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Better Than the First Time: My Incredible Revision Experience

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Better Than the First Time: My Incredible Revision Experience

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I’ve had multiple visits with Lewisburg Plastic Surgery & Dermatology, including consultation, surgery, and post-op follow-up, and overall, I can honestly say I felt genuinely well cared for throughout the process.
One thing worth mentioning is that I actually had my first consultation with Dr. Normington back in January 2023. At that time, I ended up going in a different direction, and looking back now, I honestly wish I had gone with him from the start. After coming back and working with him more recently, it became very clear how much the surgeon’s experience, judgment, and overall level of care really matter.
On January 29, 2026, I had revision breast surgery at Lewisburg Plastic Surgery & Dermatology: a bilateral breast implant exchange (saline to silicone) with pocket revision and capsulorrhaphy. I went from 580cc IDEAL structured saline implants to Natrelle Inspira SRX-650cc silicone implants (14 cm base width, 6.5 cm projection). The main goal of this surgery was to improve pocket control and long-term stability, especially to correct lateral drifting on my right side.
From the beginning, the office environment helped ease a lot of the normal anxiety that comes with surgery. The front desk staff were friendly, welcoming, and organized, the kind of office that makes you feel more comfortable right away when you’re already nervous. Dr. Normington was excellent. He was calm, thorough, and respectful in how he explained everything. He took the time to examine me carefully, answer questions directly, and walk through realistic expectations without ever making me feel rushed or judged. What I appreciated most was that he did not try to “sell” me on anything. He focused on what I wanted, what was achievable, and what would provide the best long-term result. He also took the time to explain the more technical parts of the revision, including the capsulorrhaphy and pocket revision, in a way that made sense to me. That meant a lot, because it helped me better understand not just what he was doing, but why those steps were important for improving support, position, and long-term stability.
On surgery day, the experience stayed consistent. My wife drove me in that morning, and we arrived a little after 7:20 AM. Check-in was quick and easy. Nurse Nikki brought me back, and from there, everything moved fast. Pre-op was a blur in the usual surgery-day way: gown, gurney, questions, paperwork, IV, anesthesia review, but the whole team kept things moving calmly and professionally. The CRNA explained the anesthesia plan, and Dr. Normington came in before surgery, had me sit up for markings, and reviewed everything one last time. I went back to the OR around 8:00 AM, and my wife was told I was done by around 10:00. When I woke up, I was groggy but honestly felt okay.
After surgery, I was told everything had gone well. Dr. Normington later explained what he had done and seemed genuinely pleased with the result. He told me he used sizers during surgery and felt the 650cc implant was the best fit, which is how I ended up with the Natrelle Inspira SRX-650cc silicone implants. I appreciated that the decision sounded thoughtful and based on what worked best during the procedure, not just what had been discussed ahead of time.
Recovery overall has been going well. Early on, I had more soreness on the right side, which made sense because that was the side that needed more reinforcement and repair. I had tape and support in place, no showers for the first 48 hours, regular icing, compression, and activity restrictions. Everything was swollen, firm, and sitting high at first, which I expected. Even though it was early, I felt cautiously optimistic. One of my biggest concerns was avoiding another seroma, so I was very focused on following instructions carefully.
What stood out to me most right after surgery was how kind and professional the team was. Nurse Nikki, the anesthesia staff, the OR crew, and Dr. Normington all treated me with care and respect. When you’re anxious and placing a lot of trust in a surgical team, that really matters. I felt like they treated me like a person, not just a chart.
I do want to be honest about one part of the follow-up process that shook my confidence a little. At my February 5th follow-up, I expected to see the surgeon, but only saw the nurse. The stitches were removed from my left breast without any issue, but when I asked about the right side, there seemed to be some confusion. The nurse did not appear to have clear instructions and seemed unsure whether those stitches were supposed to stay in longer or might be dissolvable. My right side remained taped, and nothing was done that day. Later, after talking it over with my wife, we both felt that what happened did not line up with what we thought had been explained after surgery. I ended up messaging the office through the Klara app, and they got me scheduled for February 10 to remove the right-side stitches and re-tape that side.
To be fair, once I reached out, the office did get back to me and handled it. I was scheduled for another appointment the following week. Still, that moment of mixed communication was frustrating in the middle of an already stressful recovery. I think the post-op communication at that first follow-up could have been much clearer, especially for something as important as stitch removal and post-op support.
By day 10 post-op, I was feeling noticeably better. Swelling had gone down, bruising was fading, my incisions looked clean and dry, and I had no signs of infection. My chest still felt tight and heavy, and sleeping upright on my back was not exactly fun, but overall, I felt like I was healing in the right direction.
At the February 10 appointment, the right-side sutures were removed, and the tape was replaced as planned.
At my February 24 follow-up with Dr. Normington, he said everything looked like it was progressing well. My right breast was still sitting a little high, but he explained that was expected because of the internal sutures used to rebuild and support the pocket. He said the incisions looked good and was not concerned about the small open spots along the incision lines at that point, believing they were likely related to the dissolvable sutures under the skin. I was told to continue using Triple Antibiotic and keep those areas covered with gauze until they healed. I also needed to continue wearing compression bras for another 6 to 8 weeks, avoid lifting more than 20 pounds, and hold off on breast massage because he did not want the internal sutures disturbed while everything settled. I left that appointment feeling a lot better and more reassured. My next appointment is scheduled for April 14.
Overall, my experience with Lewisburg Plastic Surgery & Dermatology has been positive. The actual surgery, Dr. Normington’s work, and the team’s care on surgery day were excellent. I felt listened to, cared for, respected, and professionally treated. The one criticism I do have is that communication at that first post-op follow-up could have been clearer. Even with that hiccup, though, I do feel that Dr. Normington and the surgical team did a very good job, and so far, I’m happy with how this revision is healing.
For anyone looking for a professional, patient-centered experience, Lewisburg Plastic Surgery & Dermatology is the absolute gold standard. Their team is incredibly kind and organized, providing a safe space where your questions are encouraged and your concerns are genuinely heard. I wouldn’t trust my care to anyone else.

MnWhoHBreasts's provider

Ernest Normington, MD

Ernest Normington, MD

Board Certified Plastic Surgeon

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