Piazza Center for Plastic Surgery and Advanced Skin Care
7900 Farm to Market Road 1826, Bldg 2, Suite 206
Austin, TX 78737
Phone: (512) 288-8200
Monday–Thursday: 8 a.m.–5 p.m.
Friday: 8 a.m.–2:30 p.m.

Breast Augmentation Revision

On rare occasions, changes occur after breast augmentation that can cause you to feel less than completely satisfied with your procedure. There can be problems with regard to size, shape and position of the breasts as well as skin laxity. Also, as we get older, genetics, gravity and other factors affect the breasts and their position on the chest, often resulting in a saggy appearance. A board-certified plastic surgeon, Dr. Rocco Piazza has specialized training in revisionary procedures to correct problems with the breast fold, malposition of the breast implants and shape distortion. With a breast augmentation revision procedure at his Austin practice, Dr. Piazza can correct these problems and create a more aesthetically pleasing shape.

At The Piazza Center, we believe that beautiful surgical results are enhanced by following a healthy lifestyle. Our aim is to help you achieve your cosmetic goals and desires. If you would like to find out more about breast augmentation revision surgery in Austin, TX, you can request a consultation online or call our office at (512) 288-8200.

Reasons for Revision Breast Augmentation

Most women are very satisfied after getting breast implants, and complications are rare. Still, age-related changes to the body can affect the appearance of breast implants over time. Additionally, the implants themselves are not designed to last forever, so most women will eventually need revision surgery even if they were initially happy with their results.

Common reasons for revision breast augmentation include:

Elective Implant Exchange

Many women choose to exchange their implants for various reasons. Women who have saline-filled implants, for example, often replace them with one of the newer generation of cohesive silicone gel breast implants as these implants have more stability with their shape and fullness over time. In other cases, women decide they want either smaller or larger implants than they initially selected, or they want to change the implant placement from above or below the muscle. Most often, many of my patients notice that their breast volume has decreased after having children and desire to increase the breast implant size in order to restore the fullness to the breasts. Revision surgery is also an option for women who want to remove implants without replacing them.

Sagging or Loose Breast Tissue

This one of the most common things that occurs to patients who had a breast augmentation procedure prior to having children. With pregnancy, the breast tissue around the implant oftentimes increases in size and stretches the skin. Whereas the augmented breast is usually firm and full before pregnancy, the breast tissue is now loose and droopy after having children, yet the implant remains high. A breast revision can tighten the breast, removing loose skin and reducing the size of the nipple and areola. A breast implant exchange can also be performed at the same time to restore the fullness that was lost after pregnancy and breastfeeding.

Visible Deformities

Rippling, symmastia (sometimes called “bread-loafing” or “uniboob”), and “double bubble” are among the visible complications that can occur after getting breast implants. These may be obvious soon after undergoing the procedure, or emerge gradually. In many cases, these deformities occur because an inexperienced surgeon doesn’t plan or execute the operation properly. An experienced and highly trained plastic surgeon, such as Dr. Piazza, can repair or re-create an implant pocket to correctly position the implants.

Capsular Contracture

This is the most common breast augmentation complication encountered by patients. After any breast augmentation procedure, the body naturally forms scar tissue around the implants, creating a capsule. In some cases, however, the capsule tightens and distorts the implant’s position or shape. In severe cases, it can be painful. Dr. Piazza corrects capsular contracture by removing this scar tissue, placing a new breast implant and oftentimes using an acellular dermal matrix like Strattice™ to significantly reduce the chance of recurrence.

Deflated Implant

Women with saline-filled implants notice immediately if one of them ruptures or leaks because it causes the breast to appear deflated. It’s a stressful–but usually harmless–situation that can be corrected with revision surgery. Ruptured implants filled with silicone gel often go undetected until the woman gets a routine imaging test. That’s because the silicone–filled implants maintain their shape even if they’re damaged.

Meet Dr. Piazza

Board-certified plastic surgeon Dr. Rocco C. Piazza looks forward to meeting with you to help you discover how you can achieve your cosmetic goals and desires.

About Dr. Piazza Dr. Piazza's credentials Dr. Piazza's credentials

Your Custom Procedure

Breast augmentation revision surgery is can sometimes be a more involved procedure than the initial augmentation surgery. Dr. Piazza’s extensive training and experience performing enables him to create customized surgical plans based on a physical examination and the concerns you have about your breasts’ appearance.

The Consultation

Dr. Piazza asks about your aesthetic goals and explains in detail the types of results he can achieve through revision surgery. It’s important that you have a realistic expectation about your surgical outcome. Dr. Piazza spends as much time as necessary answering your questions and describes what he believes is the best approach to get the results you want. At the end of the consultation, you can schedule your surgery, which is performed at a fully accredited ambulatory surgery center near our office.

The Surgery

Your breast augmentation revision procedure will take as little as 30 to 45 minutes or as long as 4 to 5 hours, depending on the extent of the corrections that need to be made. Generally, when performing revision surgery for breast augmentation, Dr. Piazza uses a combination of different techniques, such as performing a pocket change and adding an internal bra to support the implants, to correct the position of the implant and give better shape to the breast.

In some cases, Dr. Piazza combines a breast lift with the revision surgery. He’ll discuss this possibility during the consultation, as well, and talk about the incision options.

The Recovery

After the procedure, you may experience some soreness. This will decrease significantly during the next few days. Patients wear supportive bras after surgery and have follow–up office visits 1 week after their procedures. Dr. Piazza usually places all sutures under the skin, so he doesn’t need to remove them later.

In general, patients should be able to return to normal, everyday activities within 5 to 7 days after their surgery. This can vary depending on the extent of the surgery, so it is important to follow all post–operative instructions closely.

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Dr. Piazza Answers Common Questions

After I have a breast augmentation revision procedure, will I need surgery again?

The goal with this procedure is to correct problems with each breast. Often, I am dealing with a number of complex problems, such as fold asymmetries and breast distortion, which can be very difficult to correct. I always tell my patients that they will ultimately have surgery again after having breast implants placed and that there are reasons for short–term re–operation and other reasons for long–term re–operation. The most important thing I want my patients to remember is that breasts change with age, just like the rest of the body. This is completely normal and expected, and therefore, surgery may be needed in the future. To learn more, read The Truth About Breast Implants: 10 Years Later in my blog.

Will I have to replace my implants at the time of my revision surgery?

It is likely that your breast implants will need to be replaced. This is dependent on a number of things. First, when were the implants placed? Second, are they silicone gel implants or saline implants? Is the implant shell intact? Are you happy with the size of your breasts? During a pre–surgery consultation with you, I will address these questions, as well as your cosmetic goals, to help you determine what is right for you.

How soon after my surgery can I resume exercise?

As with any surgery, it is important to follow all of your doctor’s instructions after the procedure in order to ensure that you recover as safely and quickly as possible. I usually tell my breast augmentation revision patients that they can resume exercise as soon as they feel comfortable. I prefer that they refrain from heavy lifting for the first few weeks, but I encourage them to get to the gym and walk on a treadmill or stair–step machine in the first week after surgery. I want my patients to get back to feeling like their normal selves as soon as possible. Returning to an active, healthy lifestyle can help achieve beautiful surgical results.

Your Results

After your breast augmentation revision, you may be placed in a supportive bra to help maintain your new breast shape while you heal, but this is determined on a case–by–case basis. For the first few days following your procedure, you may feel soreness and see some bruising. This will subside within the first week. In general, patients should be able to return to normal, everyday activities within 5 to 7 days after their surgery. This can vary depending on the extent of the surgery, so it is important to follow all post–operative instructions closely.