Breast Implant Revision in Washington DC
Breast Implant Revision Surgery
Breast implant revision, also called a corrective breast augmentation, consists of removing a breast implant and replacement it with a new implant or correct an already existing breast augmentation.
Dr. Feledy is a specialist when it comes to a breast implant revision needed for cosmetic or medical reasons. Belmont Plastic Surgery can help you if you are dissatisfied with the physical outcome of an augmentation or you’ve changed your mind about the size of your implants.
‘After 15 years with breast implants, I needed to have the breast implants replaced or removed. Belmont helped me get them replaced with new implants and I decided to go down a size. I didn’t realize how easy this process was but for anyone with breast implants who maybes wants something a little different, it is worth it.” -G.R.*
Your Breast Implant Revision Consultation with Dr. Feledy
During the consultation process, Dr. Feledy will listen and examine the aspects you want revised and a determination will be made on how best to approach the procedure. He will work with you to establish exactly what you want revised, for example:
- Are larger breast implants desired?
- Are smaller breast implants wanted?
- Is a different shape breast implant preferred?
- Should the breast implant be above the pectoral muscle or below it?
- Is fat grafting something needed to even out the look?
The final aim is get you a breast implant revision that is natural in appearance, looks the way you want and has a satisfactory result based on your goals.
If you are not satisfied with a breast augmentation you received or if you want something changed about it, you shouldn’t settle. The technology of cosmetic surgery is constantly advancing and you should avail yourself of these advancements to be sure you get the exact look you want. I specialize in breast implant revision and breast implant revision surgery and don’t believe there is a case I couldn’t handle. Dr. Jules Feledy
Belmont Plastic Surgery wants to help you get best breast implant revision Washington DC has available. Contact us today and schedule your consultation.
Schedule your consultation with Belmont Plastic Surgery in Washington DC today
Washington DC – Breast Augmentation Revision
Women choose to have a breast augmentation procedure (aka breast implant surgery, an augmentation mammoplasty) to attain the voluptuous breasts they desire. These implants help women around the globe feel good about the way they look, which can greatly improve their self-esteem and confidence levels. Augmentation mammoplasty procedures have an extremely high success rate. However, as with any procedure, there are potential complications that can arise. In addition, as time passes, some women decide to have their implants removed and replaced with newer models. Despite the reason, an experienced, board-certified, aesthetic and reconstructive surgeon like Dr. Jules Feledy of Belmont Plastic Surgery in Chevy Chase, Maryland, near Washington, DC, can perform an augmentation mammoplasty revision to provide the patient with the breasts that she desires.
Why Would a Woman Near Washington, DC, Have a Breast Augmentation Revision?
Women who have implants may choose to undergo an augmentation revision to increase the size of their implants, to decrease the size of their implants, to switch their current implants out for a newer, state-of-the-art version, to improve an unsatisfactory result, to address some type of complication or just to remove their implants altogether (i.e., explantation).
Women who choose to remove their implants may not want them anymore because they are just tired of the way they look or they have reached an age where having implants no longer makes sense (e.g., senior citizen, etc.). Sometimes, implant removal is necessary for medical reasons. Some of these reasons include disease, trauma or a surgical complication.
How Long Do Implants Last?
Implants are not meant to last a lifetime, but they can last up to 20 years. As time passes, an implant might sustain damage, lose its original shape and/or deflate. Although these issues are not considered medically harmful to the patient, the appearance of her breasts may change. These are the women who may choose to have a revision.
What Complications Can an Augmentation Revision Near Washington, DC, Address?
When an unexpected problem arises following an augmentation mammoplasty, the issue can usually be addressed with a brief breast revision procedure. Of course, it is the complication a woman is experiencing that determines the type of procedure Dr. Feledy will need to perform.
Complications that this procedure can address include:
Rippling of the Implant
Rippling of the implant – visible wrinkles or folds of the implant beneath the skin. This complication occurs more frequently with saline implants than with their silicone counterparts.
Unsightly scarring – scars may be obvious due to their shape, size and/or location. In addition, when compared to the healthy tissue surrounding them, scars may be depressed or raised and differ in texture, and color. Another issue that can contribute to unsightly, disfiguring or obvious scars is poor healing.
Asymmetry – breasts look disproportionate.
Bottoming out – this complication arises when the implant migrates to a lower position on the abdominal wall and falls beneath the inframammary crease, this causes excessive volume in the bottom of the breast. This complication can occur when large implants are placed in breasts that do not have tissue strong enough to hold them, the inframammary crease was made too low or if the surgeon placed the implants over the muscle (subglandularly) when they should have been placed beneath it (submuscularly). It is the patient’s physical characteristics that determine whether implants should be placed submuscularly or subglandularly. An experienced surgeon knows where to place the implants based on the patient’s physical characteristics.
Large Nipple-Areolar Complexes
Large Nipple-Areolar Complexes – the nipple-areolar complex is the term used for the nipple and the darker-toned skin surrounding it. As time passes, if the breasts begin to droop and the complexes face downward, the stretching of the tissue can cause these complexes to stretch as well, thus, increasing their size.
Nipple Malposition – the nipple looks unnatural in its current position.
Implant Displacement – the implant has migrated from its original position.
Symmastia – the implants cross the midline of the patient’s chest, usually touching in the center. This complication can result in a loss of cleavage. Due to the visual appearance of the implants, this complication is frequently referred to as kissing implants, breadloafing or uniboob.
Capsular Contracture – the body naturally creates a thin layer of scar tissue around the implant. This layer of scar tissue is referred to as the implant’s capsule. When a woman’s body creates excessive amounts of scar tissue around the implant, causing the capsule to become thicker and thicker, this complication is referred to as capsular contracture As the scar tissue forms, it tightens around the implant, causing the breast to feel hard, become misshapen and move higher up on the chest. Dr. Jules Feledy can treat this complication with a capsulectomy.
An implant rupture is more likely to occur with saline implants than with silicone:
When a saline implant ruptures
When a saline implant ruptures, the breast begins to shrink as the salt water exits the implant and is absorbed by the body. Since the only fluid inside a saline implant is salt water, the body absorbing this fluid is not dangerous.
When a silicone implant tears
When a silicone implant tears, patients usually will not notice because the thick consistency of the silicone used today causes whatever is leaking out to remain within its pocket. This complication is referred to as a silent rupture. However, at the patient’s next biannual magnetic resonance imaging (MRI) scan, the tear in the implant will be detected. Although an implant rupture is not considered a medical emergency, Dr. Feledy does recommend that patients make an appointment for an examination.
A double bubble can occur when:
The implants migrate to a location too high on the chest, which can cause the skin beneath the implant to appear loose.
Since there is a clear divide between the implant and the lower pole of the breast, it looks as if the patient has a bubble beneath the implant. This type of double bubble frequently occurs with capsular contracture and can be quite painful.
The implant slips down, with a portion of it resting beneath the inframammary crease.
The crease is tight enough to indent the implant, making it look as if it is divided in two, which results in the double bubble characteristic of the affected breast.
The Breast Revision Procedure at Belmont Plastic Surgery Near Washington, DC
The type of revision surgery Dr. Jules Feledy performs varies. The surgical solution is determined by the complication being addressed or the implant changes the patient desires. After meeting with a patient, Dr. Feledy creates a custom-designed surgical plan that is tailored to address the complication the patient is experiencing or to make the implant changes she desires.
Revision Techniques Available at Belmont Plastic Surgery in Chevy Chase, Maryland, Near Washington, DC
The technique that Dr. Jules Feledy uses depends on the issue he is addressing and the patient’s desired final result.
Revision techniques based on the issue being addressed:
Rippling of the implant
Rippling of the implant – there are numerous ways that Dr. Feledy can address a rippled implant. He can tighten the implant’s capsule so it fits tighter around the implant. He can replace a rippled saline implant with a silicone one, a larger implant or an implant that is shaped like a teardrop. Dr. Jules Feledy can move the implant beneath the pectoral muscle, add or remove saline from the implant, or use autologous fat grafts to cover the implant better.
Unsightly scarring – Dr. Feledy’s goal when addressing unsightly scarring is to minimize the scars in such a way as to improve their ability to blend in with the tone and texture of the healthy tissue that surrounds them. Although this procedure is designed to reduce the visibility of scarring, it cannot completely erase the scars that are there.
Asymmetry – when a patient’s breasts do not match in size and/or position, Dr. Jules Feledy can address these issues by enhancing one to match the other, or by using implants of a slightly different size to make them match.
Large nipple-areolar complexes
Large nipple-areolar complexes – Dr. Feledy can surgically reduce the size of the nipple-areolar complexes.
Bottoming out – Dr. Jules Feledy can correct this problem by removing the current implants and replacing them with smaller ones or by adjusting the pocket in which the current implants sit. Sometimes, synthetic skin is used to create an internal bra that will hold implants in a position that is higher on the chest. In rare cases, the implants must be removed and the patient must wait several months for the tissue to heal before any other cosmetic procedure can be performed to address small and/or misshapen breasts.
Nipple malposition – an experienced aesthetic and reconstructive surgeon like Dr. Feledy can move the nipples to a different, more natural-looking location on the breast.
Implant displacement – if an implant has shifted, Dr. Jules Feledy can use permanent stitches to adjust the implant’s capsule or the pocket of tissue surrounding the capsule to keep the implant in the proper position. Certain areas of the implant’s pocket may be tightened, while other areas can be loosened. The capsule may be reinforced with a skin substitute that consists mostly of collagen (i.e., dermal matrix material). To change the way the implant sits on the chest, Dr. Feledy may replace the existing implant with one that is of a different size, has a different projection and/or a different firmness level.
Symmastia – correcting symmastia can be challenging, which is why choosing an experienced, board-certified plastic surgeon is vital to attaining the best results possible. In most symmastia cases, Dr. Jules Feledy will remove the current implants to replace them with a new set. The new implants are usually smaller than the patient’s original implants were.
Capsular contracture – to address this complication, a capsulectomy is performed. Dr. Feledy can determine the best solution for the patient by performing a physical exam and/or requesting that the patient have a radiological test of her implants so that he can review it. Typically, when performing the capsulectomy, he will use the patient’s existing incision to open the breast. Dr. Jules Feledy removes the excess scar tissue that formed around the capsule; Removing this tissue releases the implant. The implant may be removed and replaced. To avoid unsightly scarring, it is essential that patients do not reach, stretch or perform any other motion that could pull on their incisions until they have fully healed. Just as with the initial augmentation, patients should expect to experience bruising and inflammation. The scars will fade as time passes.
Double bubble – to correct a double bubble, Dr. Feledy will remove the implants, which are most likely above the pectoral muscle, and place them beneath the pectoral muscle (new implants may be necessary). He will also perform a breast lift.
Change implant, remove implant without replacement, address an implant rupture
Change implant, remove implant without replacement, address an implant rupture – when changing out implants or removing implants without replacing them, the same steps that are used in a primary augmentation mammoplasty are used. However, since there will be scar tissue present, the augmentation mammoplasty revision can be more technically challenging. Patients who choose to remove and not replace their implants may want to consider a lift because the aesthetic outcome may be undesirable. This is especially true for those patients who have had their implants for several years because the skin may remain stretched.
Recovering from a Breast Augmentation Revision Near Washington, DC
The revision recovery is comparable to the initial augmentation recovery. Recovery time varies and depends on the type of surgery that was performed as well as the patient’s ability to heal. However, generally, patients should expect to take a week or two off work or school. Taking this time off is important because patients need to get plenty of rest during the early stages of their recovery.
Usually, patients experience the most discomfort during the first few days following their augmentation revision procedure. Dr. Jules Feledy will provide the patient with prescription pain medication or recommend over-the-counter medications for the first two weeks following surgery.
Recovering from a Breast Augmentation Revision: What to Expect
Patients should expect their breasts to be tender. Inflammation is common and numbness is also typical. They must avoid lifting, bending and participating in strenuous activities until Dr. Feledy releases them to do so.
It takes about eight weeks for the breasts to heal completely, at which point they will present their final shape.
Most patients who undergo this procedure can return to work within a week. However, patients whose work requires them to lift heavy objects should not return to work at this time. In addition, all patients must avoid strenuous exercises.
Patients should not be alarmed if they feel lumps in the areas where the sutures are. These lumps are common for up to two months after the surgery. Once the body absorbs the sutures, the lumps disappear.
Weeks Two and Three
Light physical activity can slowly be introduced. However, patients must still refrain from performing exercises that require lifting or placing any kind of pressure on their chest.
Weeks Four to Six
Unless otherwise noted by Dr. Feledy, all physical activities are permitted.
An Initial Consultation for a Breast Revision
During your initial consultation, Dr. Jules Feledy and his medical staff will request your medical information, including the medications that you take regularly. If you take any vitamins and/or herbal supplements, Dr. Feledy will want to know.
Some patients find it helpful to make a list of their regular medications, vitamins and/or herbal supplements. Many patients also add information regarding their surgical procedures to this list. They bring the list with them to their initial consultation, which makes for a smoother initial consultation.
Your medication list should include:
- The names of the medications, vitamins and/or herbal supplements that you take.
- The medication dosage and how often you take it in a 24-hour time frame.
- The reason you take a given medication (e.g., an inhaler for asthma, etc.) and/or herbal supplement (e.g., turmeric to reduce inflammation, etc.).
- If you have any allergies to medications or latex and/or you have any chronic conditions (e.g., arthritis, asthma, etc.), please add these to your list as well.
Your medical history section should include any surgical procedures you have had:
- The year the surgery was performed.
- The type of surgical procedure you had.
- The reason for the surgery.
- Any complications that occurred during and/or after your surgery (if applicable).
Dr. Jules Feledy will ask whether there is a family history of breast cancer or any other chronic health conditions (e.g., hypertension, diabetes, etc.) that are not on your list. Dr. Feledy will answer any questions that you have. He will examine your breasts to determine which revision technique will provide you with the best results. Dr. Jules Feledy may also take measurements and pictures, which will be placed in your medical file. Since these photos are considered confidential, they will never be used for promotional purposes or any other reason. These pictures and the measurements he takes are used as reference while creating your personalized surgical plan.
Dr. Feledy may request that you have a magnetic resonance imaging (MRI) test done. This allows him to see exactly what is happening with your implants.
Preparing for Your Breast Revision Procedure
The preparation required for your revision procedure can be compared to that of your initial augmentation mammoplasty procedure. At your initial consultation with Dr. Jules Feledy, he will provide you with specific instructions about preparing for your revision surgery.
Some of these instructions include:
- Avoiding products that contain nicotine for at least four weeks before and after your augmentation revision.
- Completing all labs, radiology procedures and exams prior to your procedure. These tests should be completed within enough time for Dr. Feledy to receive your results before your scheduled surgery, therefore, please be sure to have them completed no later than a week before your revision augmentation mammoplasty.
- Avoid taking anti-inflammatory medications or herbal supplements for at least four weeks before your revision surgery.
How Much Does an Augmentation Revision Near Washington, DC, Cost?
The cost depends on the reason for the revision. Therefore, the only way to know how much your procedure will cost is to make an appointment with Dr. Jules Feledy. At Belmont Plastic Surgery in Chevy Chase, Maryland, near Washington, DC.
Dr. Feledy offers patients a variety of ways to pay, including financing through CareCredit.
Will Health Insurance Pay for My Augmentation Revision?
Your health insurance may pay for some of your revision costs. For this reason, Dr. Jules Feledy recommends that his patients contact their insurance company after their initial consultation, but before scheduling their procedure to ask about coverage.
Furthermore, if the patient’s current implants have a warranty, the breast implant manufacturer may pay for certain aspects of a revision, again, it depends on the reason for the revision.
Dr. Feledy is an experienced, board-certified, aesthetic and reconstructive surgeon who has more than 15 years of post-graduate training. He specializes in performing breast procedures, including augmentation revisions.
If you reside in the Washington, DC, area and you need an augmentation mammoplasty revision, please contact Belmont Plastic Surgery today at (301) 654-5666 to schedule an initial consultation with Dr. Jules Feledy. If you prefer, you can use the online form by clicking here. Belmont Plastic Surgery is located at 5530 Wisconsin Ave, Ste 818, Chevy Chase, Maryland.
Breast Implant Revision FAQs
Although most patients experience years of satisfaction following breast augmentation, breast implants are not lifetime devices and patients may require corrective breast augmentation to enhance the original breast augmentation that may have declined aesthetically during the aging process.
If you are dissatisfied with the results of a prior breast augmentation, you may be a potential candidate for breast implant revision. As with any cosmetic procedure, ideal candidates will possess good physical and psychological health.
If you are having your implants removed and replaced, Dr. Feledy will likely use the same incision site as your original surgery. The implant will be removed at the site of the incision and a new implant will be inserted (if desired). The incisions will then be closed with sutures and covered with surgical dressings.
A typical corrective breast augmentation will be completed in less than two hours. In most cases, surgery will be performed under general anesthesia.
For most patients, the recovery process will be very similar to their initial breast augmentation. You are likely to experience some swelling, bruising or discomfort following surgery. Dr. Feledy may prescribe pain medication to alleviate any significant discomfort. In most cases, you should be able to resume normal activities one to two weeks post-surgery.
All surgical procedures, including corrective breast augmentation, present a certain degree of risk. In general, corrective breast augmentation is considered safe and complications are rare. Complications may include bleeding, infection, adverse reactions to anesthesia, scarring or asymmetry.