About Breast Revision Surgery
Breast augmentation is one of the most popular cosmetic surgeries in the United States, and it can produce beautiful and natural outcomes. However, sometimes a woman can be unhappy with the results of her breast surgery and may require a breast revision procedure. It is important to note that not all revision surgeries are due to doctor error. While there are a few surgeries that do end with a poor outcome, there are women who could later desire a different sized implant. In addition, others may have a problem and ask to have the breast implant revised or taken out altogether. There are also some women who could require revision surgery for a specific condition. Board-certified plastic and reconstructive surgeon Dr. Andre Y. Levesque provides breast revision surgery and gives patients a thorough assessment at his practice, Levesque Plastic Surgery, so that the appropriate outcome is achieved. Contact our Austin, TX cosmetic office if you have any questions or would like to schedule a consultation.
"I went to Dr. Levesque for some liposuction on the hard to lose areas of my thighs and flanks. He made sure my expectations were realistic and exactly what he could and couldn't do. He was very detailed in describing the procedure and very patient with questions. It is very obvious he truly cares about his patients and won't just do any procedure a patient wants, but will do what he can to ensure the patient will be happy with the results. For example, I wanted lipo on my rear end. Alot of it. He told me that if he did too much, I would get saggy and explained clearly why what I wanted wasn't a good idea. Other plastic surgeons might have just done it anyway. I felt extremely comfortable with him and trusted him completely. I'm very glad I did! I am extremely happy with my results and would never hesitate to do another procedure with him."- J.H. / Google / May 10, 2019
"Helen is simply the best and a total doll! I have been seeing her for over 12 years now for dysport injections and not only is it painless, I come out flawless every time!"- A.R. / Google / Jul 01, 2020
"Lipo Arms, Upper back, bra rolls, upper chest,abdomen,inner thighs - I've had some lipo done before which had a positive impact on my actual body shape( lower ab/ flanks). I lose and gain weight often due to depression so i've been working on it. This time, when I gained weight it looks went to my upper body is a serious way. Also i've gained visceral fat in my upper abdomen that can only be reduced by diet and exercise, so that's my current task . In the meantime , i've grown tired or this heavier weight up top so i've been researching doctors for a few months around Texas. I also had consults with surgeons in Atlanta and Miami . I was attracted to those flashier doctors at first because they do really aggressive lipo and I feel like I need aggressive especially since i've had some lipo before. That means there will be scar tissue in some areas that will be tougher to maneuver. I'm not interested in a BBL or fat transfer. I'm never going to be a skinny person nor am I gym rat often enough to build and maintain a 6 pack and perfect toned arms and legs. I'm not saying it's impossible but it is improbable. I'm realistic about my expectations with lipo so I know that once this procedure is done , i still have work to do in order to get the upper abs to flatten. In any case , I decided against the Miami doctors because I saw a lot of stories online about women dying on the operating table from various missteps of the surgeons. Of course I know not all Miami doctors are bad but I saw enough. The Miami price are very cheap and tempting. I saw a lot of reviews about women saying they felt like they were in an assembly line and the doctors just rush and bring people in and out. I wanted to save money but not for that much additional risk . Elective surgery is a risk all together-but why add on more risk unnecessarily. So I started to look at smaller boutique surgery centers and found several in my own city which is Austin Texas. From start to finish I had 8 consults. I decided on Dr. Levesque here in Austin and he has a fairly small operation with privileges at a local surgery center. He offers liposuction under general or local- depending on how much work you want and if you want to be fully under . I felt a great vibe from the staff and the prices were fair and I was able to choose general because I didn't want local based on a prior scary experience with a bad doctor. I know i'm the type who needs to just be put under. Of course there are extra costs to go to the surgery center and for an anesthesiologist. Small price to pay for my sanity and surgeons can be more aggressive while you're under and the results tend to be better . The downside( in my opinion) is that the recovery is harder when you go under general because the doctor can just go to town on you pretty forcefully so you're sore. My surgery is tomorrow- May 15th. I'm nervous but I've been in this process before so i'm fully prepared , lol or I think I am. I'm getting lipo to my back, arms, bra roll, inner thighs and some touch up on the abs."- T. / RealSelf / May 15, 2020
"What a joy to work with Helen Klingensmith! Helen has been my preferred provider for Dysport for many years and I’m so pleased to be connected with her through Levesque Plastic Surgery. Her bedside manner is unprecedented...she is very thorough and always explains what to expect and is very compassionate. Her technique is unrivaled — I have NEVER even had so much as a pinpoint bruise. I highly respect Helen and recommend her without hesitation."- G.R. / Google / Jul 12, 2019
"Dr. Levesque and his staff are the best you will ever find, as health care professionals and as people. I will miss visiting with them, now that the jaw reconstruction is complete."- M.M. / Yelp / Jul 09, 2019
If you have any problems (whether cosmetic or medical) with your breast implants, please schedule an appointment for a consultation with Dr. Levesque to talk about your goals and to create your unique surgical plan. Whether it is scarring, breast sag, rippling, or asymmetry, revision surgery can help repair the issue and create a healthier, more attractive outcome. This procedure can also help if you would like to change size, implant styles, or address any other aspect of your breasts.
Common Reasons for Revision
Secondary breast augmentation serves to remove an implant that is not functioning properly or is no longer wanted. Breast revision surgery may also be performed to switch implant size or go from silicone to saline inserts (or vice versa). There are a few other common cases for which a revision procedure could be wanted:
Asymmetry occurs when the breast implants look out of balance. This is often because of a wrongly sized implant, drooping on one side, or another condition that can possibly cause asymmetry. A thorough assessment will need to be performed to determine the cause of the asymmetry. From there, surgery will be implemented to correct the flaw. Finally, new implants are inserted to attain a balanced appearance.
Bottoming out is a condition that may happen when one or both breasts drop too low, or "bottom out." In many cases, this is a positioning and placement error from the first operation. To fix this, a new placement strategy may be recommended. Tissue grafting could be required if necessary. From there, a pocket will be produced surgically to securely fit the new implant. For most women, switching from a saline to a silicone implant can rectify the effects of bottoming out.
There are times when revision surgery is as simple as receiving a larger or smaller sized implant. With the original surgery, you may have chosen to go too small or big. A new breast implant size can be inserted to achieve the desired look.
This is the term used for an area of hardening because of scarring, occurring when the smooth tissue around the breast implant becomes hard and thickens. While breast implants do result in some internal hardening, most individuals will never realize this. In some instances, the scarring could change the implant placement, which could change the implant function and create an undesirable outcome. Scar revision surgery would be needed if this situation arises.
Rippling occurs when there are noticeable lines and ripples beneath the skin. This condition generally forms around the edge of the implant. Rippling is more common in females who are relatively thin. Often, this condition can be repaired by simply changing from a saline to a silicone implant.
Although this is uncommon, implant rupture could occur. If a saline breast implant ruptures, deflation will take place rather quickly and a visible change in appearance will be noticed. On the other hand, if an implant made of silicone ruptures, it is only caught through an MRI. In either case, if a rupture happens, a corrective treatment will be required immediately.
This condition happens when implants are positioned too close together. In most cases, this is because the implant selected was the wrong shape, size, or width. A secondary procedure will correct this issue. For this revision surgery, an implant that is more acceptable for your body and overall proportions will be selected.
What to Expect
After your surgery and an observation period, you will be sent home to start your recovery. The overall recovery process will vary based on the complexity of your surgery. Any type of revision that requires grafting or complex reconstruction will result in a longer recovery. This could take up to several months. You should begin to see your results once the swelling disappears. Dr. Levesque or a member of his team will go over what you can expect to see during your recovery, and he can give you suggestions to help speed your healing along as well. You should attend follow-up appointments as directed so we can assess your recovery and results.
Frequently Asked Questions
How much does breast revision surgery cost?
The cost of breast revision surgery can vary greatly depending on what needs to be done. During your consultation, Dr. Levesque will listen to your concerns and goals before performing a physical exam to assess your implants. From there, he can explain your options before developing your program. The cost of revision surgery will depend on the extent of the procedure, as well as what you choose for your new implants. It is better to select an experienced plastic and reconstructive surgeon, like Dr. Levesque, to ensure that your revision surgery is performed safely and effectively. To help make your procedure easy to afford, Levesque Plastic Surgery accepts several payment methods. We can also help you find low-interest financing.
What if Dr. Levesque wasn't my original surgeon?
Dr. Levesque can perform your revision surgery even if he wasn't the surgeon who performed your initial breast augmentation. Breast revision surgery can be more complex than the original augmentation if you desire dramatic changes or have problems. Dr. Levesque also invites his patients to return to Levesque Plastic Surgery for breast revision after their implant surgery if they have a problem or want a change.
What about loose skin?
If you are having your implants removed or are changing to a significantly smaller size of implants, you may need to have excess skin removed during your surgery. After listening to your goals and assessing your current implants, Dr. Levesque can discuss the need for a breast lift to remove loose skin. If you lose a significant amount of weight, become pregnant, or breastfeed after augmentation surgery, a revision with a lift can help you get better results.
Will there be new scars?
If possible, Dr. Levesque will make incisions for revision surgery in the original augmentation incisions. However, if this is not possible, he will place the new incisions where they will be less visible. Breast revision surgery typically employs a transaxillary incision (through the armpit), a periareolar incision (on the lower edge of the areola), an inframammary incision (under the fold of the breast), or TUBA incision (through the belly button). Dr. Levesque or a member of his team will go over scar care management instructions so your incisions heal properly and blend well into your skin.
Do I have to change my implants?
While implants can last a long time, they will need to be replaced at some point. After augmentation surgery, it is important to have your implants checked regularly. This will allow Dr. Levesque to help you decide when your implants should be replaced. With so many advancements taking place in the medical field every day, it could be to your benefit to consider the newest implant shapes and types to achieve your best look during breast revision surgery.
Change Your Mind
Breast implant revision surgery is a custom treatment tailored for your needs by board-certified plastic and reconstructive surgeon Dr. Andre Y. Levesque. If you're displeased with your breast implants or desire a different outcome, we welcome you to contact our Austin, TX office to book your appointment at Levesque Plastic Surgery. There are many factors to consider when it comes to undergoing breast revision. Dr. Levesque will provide you with a full physical examination, give you revision recommendations, and help set realistic goals and expectations.