Breast Revision Surgery: Breast Implants Size Change FAQs

Breast Revision Surgery: Breast Implants Size Change

The vast majority of women are highly satisfied with the size of their breast implants. However, some women may wish to have their implants exchanged for larger or smaller ones. Reasons for a change in implant size may be purely cosmetic – or may be for medical reasons.

The process of changing the size of breast implants is called breast revision surgery. When performed by performed by a skilled, caring and experienced surgeon, breast revision surgery can correct the “wrong size” so that the patient is satisfied and comfortable with the size of their breast implants.

How Many Women Get Breast Revisions for Implant Size Change?

Statistics indicate that only about 12 percent of women with breast implants decide to change the size of their implants at some point.

Younger women are typically more likely to want to increase their breast implant size. While women who are in their 40s or 50s are generally more likely to want to reduce the size of their implants.

Why do Women Get Breast Implant Size Change Surgery?

Some women may have been conservative about choosing their initial breast implant size out of concern about going “too big”. Then find that they actually like being bigger and would like to go up in size to achieve a more curvy and voluptuous look.

Other women may have had limited natural breast tissue and had go with smaller implants than they wanted. Then, once the breast tissue has stretched for a year or two, the woman can safely exchange their implants for larger ones.

On the opposite end of the spectrum, breast implants that are too large can cause pain and misalignment in the neck and back, as well as significant stretching and sagging of the skin around the breasts. For women with these problems, reducing the size of their implants may be necessary.

Additionally, some women find that their oversized breasts cause too much negative attention and/or make it hard to find clothes that fit properly.  Breasts that are too large can also interfere with certain activities such as running.

Finally, as some women mature into roles as mothers or professionals in their career they no longer desire the look of large breasts.

How do Women End Up with the “Wrong” Size Breasts?

In our Detroit area medical office we spend a great deal of time with every woman helping her choose the best size breast implant for her frame, her proportions and her lifestyle. Unfortunately, not all breast surgeons do this – and women may find that they are dissatisfied with the size or shape of their breast implants.

In some cases, women may also give in to pressure from partners or friends to choose a bigger size than is optimal for their body – ultimately resulting in a less than desirable outcome.

But in many other cases, women were initially satisfied dissatisfied with their implant size after surgery, but as they aged, their preferences change.

Is Breast Revision Surgery More Complicated than the First Implant Surgery?

In some cases, breast revision surgery to change implant size is more complicated than the first surgery. This is because the surgeon is now operating where there are previous incisions, scar tissue, and stretched skin and muscles, from the initial surgery.

For this reason it is important to choose a plastic surgeon who has more advanced, specialized skills and experience than typical breast augmentation surgeons.  It is very important for patients to select a breast revision specialist for their surgery, like Dr. Ali.

Keep in mind that during the initial breasts augmentation surgery, the skin was stretched and the breast pockets were created to specifically conform to the initial implants.  So breast revision surgery to “go smaller” may require additional procedures such as a breast lift or skin tightening, to make the pocket smaller and the skin not sag. And surgery to “go bigger” will involve additional stretching to increase the pocket size.

Top Breast Revision Surgeon Oakland County

Top plastic surgeon Dr. Ali has provided breast revision surgery for thousands of patients across Oakland County and the greater Detroit area, including: Birmingham, Bloomfield Hills, West Bloomfield, Troy, Southfield, and more.

Because of his expertise, high standard of care, and exceptional results in even the most difficult cases, he is the surgeon that other physicians refer their patients to for breast revision surgery. With his years of expertise, caring demeanor and modern techniques, Dr. Ali can fix almost any breast implant problem, including: implant rupture, asymmetry, capsular contracture, implant size change, and more.

No matter what problems or issues you are having with your breast implants, board certified breast revision surgeon Dr. Ali will listen to your concerns and help you find the solution.

Consultation with Top Oakland County Breast Revision Surgeon: 248-335-7200

Breast Revision Surgery FAQs (Part 1)

Breast Revision Surgery FAQs (Part 1)

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How is Breast Revision Surgery Different from Initial Breast Enhancement?

Breast revision surgery – which replaces implants or corrects problems from initial breast implant surgery – is often more complicated than the first surgery. Scar tissue, and already stretched skin and muscles, are just two of the reasons the second surgery takes more skill than the first.

For this reason it is important to choose a plastic surgeon who has more advanced, specialized skills and experience than typical breast augmentation surgeons.  It is very important for patients to select a breast revision specialist for their surgery, like Dr. Ali.

Who Is a Candidate for Breast Revision Surgery?

Breast revision surgery can be performed for a variety of reasons, including: ruptured or leaking implants; a desired change in the size, shape or position of the implants; or relief from pain and hardness caused by “capsular contracture” scars.

If you have had previous breast enhancement surgery you may be a good candidate for breast revision surgery for any of these reasons, as long as are in in good health both physically and mentally.

What Conditions Can Breast Revision Surgeons Help?

Breast revision surgery can correct a number of problems related to a previous breast implant surgery.  Removing hard, painful, excess scar tissue around the implants due to capsular contracture is one of the primary reasons for breast revision surgery.

Uneven or asymmetrical breasts can also be made to more evenly match with breast revision surgery. Breast implant positioning – too high, too low, too far apart or too close together – can also be corrected with breast revision surgery. Breast implant size can also be made larger or smaller with revision surgery.

And, of course, ruptured or leaking implants can be replaced during breast revision surgery.

What is Capsular Contracture?

When any type of foreign object – including breast implants – is placed in the body, a “capsule” of fibrous scar tissue forms around it. While this is a normal biological process, in some cases, this layer of scar tissue may thicken and contract. This contracting may change the shape and feel of the breast, sometimes causing it to feel hard. The adhering of the scar tissue can also result in pulling and pain

Because of improvements in modern breast implant materials and technologies, capsular contracture is much less common today than it was previously. However, some women’s heredity makes them more prone to scarring than others. In some cases, capsular contracture can be prevented or treated with procedures such as massage or medications.

But in cases of advanced capsular contracture, breast revision surgery is typically required.

CLICK HERE for More Breast Revision Surgery FAQs

Top Birmingham, MI Breast Revision Surgeon

Top plastic surgeon Dr. Ali has provided breast revision surgery for thousands of patients across Oakland County and the greater Detroit area, including: Birmingham, Bloomfield Hills, West Bloomfield, Troy, Southfield, and more.

Because of his expertise, high standard of care, and exceptional results in even the most difficult cases, he is the surgeon that other physicians refer their patients to for breast revision surgery. With his years of expertise, caring demeanor and modern techniques, Dr. Ali can fix almost any breast implant problem, including: implant rupture, asymmetry, capsular contracture, implant size change, and more.

No matter what problems or issues you are having with your breast implants, board certified breast revision surgeon Dr. Ali will listen to your concerns and help you find the solution.

Consultation with Top Birmingham, MI Breast Revision Surgeon: 248-335-7200

Breast Revision Surgery FAQs (Part 2)

Breast Revision Surgery FAQs (Part 2)

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In Breast Revisions, will my Implants be Placed Over or Under the Muscle?

Breast surgeons generally agree that implants placed under the pectoralis major muscle is better, because it provides thicker coverage over the implants making ripples less likely – and because there is a lower capsular contracture rate under the muscle.

However, during breast implant surgery, the surgeon is dealing with the added concern of scar tissue, tissue damage and/or stretching from the first surgery. So in some cases the surgeon may find it best to insert the new implants in the already established “pocket”.  In other cases breast revision surgery may requires placing the implant in a different plane than the first surgery in order to achieve the best results.

For example, the old implants may have been placed over the muscle – while new ones need to be places under the muscle (or vice-versa) – to enable the surgeon to place the replacement implants in an area where there is less scar tissue and less tissue damage or stretching from the first surgery.

Will Health Insurance Pay for My Breast Revision Surgery?

The Women’s Health and Cancer Rights Act of 1998, protects woman who have undergone mastectomies. If a woman’s implants were put in after a mastectomy, and the doctor shows that removing the implants is now “medically necessary,” then the health insurance company must cover your breast implant revision surgery.

However, for breast implants not related to cancer, everybody’s insurance is different. In some cases health insurance companies will cover breast revision surgeries necessary because of capsular contracture, scarring problems and wound healing issues. Less commonly, but in some cases, insurance may cover surgery for uneven breasts or ruptured breast implants. (Note that breast implants also have certain limited warranties.)

If the reason for your revision surgery is simply cosmetic – because you changed your mind about size or shape – your health insurance will typically not cover your procedure.

Our caring office staff will work with you to verify any insurance coverage of your revision procedure. We also offer financing options for women’s whose procedure is not covered by insurance.

Read More About Health Insurance for Breast Revision Surgery HERE

What Happens during Breast Revision Surgery?

Since every woman’s needs are different, there is not one single approach or technique that is best for breast revision surgery. If there is capsular contracture, for example, the surgery will include removing the scar tissue around the original breast implants.

Breast reduction revision could also include a breast lift, if necessary to reshape and reposition the natural breast tissue. This is often the case when the original implants were too big, causing gravity to stretch the surrounding skin downward.

In some cases the surgeon may find it best to insert the new implants in the already established “pocket”.  In other cases breast revision surgery may require placing the implant in a different location than the first surgery (e.g. under the muscle rather than over it) in order to achieve the best results.

In most cases, the breast surgeons will make every effort to use the existing scars from the first surgery, in order to minimize any additional scarring.

What Can I Expect During Breast Revision Surgery Recovery?

The recovery from breast revision surgery will vary with type of revisions you required. In many cases the recovery will be much like your first surgery. However, if your first surgery was performed a long time ago, you should find that advancements in breast implant techniques has shortened the recovery time from what it was years ago.

The level of discomfort varies according to which procedures were done. But you will be given pain medication to manage the soreness after your procedure, just like before.  Most patients are well-enough to resume most regular activities after a week, as well as resume working after a week or two.

CLICK HERE for More Breast Revision Surgery FAQs

Top Birmingham, MI Breast Revision Surgeon

Top plastic surgeon Dr. Ali has provided breast revision surgery for thousands of patients across Oakland County and the greater Detroit area, including: Birmingham, Bloomfield Hills, West Bloomfield, Troy, Southfield, and more.

Because of his expertise, high standard of care, and exceptional results in even the most difficult cases, he is the surgeon that other physicians refer their patients to for breast revision surgery. With his years of expertise, caring demeanor and modern techniques, Dr. Ali can fix almost any breast implant problem, including: implant rupture, asymmetry, capsular contracture, implant size change, and more.

No matter what problems or issues you are having with your breast implants, board certified breast revision surgeon Dr. Ali will listen to your concerns and help you find the solution.

Consultation with Top Birmingham, MI Breast Revision Surgeon: 248-335-7200