after pregnancy or weight loss
  • Desire to change implant type (saline to silicone, etc.)

Candidates for breast revision surgery in Los Angeles are typically women with implants who are no longer happy with their breast appearance, or who are experiencing complications with their existing implants. Dr. Bresnick also provides breast revision surgery to women who received their first breast augmentation  from another surgeon with unsatisfactory results.

What Happens During a Breast Revision in Los Angeles? 

Breast revision surgery usually involves implant replacement and removal of any scar tissue present. You may want to get larger or smaller implants, depending on how your aesthetic goals have changed over time. Dr. Bresnick might alter the breast shape by tightening internal breast pockets, removing excess or low breast tissue, or performing breast lifts. At your consultation with Dr. Bresnick, he will design a detailed, customized plan for breast improvement for you.

Listed below are some of the procedures that Dr. Bresnick performs to help you with breast shape improvement with revisional breast surgery:

  1. Change in implant size: We can place a smaller or larger implant based on your goals and what is healthy for your breasts.
  2. Change in implant surface: We can change your implant from smooth to textured, or vice versa. Dr. Bresnick can explain the advantages and disadvantages of each implant type at your consultation.
  3. We can move your implants under the muscle: If your implants are over the muscle, there may be benefits to moving them under the muscle. These may include a more natural look, less scar tissue risk, higher breasts, healthier breasts, less wrinkling, and other changes.
  4. We can tighten your breast pockets: Dr. Bresnick performs a procedure known as a capsulorrhaphy, which involves placing sutures within the breast pocket to tighten and improve implant shape.
  5. We can place supportive mesh (Seri Mesh) or collagen matrix (Acellular Dermal Matrix or Strattice) to help support your breast skin if your skin has thinned and your implants are dropping too much.
  6. We can lift your breasts
  7. We can reduce unwanted scar tissue
  8. We can reduce unwanted breast tissue at the time of implant replacement

Extensive Experience in Breast Revision With Breast Implant Support

Dr. Bresnick has a great deal of experiencing supporting breast implants in the implant pocket with reconstructive materials such as Seri Surgical Scaffold and Strattice Acellular Dermal Matrix. For patients with thin skin and breast tissue in which the body does not have enough support for implants, or in cases in which implants may be falling down or to the side, these materials can be critical to achieving great results.

Recovery After Breast Revision: What to Expect

Recovery after breast revision surgery is very similar to recovery after an initial breast augmentation, but most of our patients find it easier. In many cases, the breast implant pocket already exists. Removal of scar tissue tends to be more comfortable than creating a breast pocket for the first time. Dr. Bresnick will review with you the particular recovery issues for your breast revision procedure and help you get back to work and exercise as quickly as possible!

Many women are back to work within a week at a desk-type job, but breast revision patients should avoid strenuous activity for about four to six weeks.

Getting It Right: 

Why Surgeon Choice is Essential for Breast Revision Surgery

If you’re unhappy with the results of an initial breast surgery or if your results have changed with time, breast revision surgery is helpful. This procedure requires a skilled plastic surgeon for optimal results. Choose an experienced breast surgeon to ensure natural-looking results that will last for years.

Patients who choose Dr. Bresnick for breast revision surgery can rest assured he and his surgical team will perform their procedure to the highest standard of care. He is a renowned plastic surgeon known for being:

  • One of the area’s busiest and most sought-after plastic surgeons
  • Board-certified by the American Board of Plastic Surgery
  • Experienced with more than 25 years in plastic surgery
  • An accomplished breast surgeon who has performed more than 10,000 breast augmentations, 2,000 breast revisions and 3,500 breast lift procedures
  • Well-known for his beautiful, natural-looking results in breast procedures and plastic surgery
  • Top rated by his patients

Breast Revision to Correct Breast Augmentation Complications

Breast augmentation complications are not common, but they can occur. If there are problems with the local breast area or the breast implant after augmentation, revision surgery may be necessary. These procedures typically have three distinct steps: removing the old implant, correcting the complication, and replacing with a new implant, if desired.

Breast augmentation complications that may require an implant exchange include:

  • Capsular contracture (hardening of scar tissue around the implant)
  • Asymmetry
  • Breast implant leak or deflation
  • Wrinkled implant appearance
  • Excessive breast scarring
  • Infection
  • Breast sagging after pregnancy or weight loss
  • Poorly positioned breast implants

Breast Revision to Change Implant Type or Size

Breast implants typically last for many years or even decades. In that time, your needs and desires may change. The only way to alter your implant size or type after breast augmentation is with an implant exchange.

Opting for smaller or larger implants can help realign your breast size and shape with your current lifestyle and body type. We can rejuvenate your breasts at the same time, removing loose skin and uplifting pendulous breasts.

Breast Revision Surgery FAQs

Most of our patients are delighted with their breast augmentation results for many years. If your implants look good, are soft, and your examination is good, revision surgery probably isn’t needed. The need for future surgeries is always a potential after breast augmentation, but we strive to ensure that revision procedures are only performed as necessary.

Many of our patients choose to lift their breasts at the same time as their revision procedure. If you’ve had implants for many years, you may have some sagging. Replacing your implants and lifting the breasts can restore a more youthful breast appearance.

Size changes are a common reason for breast implant exchange. There may be limits to how much we can increase or decrease size, depending on your breast tissue’s quality, your existing implants’ size, and skin elasticity. Come in for a consultation and we’ll help you explore your options.

Call our Los Angeles offices at 818-981-3333 to schedule your breast revision consultation with award-winning plastic surgeon Dr. Bresnick.

When a saline implant ruptures, the fluid filling leaks out over a few days and the breast loses volume. You’ll know right away by the change in your breast’s appearance. That’s an aesthetic problem, but not a health concern. Your body will naturally absorb the sterile saline fluid.

When a silicone implant ruptures, the gel leaks to sit outside the implant shell. Because the gel is relatively solid, it is unlikely to spread into the surrounding tissue — at least, not for a long time. That means you’ll probably have no visual indication that the shell has ruptured. A routine MRI will usually detect the leak, which is why the FDA recommends this essential health screening every three years for women with silicone implants. If the MRI detects evidence of a ruptured implant, have it replaced as soon as possible.

In almost all cases, Dr. Bresnick follows the original incision lines when performing breast implant revision in Los Angeles, so you won’t have new scars.

Capsular contracture is the thickening and hardening of the capsule that your body forms around the implant. Capsule formation is natural and occurs with any implant, including knee and hip implants. Capsular contracture is a relatively rare problem that puts pressure on the implant and may cause discomfort. When performing breast revision surgery to correct capsular contracture, Dr. Bresnick removes the capsule with the implant. When possible, he removes the capsule and implant in one contained piece (en bloc capsulectomy). He may place Strattice Acellular Dermal Matrix around the implant to hold it in place and minimize the risk of capsular contracture recurrence.

Contact our office today at (818) 981-3333 to schedule a consultation with board-certified plastic surgeon Dr. Stephen Bresnick.

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