Breast Revision New York City
Choosing Breast Revision Surgery
Breast revision surgery refers to a variety of surgical procedures that are performed on breasts that have had prior cosmetic or reconstructive surgery. You may elect to have breast revision surgery due to a complication from your previous surgery or because you did not get the natural-looking results that you desired.
The most common reasons for breast revision surgeries are a desire to:
Change existing implants to a larger or smaller size.
Switch from saline to silicone implants (or vice versa).
Move the implant from over to under the chest muscle (or vice versa).
Remove the implant due to rupture.
Fix breast rippling caused by the implant.
Correct an asymmetrical appearance due to shifting of an implant or improper placement of an implant.
Reduce scarring and stretch marks.
Improve the contour of your augmented breasts through a breast lift.
Correct a capsular contracture. (A capsular contracture occurs when the body recognizes the implant as foreign material and produces scar tissue around the implant. The scar tissue thickens and hardens, which makes the breast very hard and may deform the shape of the breast.)
Am I a Good Candidate for a Revision Breast Surgery?
You are a good candidate for breast revision surgery if you have had breast surgery and believe that your results could be improved. For example, you may want your breasts to have a more youthful contour and/or be a different size or shape. You may also want to correct a problem from a previous surgery, such as excessive scarring or a capsular contracture.
Ideal breast lift candidates must be in good health, live in New York City (or be willing to travel), and be motivated to follow Dr. Cangello’s pre-operative and post-operative instructions. This includes wearing a support bra while your breasts are healing. For the best results, you should also be close to your ideal weight and your weight should be stable.
If you have had recent breast surgery, you may have to wait for six months before undergoing a revision. This will give time for the original swelling to resolve so that Dr. Cangello can best achieve the look you desire.
You must also have realistic expectations for the surgery. For example, women who have significant asymmetry of their breasts or who require correction of severe deformities may not be able to achieve perfect symmetry or complete correction of an abnormality. It is important to understand however that almost no one is perfectly symmetrical to start with and some degree of asymmetry is actually quite natural.
The Consultation: Creating Your Plastic Surgery Plan
Your breast revision journey begins with a consultation with Dr. David Cangello in our New York City office. Dr. Cangello will discuss your medical history and the results that you want from your revision breast surgery. For your surgery to proceed safely, you need to be honest about your allergies, medications, personal habits, and previous surgical procedures. You will also need to tell Dr. Cangello if you are planning to get pregnant or breastfeed.
Dr. Cangello will ask about your goals for your breast revision surgery and the look you hope to achieve. He will conduct a physical examination, which includes taking measurements of your breasts. Dr. Cangello will then describe his surgical approach to the breast revision, which will depend on any challenges created by your primary surgery and the results you want to achieve.
Scarring is often a concern. Breast revision surgery can improve unsightly scars from previous surgery. Dr. Cangello will explain his surgical plan and the amount of scarring you can expect following your breast revision surgery. As much as possible, new scars will be hidden around the areola and within the folds of the breast. Scars will not be visible if you’re wearing a bikini top.
Dr. Cangello will answer your questions and explain how to prepare for your breast revision surgery, as well as what you can expect following your surgery.
Preparing for Revision Breast Surgery
Dr. Cangello is committed to achieving the best results possible. During your initial consultation, he will create a pre-operative plan for you to follow. This plan is designed for your unique needs, to make sure that you have the best outcome possible. Your pre-op plan may include changes in diet and other habits that impact your health. You will be advised to avoid ANY nicotine-containing products for at least two to four weeks before and after surgery.
Dr. Cangello will also give you instructions for the days before your surgery. These include stopping certain medications and supplements. You will also be told not to eat beginning at midnight on the day of your surgery.
Finally, Dr. Cangello will explain your post-operative plan. He will give you prescriptions to fill prior to surgery and ask you to find someone to drive you home following surgery.
Where Will the Surgery Be Performed?
Your breast revision surgery will be performed at Dr. Cangello’s New York City office. He has a fully accredited (AAASF) state-of-the-art operating room on-site. You are encouraged to ask for a tour of the operating facility when you come in for your consultation.
Types of Anesthesia
Breast revision surgeries can take between one and four hours, depending on the extent and complexity of the surgery. Your breast revision may be performed using general anesthesia or local anesthetic with IV sedation. In either case, you will not feel any pain or remember the surgery.
Breast revision surgery can be very complicated. This is not one-size-fits-all surgery and requires an experienced, skilled surgeon. Dr. Cangello will determine which surgical approach is best for you. This approach is based on your anatomy, skin quality, current breast size, and overall health. Dr. Cangello will also consider the challenges created by your previous surgery, as well as your desired results from the revision.
Dr. Cangello’s goal is to preserve your health and create symmetrical, aesthetically-pleasing, natural-looking breasts that are proportionate to your body.
The Recovery Process
You will wake up with a surgical dressing over your incisions and will be wearing a post-surgical bra or compression garment. You may have drains in your incisions. Your breasts may feel achy, swollen or bruised following the surgery. There is generally less pain following revision surgery than after your primary surgery, unless your surgery involves changing the breast implant position from a subglandular to a submuscular location in which case you may experience a bit more discomfort. Either way Dr. Cangello will prescribe pain medication to keep you comfortable. If drains are place, they are usually removed within a few days of surgery.
Most patients are able to return to work after a couple of days to one week and to full activity within four to six weeks. During this recovery period, you will need to sleep on your back and to avoid bending and lifting. Dr. Cangello may also require that you wear a surgical support bra for four weeks after surgery. Depending on the extent of your breast revision, it may take several months for the swelling on your breasts to subside and for the scars to begin to fade.
Please call our New York City office at 212-644-4416 to set up a consultation and learn how you can benefit from a breast revision surgery.
Will breast revision surgery be able to correct my capsular contracture?Unfortunately, when a woman experiences capsular contracture around her breast implants, she is at increased risk for having it again in the future. Breast revision surgery can indeed correct the problem of capsular contracture. This is done by either removing the entire capsule (known as capsulectomy) or making incisions to release the capsule (known as capsulotomy) depending on the degree of capsular contracture. In some cases a partial capsulectomy combined with capsulotomy may be performed. These procedures can restore the normal shape and feel to the breast. However, it is important to understand that capsular contracture can recur.
How can I tell if my implants need to be replaced?Many patients ask if they have to replace their implants in 10 years. The answer is that most surgeons would not perform surgery on a patient who is not experiencing any problems with their implants. If you are experiencing breast pain, or notice a change in the shape of your breasts or increased firmness of the breasts, these may be indications that you need breast implant replacement. Further, if you or your doctor discovers that an implant has ruptured that is another indication for replacement of your breast implants.
Do you reuse my old implants?With breast revision surgery the old implants are thrown away and new implants are placed.
Can breast implant revision fix asymmetry between breasts?Breast implant revision surgery can fix asymmetry between breasts. Depending on the amount of asymmetry that needs to be corrected, sometimes different sized implants are used (one larger and one smaller) or the larger breast may have some tissue removed with a partial reduction in addition to having differentially sized breast implants placed.
How will my breasts look after revision surgery?It is important to have realistic expectations for your breast implant revision surgery. Our goal is to make your breasts look as natural as possible and to have them be as symmetrical as possible. Perfect symmetry is essentially impossible to achieve. But breasts are not perfectly symmetrical to begin with.
Can I change my implant size or type with implant revision surgery?Implant type and size can be changed with breast revision surgery. Dr. Cangello will discuss with you what implant he feels will be best for you and he will listen to what implant type and size you would like to use. Together you will come up with a plan that is best suited to you.
Why does choosing a Board Certified Plastic Surgeon matter?It is extremely important that you chose a plastic surgeon who is a Diplomat of the American Board of Plastic Surgery (only) for your breast revision surgery. A surgeon who is certified by The American Board of Plastic surgery has to undergo rigorous training in the field of both cosmetic and reconstructive plastic surgery. In addition they have to pass very difficult oral and written examinations to verify their proficiency in the field. Unlike surgeons who undergo cosmetic training alone, plastic surgeons also have extensive experience with reconstruction of the entire body. So they are the most qualified to deal with any untoward event that may occur as a result of having breast revision surgery. They are also the most qualified to have in depth understanding of the anatomy involved when performing the procedure.