Dr. Sarah Mess has either authored or reviewed and approved this content.
Breast Implant Revision
Restore Your Enhanced Breasts Beautifully
Breast augmentation patients want to enjoy their investment and be happy with their results. If previous breast surgery is keeping you from looking or feeling your best, Dr. Mess can help. Dr. Sarah Mess has the experience and expertise to deliver the results you desire. She specializes in breast implant revision at her Columbia, Maryland, practice and provides her patients with beautiful, natural-looking results.
Correct, restore, and enjoy the breasts you’ve always wanted.
Breast augmentation surgery (“augmentation mammaplasty”) has been the most popular plastic surgery procedure worldwide for years.1 The overwhelming percentage of women are thrilled with the new look breast augmentation affords, but implants aren’t made to last a lifetime, and other factors such as gravity and age can take their toll on breasts.2 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.3 Patients seek breast implant surgery 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.
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.
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. 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.4 Patients will try on sizers and review breast procedure photographs and implant information with Dr. Mess in her office located in Columbia, Maryland. 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.
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.5 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.6 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.7 Be sure to discuss your goals and expectations with Dr. Mess during your consultation. Dr. Sarah Mess welcomes patients anywhere around the world and has a great reputation in the Washington DC, Baltimore, Columbia areas.
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.8
- 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?
We believe patients make better decisions when they understand the options and cost ranges for breast implant revision surgery. We are happy to provide a basic price range for implant revision, but final costs cannot be determined prior to your consultation appointment with Dr. Mess.
Implant revision surgery cases are scheduled from 1.5 to 3 hours depending on the requirements of the case. Simple revisions for size change will take less time and cost less than complex cases with capsular contracture or ruptured implants. Dr. Mess will help you determine the best options to achieve your aesthetic goals.
The best way to determine your procedure pricing is to come in for a consultation with Dr. Mess. Our Columbia office is conveniently located and easily assessable from both Washington, D.C. and Baltimore.
Our surgical estimates are comprehensive. Your breast implant revision surgery quote will include:
- Surgeon’s fee
- Operating room fees and supply charges
- Anesthesia fees
- Post-surgical garments
- All appointments before or after your surgery
Price Range for breast implant exchange: $8000- $10000. (budget an additional $1600 to $2000 for Galaflex internal bra support). Your costs may fall outside of this range.
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 as swelling subsides.9 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.
Have more questions about breast implant revision?
Don’t settle. Breast implant revision with Dr. Mess can get you results you’ll love. Contact us today to learn more.
1 American Society of Plastic Surgeons. Plastic Surgery Statistics. Available at: https://www.plasticsurgery.org/news/plastic-surgery-statistics.
2 Healthline. How Long Do Breast Implants Last? Available at: https://www.healthline.com/health/how-long-do-implants-last.
3 American Society of Plastic Surgeons. Who is a good candidate for breast implant revision? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/candidates.
4 American Society of Plastic Surgeons. Silicone vs. saline breast implants. Available at: https://www.plasticsurgery.org/news/blog/silicone-vs-saline-breast-implants.
5 American Society of Plastic Surgeons. How should I prepare for breast implant revision? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/preparation.
6 American Society of Plastic Surgeons. What are the steps of a breast implant revision procedure? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/procedure.
7 NCBI. Biological and synthetic mesh use in breast reconstructive surgery: a literature review. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4839154/.
8 American Society of Plastic Surgeons. What should I expect during my breast implant revision recovery? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/recovery.
9 American Society of Plastic Surgeons. What results should I expect after breast implant revision? Available at: https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/results.