Implant Revision and Replacement Surgery
Many women who have had prior breast implant surgery desire or need revision surgery for a variety of reasons.
Who is a good candidate?
We think woman who desire a change in their implant size or who have developed an implant related complication (i.e. rupture/deflation, capsular contracture, implant malposition) or who have a desire to switch from saline to silicone implants are ideal candidates for revision surgery.
How is the procedure performed?
We perform our revision and replacement procedures in our fully accredited operating facility. Most patients are more comfortable under general anesthesia but we also offer local anesthesia with sedation as well. Certified Registered Nurse Anesthetists (CRNA’s) keep you completely safe and comfortable throughout. Dr. Grotting and Dr. Cohn both have extensive experience with revision operations.
Various techniques are employed in situations involving implant rupture and/or recurrent or persistent capsular contracture. A woman may benefit from a “site change” operation where the new implant is placed in a different location than it was originally (i.e. moving the implant from above the muscle to below the muscle or vice versa). This allows for fresh, unoperated tissue to provide a more predictable result than replacement in the original position. Additionally, for women with saline implants who desire to downsize their implant, a temporary deflation of the implant allows for the implant pocket to shrink to allow for a snug, appropriate pocket fit of the new, smaller implant. This deflation procedure can be done in our office under local anesthesia several weeks before the new implant is placed and allows for a more predictable long term result with less change of implant malposition. Our patient satisfaction following revision surgery is very high.
What is the post-operative recovery?
Recovery is somewhat varied depending on what is necessary to address the concern. In situations where a healthy implant is simply being exchanged for a larger implant, this can often be done under some slight sedation with minimal recovery or downtime. When silicone implants have ruptured or are complicated by extensive capsular contracture, more extensive breast surgery may be required to remove implant material and implant capsule. Recovery is usually a week or so and most women have re-engaged in activities of daily living by the second week.
What can I expect for results?
Breast implant surgery should give a women improved volume while maintaining a natural look and feel to the breast. Following revision surgery, the overall aesthetic relationship between the implant and the overlying breast should be harmonious and natural appearing.
Are there any potential complications?
Like any operation, bleeding and infection are standard risks. Fortunately, these are rare complications with implant revision and replacement procedures. Grotting & Cohn Plastic Surgery offers CosmetAssure (to our cosmetic patients) at no additional cost to you to protect you financially if a complication does arise (see CosmetAssure). Recurrent capsular contracture and implant malposition are higher in revision surgery when compared with primary, non-revision surgery; however, recurrence remains the exception rather than the rule. Scars are typically placed where prior incisions were made and heal in a predictable manner, as the original scar did.
Are there additional relevant considerations regarding this procedure?
- Do I have to pay for replacement implants? Both companies (Mentor and Allergan) provide warranties for implant rupture and deflation during the first several years following implant placement. Our patient coordinators are happy to ascertain whether or not your implants are covered by manufacturer warranty. In cases where warranty covers replacement, money is also provided by the company to offset anesthesia and facility fees.
- Will insurance cover revision breast surgery if my implants are ruptured? If the implants were placed for cosmetic purposes, most insurance companies do not provide coverage for any type of revision procedure. If the implants were placed for some type of reconstructive procedure, insurance companies will usually cover procedures to address complications that may arise.