When previously installed breast implants are no longer meeting a woman’s expectations, breast revision surgery can be performed to repair any issues with the breast augmentation such as implants that changed in size, are disproportionate or have ruptured. Chicago plastic surgeon, Dr. Karol Gutowski, utilizes 3D breast imaging during the consultation to give the patient insight into how implants will look after the revision surgery. Through careful skill, Dr. Gutowksi can replace, repair or remove defective implants to meet the patient’s aesthetic goals.
"I feel natural, and I can't put a price tag on how I feel with self confidence - After having 4 kids naturally I was uncomfortable with how my body looked. Nursing had depleted my breasts and my belly button still stuck out like I was 9 months pregnant. My husband and I agree that my body needed some attention. I needed a breast augmentation and surgery to push my belly button back in. After an intensive research process which also included 4 in-person consultations in..."- B. / RealSelf / May 28, 2017
"Breast Implant Revision - Honestly, if you are looking for the best, look no further because I can’t recommend him enough!!"- L. / RealSelf / Jun 11, 2017
"Best PS in Illinois - Chicago, IL - After consulting 4 other doctors I knew my search was over when I met Dr. Gutowski. His bedside manners were impeccable, he asked the right questions, was realistic with me, and kept me informed the whole time. I knew my case wouldn't be easy because I have a pre-existing condition that causes Chronic Anemia. For my story to be a success I needed a PS who excels at what he does, and 4 weeks..."- X. / RealSelf / Jun 08, 2017
"Couldn't be happier! - Could not be more grateful that I choose Dr. Gutowski to perform my explant. Long story short...I have always wanted breast implants and then one day decided to do it. However, they came out bigger than what I had wanted and after 3 years and just couldn't do it anymore. Hard to sleep, workout, breathe..just wanted them out. I chose Dr. Gutowski because I felt comfortable with him and his..."- L. / RealSelf / Jun 04, 2017
"56 Year Old Women. Lost 90 Pounds on my Own - Chicago, IL - Dr. Gutowski was so passionate about his work. I felt safe and informed at all times. I had received all my before and aftercare instructions immediately. I had almost ten hours of surgery and walked out of surgery center that day. The recovery took awhile but the pain was manageable. The doctor answered all calls and emails personally. Amazing job!"- M. / RealSelf / Sep 11, 2016
Reasons for Revision Surgery
Breast revision corrects circumstances in regard to 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.
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 implants, the gel will settle where it is originally placed and the only way to verify it ruptured is with an MRI because the gel doesn’t deflate. This is also the reason why a patient with silicone implants must undergo routine MRI scans.
The tissues surrounding the implant may develop scars over time, which creates a capsular contracture. The scar tissue tightens around the implant, which causes the implant to be displaced. The patient will feel severe hardening of the breast, which can be a discomfort. This is corrected by a capsulectomy in which the scar tissue is surgically removed. Based on statistics, there are more occurrences of contracture with saline implants compared to silicone-based ones.
A noticeable rippling can sometimes be seen underneath or on the side of the breast. This is generally more common among patients who have very low tissue volume and who are thin. Although not really a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. Rippling is most common with saline implants.
Double Bubble Implants
When an implant moves out of the intended pocket, it may cause the appearance of a double breast where a significant crease is noticeable. Implants not properly placed may drop and extend past the breast’s crease or rise, forming an odd volume on top of the breast. Sometimes implants are displaced by severe capsular contracture or a tightening scar tissue. Patients who experience this will go ahead with a revision surgery as this condition is usually noticeable when wearing tight-fitting clothes.
Breast implants vary in size, texture, shape and base. Some patients may be unhappy with how the breast looks and may consider a revision surgery to improve the appearance according to preference. It may be another size increase or a switch from a rounded implant to a more natural looking teardrop 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 according to the cosmetic issue the patient is addressing. With this treatment, a major correction is done to the augmented breast in conjunction to scar tissue removal, if applicable, or a breast lift if there is sagging. There are instances when a strattice (a tissue matrix device) will be needed to act as an internal underwire if additional support is required. Ultimately, the correction aims to fix the issue that’s the source of the patient’s dissatisfaction.
Breast revision surgery is performed with general anesthesia in an accredited surgical facility. The patient may be sent home after treatment depending on the severity of the case. It is recommended to have someone who can drive the patient home and who can provide support within 48 hours. Patients can resume to their normal routine on the second week. It will take a few more months for the effects of the revision to become noticeable and the breast to develop a natural feel and look.
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