Breast Revision Overview
On occasion, through breast revision surgery, Dallas Texas plastic surgeon Dr. Steven J. White helps patients correct previous breast augmentation surgeries. Although the majority of women are extremely satisfied by the results of their breast augmentation after the first surgery, sometimes a revision process is necessary. A variety of issues can cause the need for additional surgeries, such as excessive scarring (capsular contracture), rippling, minor implant rupture, and even a simple change of size. Breast revision surgeries range widely in scope, and are widely successful. Breast revision surgery should be performed by experiences plastic surgeons like Dr. White who comprehend the revision process with a long-standing record of exceptional and sustainable results.
Reasons for Revision Surgery
Our talented surgeon performs breast revision surgery for women in varying circumstances and the surgery is tailored according to the cosmetic issue the patient is addressing. Ultimately, the correction aims to fix the issue that’s the source of the patient’s dissatisfaction. The most common cases where a patient may be a candidate for this treatment are listed below.
Some women learn after breast augmentation surgery that they did not get the size quite right. They feel they either went a bit too big or too small. Most of these individuals live with their implants for some time before deciding they would like a secondary surgery to address the size change. This surgery is usually pretty straightforward and easy to accomplish. However, to ensure that each of his patents are 100% satisfied, during the initial consultation, our doctor makes great effort to work with the patient to determine the right size and look so that this surgery does not become necessary.
Breast Implant Removal
Many women get breast implants strictly for aesthetics. However, some may decide later on that they no longer wish to have them and will desire to have them removed. Breast revision surgery in this case is a process where the implant is removed and the breast reshaped back to a normal size and position so that it looks natural. Skin tightening may be needed if the skin was stretched over time due to the implant.
Despite significant advances in medical technology and strong, durable manufacturing, there are rare cases where an implant may rupture. If the implant is filled with saline, there will be a noticeable deflation of the breast. In the case of silicone implants, the gel stays intact, so there will not be a noticeable difference. An MRI will be needed to detect the defect. Implant ruptures are typically covered under warranty by the manufacturer within a certain amount of time. Patients may get new implants during the revision surgery. Again, implant rupture is a rare situation.
Double bubble is a term used for an implant that has moved out of place and causes a visible crease and a double breast appearance. This can occur if the implants were improperly placed or if a significant amount of scar tissue forms around the implant. A revision surgery is needed to correct this condition. To ensure the implant stays in its proper position, a strattice may be used to protect it from moving.
It is common for scar tissue to form around the breast implant once it has settled into the surgical pocket within the chest. In most cases, this scar tissue does not cause any harm or problems for the patient. However, in some cases, the scar tissue can tighten around the implant, which causes the implant to be displaced. This causes a hardening of the breast, which can look aesthetically unappealing, as well as cause 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.
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 really a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. Rippling is most common with saline implants.
Breast Revision Reviews
"After many years with breast implants put in by another doctor, I decided at 56 years old that it was time to have them removed. I had never been really happy with them (too big) and I felt they were making me look matronly rather than sexy. So I made an appointment with Dr. White because of his high ratings and reputation as a Dallas area surgeon. I expressed all of my fears to him about my age and the likelihood that I would look deformed and saggy. Dr. White never made any false promises to me, but immediately assured me that he would do everything in his power to get the best possible outcome. Dr. White performed a Bilateral Capsulectomy with Explanation, meaning he removed the implants as well as the capsule and scar tissue around them. Although I am left with a smaller breast size than I was before the implants, I am so pleased with the results. After following all of Dr. White's instructions to the letter, and 6 weeks of wearing a compression bra, I am amazed that the skin has shrunken as much as it has. Dr. White had initially said that I would probably need to come back and have a breast lift, and although it would probably make them look even better, they look acceptable now. If I decide not to go through with a lift, I am still very satisfied with the results. I am convinced that because of Dr. White's total dedication to each and every one of his patients, the best results possible are achieved."- S.S. / Google / Apr 30, 2014
"After one of my implants ruptured, I selected three plastic surgeons (based off reviews and other research). I did not want to replace the implants. Dr. White was the only surgeon who believed I would not need to either 1) replace the implants or 2) have them removed and undergo a breast lift. Dr. White believed he could take the implants out and create natural (if smaller) breasts. I selected him based on this third option and research. I am very happy with the quality of work after two months and believe I absolutely made the right choice."- A.J. / Google / Dec 10, 2019
"One month before my surgery, the last thing on my mind was having plastic surgery. I had a breast augmentation 20 years ago with great results and have been happy ever since. Approximately one month ago, my left breast implant ruptured leaving me...well...pretty deflated. I was initially very panicked but had a friend who recently underwent a breast augmentation so I asked her if she recommended her surgeon. She said Dr Steven White was the best and she highly recommended him. I called the very next day and was scheduled for a consultation that very same day. I was very overwhelmed but Dr. White and his office staff all have such a great bedside manner it alleviated much of my initial anxiety. Dr. White was very up front with me about the best way to approach a second breast augmentation. I really had no questions because he was so thorough in explaining everything. I knew after my initial consultation there was no need for me to shop around for a surgeon. Having been through a breast augmentation once already, I wasn't concerned about the surgery. I was probably most concerned about my breasts being much too large after the revision but Dr. White assured me that would not be the case. The actual surgery was a piece of cake. I was so prepared that nothing (except the post surgery bloating for a few days) caught me off guard. The first time Dr. White "unwrapped" me and I got a good look at myself I was blow away. I do not look like I've breast fed 3 children. I have never looked this good...ever, and my results have far exceeded my expectations. My results are so much more satisfying than my original breast augmentation 20 years ago. The size of my breasts is now perfect to me and they are now more symmetrical than they have ever been. All I wanted was to have my ruptured implant replaced and what I got was so much more. My self esteem is through the roof. I cannot wait to go to the beach next summer! I told Dr. White on my most recent visit that the best analogy I have to describe how I feel is: I brought my Honda to him to fix a flat and drove away in a BMW. I highly recommend Dr. White for anyone considering plastic surgery. He is confident, meticulous and invested in helping you look and feel your best. Dr. White is truly the best. "- A.D. / Google / Jan 30, 2014
"I would like to divide this review into 3 sections the doctor, the office and my surgical journey. Here is what I?ve learned about Dr. White he is a very upbeat, positive person, very high energy. Try to keep up. He is very caring about all facets of his patients and their health. I say this because I had been in a car accident and he would not operate on me until my body was ready for the surgery. He is a perfectionist to the extreme. As I will talk about later, I had a fairly significant challenge with my implants due to the fact, they were old, had contractures and had calcified significantly. He meticulously picked out all the pieces of calcium some of which were very small and scattered throughout my chest cavity in order to give me great results and the best chance for the calcification not returning. He is an incredibly positive person, a trait I found very comforting and encouraging due to my trepidation about the procedure. Every visit he spends the time I need and answers my plethora of questions. To sum it up, after my own experience I would consider him an artist. The office environment is very professional. From the furnishings to the consultation rooms, it is warm and welcoming, not at all sterile like a typical doctor?s office. The office staff is exceptional. I would like pay special compliments to Jennifer and Jazmin. They are friendly, helpful and caring. Never once did I feel like an imposition when I called multiple times to ask que"- P.R. / Google / Jan 30, 2014
"Dr. Steven White, is truly THE BEST OF THE BEST, and so is his staff. I chose Dr. White, after reading numerous and consistent positive reviews. I spent months researching top plastic surgeons in the Dallas area. I am in the medical field and was able to ask several physicians, if they could recommend a plastic surgeon and Dr. White is the only name that came up several times. I was also blown away at the multiple awards he has earned, year after year in D Magazine. Dr. White is on the cover of THE BEST PLASTIC SURGEONS IN AMERICA, and Dr. White is also in a book, THE WORLD'S TOP SURGEONS & CLINICS TOP DOCTORS. That was all I needed to make my decision. That's as good as it gets. My goal was to have "SEXY COCONUTS", and that is EXACTLY what Dr. White gave me. He did a remove and replace. I am over the top thrilled(no pun intended) with my results and then some. As mentioned in several reviews, Dr. White is truly an artist, perfectionist and he addresses every detail before, during and after surgery. I was beyond prepared before my surgery on 7/2/13. The preparation videos, booklets, informative staff, answered every question I had, and also addressed questions I would not even think to ask. Also, I did not get sick from the anesthesia and always have in past surgeries. No scarring, no bruises, no sickness, just incredible! I cannot say enough AMAZING things about Dr. White and his staff. It is quite obvious to me, why he has won so many awards and has such an awesome reputation. I am so grateful, and thrilled with my results. My total experience with Dr. White and his terrific staff has been nothing short of wonderful. Thank you from my heart Dr. White and ladies."- R.P. / Google / Jan 30, 2014
What to Expect with Breast Revision
Recovery from breast revision surgery varies greatly. Patients who are having surgery for a simple change in size (for example, removing a smaller implant for a larger one), will have a quick and relatively simple recovery. Patients who require more extensive treatment, such as the correction of scar tissue, will experience a longer recovery period. This will be discussed in detail during the initial consultation.
Schedule Your Consultation
If you are unsatisfied with the results you received from your breast augmentation procedure performed by another plastic surgeon, or simply, you wish to make a change in size, please contact our practice today for a complete consultation. Our team will provide a thorough assessment and provide you with all of the options to create a healthy, aesthetically appealing breast appearance.
Plan Your Procedure
- Recovery Time
- 4-6 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 5-9 Days
- Procedure Recovery Location