What is Breast Revision?
When breast implants do not look, feel, or function as a woman desires, breast revision surgery can correct a variety of issues. Oklahoma City cosmetic surgeons Dr. Erik Nuveen and Dr. Courtney Caplin will consult with you and decide whether to repair, replace, or altogether remove previous implants. Faulty implants can rupture, lose volume, or shift over time, distorting the shape of the breasts. Also, the breast tissue can become damaged or weakened, which requires repair. Along with breast revision surgery, Drs. Nuveen and Caplin can use SurgiMend® to reinforce the damaged tissue, which can help the implant maintain its shape and position. In other cases, a woman might decide she no longer wants implants and will choose to have them removed. Regardless of the situation, the cosmetic surgeons of Cosmetic Surgery Affiliates will work closely with the patient to help her accomplish her aesthetic goals.
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Breast Revision Reviews
"I was a little nervous going in to surgery never having met Dr Nuveen in person. But from the moment he walked in the room, he made myself and my husband feel completely comfortable. I was going in for a breast implant exchange, told Dr Nuveen what I was looking to achieve and he gave me EXACTLY what I wanted! Recovery has been a breeze so far. The staff was so helpful before, during and now after surgery! I highly recommend Dr Nuveen for any type of breast augmentation!!"- J.B. / Google / Mar 19, 2021
"I began my search for a surgeon about 2 months ago & came across Cosmetic surgery affiliates. From the beginning I started talking with Morgan she was great about reaching out and following my 1000 questions as well as being patient with me and helping me set up a virtual consult. My first visit in the office was to pick out a size implant I was looking for. The staff was very personable and made my experience professional and comfortable. I had my breast augmentation done with Dr. Nuveen yesterday, when I say I was blown away with his personality and level of wanting to meeting my expectations was greatly exceeded. I had a general idea of what I was wanting. After my explaining what I was wanting he came back with a few options as well as suggestions of what his professional opinion would be I decided to go with what he suggested. Although I am only 24 hours post op I couldn’t be happier with my decision to choose the. If I decide to have anymore work done it will definitely be with them!"- K.R. / Google / May 19, 2021
"I had breast implants that were over 30 years old. I was concerned that there could possibly be something wrong with them. Three years ago, Dr. Caplin replaced them. It was a difficult surgery apparently because of scar tissue on the right side. She had to remove a lot of tissue because of that. Dr. Caplin did a fantastic job of making them look the same size and was able to also do it without a lift. I am 60, and they look fabulous. I would recommend her to anyone. Looking forward to hopefully a face lift sometime soon there at CSA. Awesome staff, the nurses made me feel very secure."- K.C. / Google / Jan 27, 2021
"I went to Dr. Nuveen 15 years ago for a botched implant procedure by one of the top doctors in Dallas. Dr. Nuveen was so amazing! He wanted to know everything about me! He actually cared about WHY I was having them redone. He is so personable and makes you feel so comfortable. I came in 8/13/2021 to have a new set due to some minor rippling (to be expected in saline). Again…he explained why we were going to use the implants he chose. And made me feel so comfortable. I have and will continue to use Dr. Nuveen and recommend him to all my friends and even strangers (which I’ve done for years!) Please don’t retire on me until I have a few more nip/tucks done! You are the Best plastic surgeon! And the entire staff is so friendly and nice and accommodating. A rare find these days. Thank you all so much!!!"- D.D. / Google / Aug 17, 2021
"Everyone I came in contact with at CSA was so friendly and helpful. They provided great pre and post-op instructions, and went above and beyond to make sure I was taken care of. I was pretty nervous about my surgery but the nurses helped calm my nerves by making me feel safe. Dr. Nuveen is an amazing surgeon and took the time to speak with me personally before surgery. He’s very personable and respectful of his patients’ wishes. He never tries to persuade you into having a surgery you don’t want. I would highly recommend him and CSA to anyone with cosmetic surgery needs!"- A.R. / Google / Apr 15, 2022
What Are the Reasons for Breast Revision?
Breast revision corrects circumstances regarding breast 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:
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 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.
Ruptured Implant: 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.
Capsular Contraction: 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 a 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.
Breast Rippling: 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 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 tightening scar tissue. Patients who experience this will go ahead with revision surgery as this condition is usually noticeable when wearing tight-fitting clothes.
Breast Size: Breast implants vary in size, texture, shape, and base. Some patients may be unhappy with how their 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.
How is Breast Revision Performed?
Revision surgery is tailored according to the cosmetic issue the patient is addressing. With this treatment, a major correction is done to the augmented breast in conjunction with scar tissue removal, if applicable, or a breast lift if there is sagging. There are instances when 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.
What is the Recovery Process After Breast Revision?
Breast revision surgery is performed with general anesthesia in an accredited surgical facility. The patient may be sent home after receiving 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 their normal routine on the second week. It will take a few more months for the effects of the revision to become noticeable and for the breast to develop a natural feel and look.
How Much Does Breast Revision Cost?
A breast revision surgery can cost between $5,000 to $10,000, depending on the surgical case. It will cost more if there is an implant replacement or if there are other additional procedures, such as breast lift or scar tissue removal. In cases where implants are a manufacturer’s defect, warranties may cover a portion or all of the surgical cost.
**Fees that are posted are subject to change. No doctor/patient relationship is established until the exam. Consent in perpetuity until canceled in writing.
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