Breast Implant Revision Q&A

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Should Original Surgeon Carry Out Implant Revision?

asked 1 year ago by chaz279 in Los Angeles
Latest answer by Paul E. Chasan, MD
Question viewed 519 times
Tags: breast size, healing, results, stretched, timing

I had a peri-areolar lift in September 2010 and not happy with the results. First the nipples are stretched too wide and are unattractive. There is still too much gathering also. Second, the size is too large. I asked for a full C and ended up with DD's. I was told that the size would decrease after swelling went down. After 6 months, i'm still too large and very unhappy with my nipple appearance. Should I allow the same doctor to make corrections or find a new surgeon? Healing timeline?

12 answers to Should Original Surgeon Carry Out Implant Revision?

Breast revision

The origanal plan was probably not the best best. There is no question that this should have been originally approached with a circumvertical pattern and definitely will need to be revised. As far as should you use the same surgeon. Look critically at his or her work and examine the pre and post op results of their other patients that have undergone similar lifting procedures. If that surgeon can show you at least 8-10 pictures that you would be happy with, then give them another chance,... more

Paul E. Chasan, MD
Del Mar Plastic Surgeon

www.drchasan.com

Revision Breast surgery

Most plastic surgeons are extremely sensitive to getting the best results for their patients. Yours is a difficult situation but can be fixed. In my opinion, you needed a circumvertical or a wise pattern mastopexy augmentation to get to a C cup. This is what I would recommend even at this stage. The original surgeon should discuss and fix this issue with you. Good luck.

Bhupesh Vasisht, MD
Voorhees Plastic Surgeon

Breast surgery revision.

When a revision is needed after surgery, the logical choice is your original surgeon. This person knows you well, understands what issues arose during surgery, and will often give you a financial incentive for revision that a new surgeon would not. Having a poor outcome after elective surgery is obviously difficult for the patient, but many people are surprised to hear that their surgeon is just as upset. Most plastic surgeons take a lot of pride in what we do and we are very critical of our... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Revisional breast surgery

This is a very, very tough revision case. I would consult at least two other plastic surgeons and make sure you see examples of their work. You want a "go to" surgeon for breast revision. I wonder if your surgeon was "talked into" a periareolar lift, maybe against his/her better judgement? The indications for a periareolar lift are very, very limited in my opinion. I often see patients who flip out at the thought of a vertical scar on... more

Lisa L. Sowder, MD
Seattle Plastic Surgeon

Benelli mastopexy, breast uplift,breast implant revision

A benelli breast uplift or one where the scar goes around the areola may cause spreading ot the areola like yopu have experienced. It usually does not reshape the breasts but actually may flatten it. Your implants can also be reduced in size. Whether you go see your present Plastic Surgeon or another is if you still have confidence in him/her to give you what you want. Fortunately, I do not revise many of my breast implant patients for we decide together what can/cannot be done and talk... more

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Get second opinion before revision

Hi Chaz279, This is always a difficult question. It is always a good idea to get a least another opinion. Second, what was your original experience in the office? Were all your questions answered, were the pros/cons of different approaches discussed, did you feel respected and informed by the physician and staff, was there pressure to commit to the surgery right away, were your concerns minimized? If you have a good relationship with your plastic surgeon, if... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

It may be helpful for a second opinion

If you have not lost confidence in your plastic surgeon, it would be best usually financially, and also because he knows what he did, to stay with your original plastic surgeon. If you have lost confidence in your plastic surgeon, you should look for another opinion. In looking at your photos, there may be a few things worth addressing for best results. Of course you need to come in to see what needs to be changed. If it is doing a lift and removing some skin or some... more

Dan Mills, MD
Orange County Plastic Surgeon

Breast implant revisions

If you are not happy with your size or shape you should express this clearly to your plastic surgeon. I would recommend you seek out a second opinion or even a third opinion to have a different perspective. Give your surgeon an opportunity to help you, but if you have lost faith in him/her, then a second opinion may be needed. Best wishes, Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon

Revisoin breast lift

If you have faith in the doctor, then absolutely let him try to correct your concerns. I do not know of a doctor that would not want to make their patient happy with their results.

Steven Wallach, MD
Manhattan Plastic Surgeon

Implant revision

I would suggest talking with your original surgeon about your concerns. I agree that you need a revision to maximize your results. While you would need an in office examination to make specific recommendations, I would like recommend a conversion to a traditional mastopexy and placement of a smaller implant under your muscle to achieve a more nature result. The peri-areolar incision only and large implants more often than not leads to the look that you received... more

David Shafer, MD
New York Plastic Surgeon

Breast surgery revision

There are a number of components to your question. The person who knows the most about your situation and surgery is your original surgeon. He or she would be your logical chooice. However, if you had a negative experience or the surgeon didn't seem to relate well with you in communicating theproceudre and end result, perhaps it is not wise to return to that surgeon. I would certainly revisit the original surgeon and see if each of you can have a meeting of the minds to make you... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Who Should Perform Revisional Surgery?

I agree that your implants are too large. The theoretical advantage to having your original surgeon perform your revisions is that he/she may give you a better fee. If this is not the case or if you lack trust in your original surgeon, you might want to consider a second opinion.