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
"They provide an exceptional service! Nice and friendly Staff (Ellen, Myrella, Jocelin, Marina & Dr. G.) I have been going for years and my procedures are always quick, easy, and most important... pain free. I was very impressed with Jocelin; she was very informative and has a wide knowledge about machines and procedures. I would definitely recommend aFresh Med Spa, you won’t regret it!"- F.V. / Google / Oct 04, 2019
"My second procedure with Dr G. First a mommy makeover, now neck and eyelids. Love the results!"- B. / Healthgrades / Oct 04, 2019
"My first procedure with Dr Gutowski was a few years ago, a Mommy Makeover that changed my life! The tummy still looks great and my breasts feel natural. But then my face needed some work. Dr G's talent with fillers gave me hope. Over the last 3 years, some well placed Botox, Bellafill and Restylane at Afresh Medical Spa did the trick. Then this year, he fixed my upper eyelids and did liposuction on my neck at the same time - all done awake in his office facility in less than 2 hours. What a difference it made (my younger sister is jealous). The staff is awesome and Ellen makes sure everything is done "concierge style". Will be having my face treated with a CO2 laser this winter."- B.C. / Google / Oct 04, 2019
"I remember looking in other states to get a surgeon as I did extensive research on my procedure. I decided to go with Dr. Gutowski. I was nervous because I’d never had surgery performed. It was one of the best decisions I could have made. The surgery was amazing and went smoothly. I trusted him to give me his honest opinion on what he could do. He consulted with me and we did it. I’m very pleased of the outcome. I would highly recommend Dr. Gutowski. If you are looking for an honest talented surgeon who follows up with you he is your man!"- B.S. / Google / Oct 03, 2019
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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