Since the first silicone breast implant was developed over 50 years ago, plastic surgery to improve the size and appearance of breasts has been a popular procedure and continues to generate strong demand. Breast lifts have increased 89% since 2000. During the same period, breast augmentation has grown 31%. This long-running popularity means countless procedures have been performed over the last few decades – and with those procedures, some complications may have occurred due to:
- Outdated procedures and/or materials
- Surgeon errors
- Defective implants
- Time-diminished aesthetics
No matter the reason a breast revision surgery is needed, Dr. Jeremy White can help you achieve your long-lasting aesthetic goals. He is renowned for his advanced procedures and deep experience with breast revision, as documented in a recent manuscript he authored.
Frequently Asked Questions
What is capsular contracture?
Every breast implant develops some form of a capsule lining around it after insertion. This is the body’s way of walling off a foreign object. Capsular contracture is when this lining begins to get hard and tight around the implant and often leads to a very unnatural appearance to the breasts in which the implant circular shape is outlined and can become raised or displaced on the chest wall. In the worst case, the capsule can even lead to pain, but this is much more rare.
What can be done to lower my risk of capsular contracture with silicone implants?
Because capsular contracture is related to a low grade infection that does not require treatment with antibiotics, the most important thing to start with is sterile technique. Dr. White uses a “no touch” technique, in addition, in which he uses a Keller funnel to place the implant into the breast pocket after bathing it in antibiotic solution without anyone ever touching the implant even with gloves. This technique also enables Dr. White to place silicone implants through smaller incisions than would otherwise be required without use of the funnel. In addition, placement of the implant underneath the muscle, at least in part, has been shown to decrease the risk of capsular contracture
I have developed a capsular contracture, so now what do I do? Do I need revision surgery?
If you are just beginning to notice the signs of capsular contracture develop, sometimes massage of the breast implant along with taking certain medications may help to lessen this process. If you have already developed a deformity related to a capsule, you have the choice to either leave the issue alone if it doesn’t bother you, of perform revision surgery. Revision surgery may involve open capsulotomy, which is breaking up the capsule into pieces, capsulectomy, which is partial or complete removal of the capsule lining, breast implant pocket exchange from subglandular to submuscular pockets, or change to a different implant. In certain cases, Dr. White has found it necessary to use a special skin material in which the cells have been removed, such as Alloderm or Strattice, to break up the capsule and support the implant. Dr. White has published that, with this technique, recurrence of capsular contracture is significantly diminished in even some of the most challenging cases!
What is revision breast augmentation with acellular dermal matrix (Alloderm, Strattice, etc…)?
Dr. White has shown in the medical literature that these products can be used to decrease the recurrence rate of capsular contracture in difficult cases. This product also acts as a sling to support the implant from bottoming out or to repair severe cases in which the breast implant is no longer sitting in the right location on the chest wall. This procedure is more expensive due to the cost of the materials, but when factoring in the decreased risk of revision surgery, this can lead to a huge cost and time savings in the long run.
What is the price of revision breast augmentation?
Because revision breast augmentation tends to be more complex, prices reflect accordingly. The typical range for revision breast augmentation cost is $6500 – $10,500, including facility, surgeon, implant, and anesthesia fees.
The Goal of Breast Revision
Dr. White will sit down with you and discuss your feelings about the kinds of breasts you want, what you consider attractive, and what went wrong with your earlier results. You have already been through a lot of disappointment and disillusionment with a treatment that didn’t fulfill your desires. Dr. White will take all this into consideration and together you will map out an ideal approach to getting the job done right. You’ll be shown imaging of what your breasts will look like so you can proceed with confidence and trust.
Dr. White’s experience and high-level training, combined with exceptional proficiency in body engineering, the aesthetic body-shaping arts, and years of plastic surgery experience allow him to apply state-of-the-art procedures and minimally invasive techniques. As a result, you can see immediate and lasting results that dramatically improve your breasts and brings them back into alignment with natural contours.
Dr. White’s staff is hand-picked for their passion to help and to see you looking your best. They are experienced and informed and can answer most question you may have including the details of your stay, what to expect, and optimum healing practices. Our team will help you to relax and keep in a good frame of mind throughout your experience. Contact us today for a consultation and to begin your personalized journey to the best possible breast revision outcome.