Breast augmentation surgery continues to be the most popular cosmetic procedure in the U.S. While the majority of women are pleased with their augmentation results, some will decide to have the implants removed or replaced. Owing Mills plastic surgeon, Dr. Janet Woodyard has considerable experience in breast revision surgery and works with women to correct, remove or replace an existing implant. This decision is made because the implant is either in the wrong position or no longer aesthetically desirable. Replacement of older implants is also a consideration. Surgery for revision of prior breast lift, reduction or reconstruction also sometimes becomes necessary. Each breast revision procedure is somewhat unique. The procedure(s) needed vary by circumstances and careful planning by an experienced surgeon is required. This starts at the initial consultation.
"I Feel As Though I Can Learn to Love my Body Again - Owings Mills, MD - After my primary care physician told me that a lot of my chronic back and neck pain was due to the fact that my breasts were too large on my smaller-sized frame - and that I'd need PT and/or a back brace to help me if I didn't correct the problem - I was given Dr. Woodyard's number. Luckily, I was able to meet with her the very next day, and three weeks later, I was in the OR, having a Mastopexy. Even though I have only been in recovery for about 28 days now, I am VERY pleased with the results. Dr. Woodyard performed a miracle for me, taking my size from a 34 J to a 34 C, and I feel better both physically and mentally. She is professional, knowledgeable, and trustworthy. And her office staff is amazing. Brittany has handled so many phone calls and questions from me that we've become friendly (and I appreciate her competence), and Ashley made all of the arrangements for me to have the surgery performed - and did so in a way that made me feel informed and at ease. While I still have scarring from this very recent procedure (though it is not as bad as I had feared!), I'm healing nicely, and would not hesitate to return to Dr. Woodyard if I ever needed another procedure performed. In a way, she has given me back a part of my life, and I am immensely grateful."- O. / RealSelf / May 01, 2016
"Great doctor! - I had a mommy makeover in April 2017 and am currently at 5 weeks of recovery. From the initial consultation to the last post-op appointment at 4 weeks, I've been thoroughly pleased with the care and professionalism of Dr. Woodyard and her team. I definitely would recommend her services!"- Anonymous / Vitals / May 30, 2017
"I had a mommy makeover in April 2017 and am currently at 5 weeks of recovery. From the initial consultation to the last post-op appointment at 4 weeks, I've been thoroughly pleased with the care and professionalism of Dr. Woodyard and her team. I definitely would recommend her services!"- A.C. / Facebook / May 30, 2017
"Great doctor! - I had a mommy makeover in April 2017 and am currently at 5 weeks of recovery. From the initial consultation to the last post-op appointment at 4 weeks, I've been thoroughly pleased with the care and professionalism of Dr. Woodyard and her team. I definitely would recommend her services!"- A. / RealSelf / May 30, 2017
"This review only contains a rating"- Anonymous / Vitals / May 30, 2017
Reasons for Revision Surgery
Breast revision surgery resolves cosmetic issues following a prior cosmetic or reconstructive breast procedure, most frequently (but not exclusively) involving breast implants. The surgery focuses on removal, replacement, or making a switch from saline to silicone-based implants. Listed below are the most common cases where a patient may be a candidate for this treatment.
Breast Implant Removal
Individuals who wish to undergo breast augmentation do so to increase breast size primarily for aesthetics. However, after breast augmentation, some women may be dissatisfied with their results and opt to revert back to their normal breast size. Others may want to remove their implants because of health concerns or other personal reasons. Breast revision surgery is a process where the implant is removed and the skin over the breast is tightened to make sure the breast sits in a natural position and looks normal. This choice may arise as some women grow older.
Despite the guarantee that implants are safe and leakages are rare, there are cases when a shell breaks down. If it is filled with saline, the solution will be absorbed by the body, and there will be a noticeable deflation of the breast. In the case of silicone implant rupture, the size of the breast may not change and detection of a rupture becomes more difficult. It can sometimes be determined by physical exam by an experienced plastic surgeon and in some cases may require an MRI.
Scar tissue around an implant can increase over time and tighten, thereby causing a capsular contracture. This can cause the implant to appear smaller, feel firmer, become displaced and/or become uncomfortable. This is corrected by capsulotomy, to open up the tight capsule or capsulectomy, to remove it and replace the implant.
Visible rippling of the implant, while not a complication of the original surgery, may occur during the aging process and may require a breast lift(mastopexy) or larger implant for correction. This problem is more common in thin patients and with saline implants.
Double Bubble Breast Shape
During the aging process of the augmented breast, a woman's breast tissue may drop more than the implant. This creates a "double bubble" appearance to the breast whereby the implant is situated higher than the nipple and natural breast tissue. Correction is by surgery to lift the breast and/or replace or reposition the implant.
Breast Size and Shape
Breast implants vary in size, texture, shape and base diameter. According to their personal preferences, some patients may be unhappy with how the breast looks and may consider a revision surgery to improve the appearance. They may desire a different size or implant shape. Some patients also later realize that they’d rather have silicone instead of saline. All preferences will be considered to modify the augmented breast.
Revision surgery is tailored to the cosmetic issues that need to be addressed. This may include implant replacement, scar tissue removal or alteration, or a lift if sagging is present. There are instances where an internal tissue matrix is required to support the repositioned implant if the natural tissues are thin or weakened. Ultimately, the corrective procedure is aimed at fixing the issues causing the patient's concern.
Breast revision surgery can sometimes performed under I.V. sedation and at other times under general anesthesia, depending on the nature and extent of the procedure being performed. The patient is usually sent home after treatment and seen in the office within a weeks time. Light activities can usually be resumed within a few days and full recovery is expected in 4 weeks with some settling of the implants over a few months time.
'The cost for breast revision surgery varies greatly depending on the type and extent of procedure(s) performed and can range between $5000-8500 or more. It will cost more if there is an implant replacement or if there are other additional procedures, such as breast lift or scar tissue removal.
Plan Your Procedure
- Total Cost
- $5,000 - $8,500
- Recovery Time
- 3-4 Weeks
- Average Procedure Time
- 2-4 Hours
- Post-op Follow-up
- 1 Day
- Procedure Recovery Location