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Breast Implant Revision

Dr. Sarah Mess specializes in breast implant revision in her Columbia, MD practice where she combines technical skills and an artist’s touch to produce superior results. As in most other areas of the country, Maryland women find that Breast augmentation revision surgery enhances their appearance and provides inward and outward confidence. Dr. Sarah Mess understands a woman’s body, and she takes pride in helping women achieve their cosmetic breast enhancement goals.

Breast augmentation (“augmentation mammaplasty”) is one of the most popular plastic surgery procedures worldwide. The overwhelming percentage of women are thrilled with the new look breast augmentation affords, but gravity and age take their toll on breasts. Even with proper planning, surgical precision, and superlative initial results, implants will show their age over time. A woman that received an augmentation in her twenties will likely have a very different body in her forties. She may also have a different opinion about the appropriate size and shape of implants for her body.

Ideal Candidates for Breast Implant Revision

Breast revision surgery is appropriate for patients in overall good overall health that are unhappy with their current augmentation or implant. Patients seek breast implant revision for one or more of the following:

  • Unhappy with existing implant size or profile
  • Want to change the placement of the implant (i.e. submuscular vs. subglandular)
  • Revise breast implant to incorporate a breast lift
  • Correct saline implant deflation
  • Imaging suggesting silicone implant shell leak
  • Correct capsular contraction around existing implant
  • Correct breast implants that have shifted, bottoming out, or show double-bubble
  • Correct Synmastia (uni-boob) from previous augmentation
  • Restore breast fullness and firmness lost due to age or weight-loss
  • Achieve overall better appearance and confidence in your image

Patients should have realistic expectations and goals regarding the outcome of their procedure, but today’s wide choice of implants and options for fat transfer in addition to implants make breast implant revision a natural choice for any woman unhappy with their current breast implant. During your breast augmentation revision consult, Dr. Sarah Mess will evaluate your natural body type and breast shape and discuss the best options to achieve your breast implant revision goals.

Best Candidates for CoolSculpting ®

Before & After Photos

45-55 year old patient requested implant replacement. Original implant surgery 18 years ago. Patient presented with animation deformity and grade IV capsular contracture. Implants exchanged with Allergan Style 15 implants. 331cc implants for the right side and 371cc implant for the left side. Breast Implant Exchange photos are taken 5 weeks post procedure.

35-44 year old patient requested replacement of saline implants with larger silicone implants to provide improved shape and appearance after breast feeding. They were replaced with 450 cc shaped Sientra gummy bear implants. Breast Implant Exchange photos are taken 5 months post procedure.

Implant Replacement with Fat Transfer to the Breast. Patient age 35-45 with implant rupture. Patient opted for fat transfer to the breast to replace 15 year old implants. Photos taken 6 weeks post procedure.

Breast Implant to Fat Transfer conversion for natural augmentation. Patient aged 45-54 exchanged implants for fat transfer to augment her breast and provide volume and shape. Patient also underwent tummy tuck procedure at the same time as her breast fat transfer. Photos taken 6 weeks post procedure.

Contact Dr. Mess at her Columbia practice at (410) 910-2350

Type of Implants

There are two general types of breast implants; saline implants consisting of a silicone shell filled with a sterile salt solution at the time of insertion, and silicone implants made of a silicone shell that comes pre-filled with a cohesive silicone gel. Patients must be at least 22 years old to undergo augmentation with silicone gel implants. Both saline and silicone implants come in a variety of sizes and profiles and can be either smooth or textured. The FDA recently approved shaped, anatomical, highly cohesive silicone gel implants. Allergan’s Natrelle 410 , Mentor’s Memmory Shape and Sientra’s “gummy bear” are examples of these newest breast implant options. Each type of implant has its advantages. During your consultation, Dr. Mess will learn about your interests and will discuss the advantages and disadvantages of saline, silicone gel, shaped or round implants. Patients will try on sizers and review breast procedure photographs and implant information with Dr. Mess in her office. We provide extensive resources and education so the patient can determine which type of breast implant is best suited to achieve their breast enhancement goals.

Dr. Mess is certified by The American Board of Plastic Surgery (ABPS). She is a member of the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS). She is a plastic surgeon of distinction with the experience and training to provide results that match your vision.

*The total cost will be affected if a complementary procedure, such as a breast lift, tummy tuck or mommy makeover is performed in combination with breast implant revision.

Preparing for Breast Implant Revision Surgery

During your preoperative appointment, Dr. Mess will discuss what you should expect prior to undergoing breast revision surgery. In general, patients should refrain from smoking at least four weeks before and after surgery, and avoid taking aspirin, anti-inflammatory drugs, and herbal supplements two weeks prior to surgery as they can increase bleeding. Dr. Mess will provide you with detailed instructions on how to properly prepare for breast implant revision and care for yourself post-procedure. Our comprehensive breast augmentation management helps ensure the best possible results for your surgery and long-term enhancement results.

The Breast Implant Revision Procedure

The breast implant revision procedure is performed on an outpatient basis with the patient under general anesthesia. The procedure is often combined with other cosmetic breast and body procedures such as a breast lift, mommy makeover, or abdominoplasty (tummy tuck).

The techniques used for your breast implant revision surgery will depend on the amount of revision required and choice of new implant. Many women benefit from a breast lift combined with their breast implant revision, but each patient is different. A breast lift can provide a more aesthetic nipple placement and size, and patients with loose skin or drooping breasts usually benefit from a lift. Synthetic dermal support such as Alloderm or Stratice may be required in some breast implant revisions to prevent bottoming out or add support for patients with thinner skin. Be sure to discuss your goals and expectations with Dr. Mess during your consultation.

Recovery: What to Expect After Your Breast Implant Revision

  • After the surgery is complete, the breasts are covered with waterproof bandages and a special post surgical bra to minimize swelling.
  • Patients are advised to apply ice and relax for a few days post breast procedure.
  • Patients may experience soreness in the breasts during the first week of recovery, but prescribed pain medication can be taken to alleviate these symptoms.
  • Patients will be seen in the office for a post-op visit in a couple of days.
  • Patients can usually return to work after a few days, but should refrain from any strenuous exercise or activity for about two to three weeks.
  • Regular follow up continues for two to three weeks and patients are typically scheduled for post op photos at two months post breast revision.

Breast implant revision recovery time varies with each individual. Scars will diminish over the next few months and topical silicone or silicone sheets will help speed the process. Patients are encouraged to discuss their progress with Dr. Mess. Our goal is to make your recovery as quick and safe as possible so you can get back to your life and enjoy the benefits of your redefined figure.


How much does breast implant revision surgery cost

The total cost of breast implant revision consists of several fees, including:

  • Surgeon’s fee
  • Operating room fees
  • Choice of implant
  • Anesthesia fees
  • Prescriptions for medication
  • Post-surgical garments and scar management treatment

Results after Breast Implant Revision Surgery

The results of breast implant revision are immediately noticeable after surgery is complete and will improve over the coming weeks. Women usually feel more confident in their everyday appearance and are excited about their restored figure. Breast implant revision patients from Columbia, Baltimore and Washington, DC enjoy the benefits of cosmetic surgery with Dr. Sarah Mess.

Dr. Mess looks forward to meeting you during your initial consultation to discuss your options with Maryland breast implant revision. For all of your cosmetic and reconstructive surgery needs, we encourage you to contact her Columbia practice at (410) 910-2350 today.

Best Candidates for CoolSculpting ®

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If you have any questions, please call us at (410) 910-2350 or fill out our contact form and someone will contact you as soon as possible.

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Sarah A. Mess, MD, LLC
10700 Charter Drive #330
Columbia, MD 21044

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(410) 910-2350