Breast Implant Revision Surgery

Breast Implant Revision in Orlando, Florida

Have you had previous breast augmentation surgery and want to improve your result, because of size issues, tissue stretch, implant hardening, or implant rupture? Dr. Fiala has a great deal of training and experience with breast implant revisionary surgery.

The most common reasons for breast implant revisions are:

  • Size change: whether it’s switching to a larger size or a smaller one, or changing the shape and proportion of the current implants, size change is the most frequent secondary surgery for breast implants in the United States.
  • Fixing implant hardness: Also known as capsular contracture, this hardening process of tissue around the implant can cause the breast to become more spherical in shape, more elevated, or more painful. It can be fixed, and the breast shape is made more symmetrical, more natural-looking, and more comfortable.
  • Implant Deflation or Rupture: Whether they are silicone or saline breast implants, all implants eventually wear out with time, and will need to be replaced. With a saline implant, a leak in the implant results in an obvious change in the breast size, as the saline is absorbed. With a silicone gel implant, it may be more difficult to tell – and some form of imaging, like an ultrasound or MRI of the breast, may be needed to confirm whether or not a leak is present.
  • Implant pocket issues: Are the implants too far apart? Do they go under your armpit area when you lie down? If so, then you may have a pocket problem. By re-opening the pocket where needed, or by closing the pocket where needed with an internal suture repair, these issues can be fixed.  Sometimes a new implant, of a more proportional width, can help to optimize the cosmetic result.
  • Ripples: Do you have ripples or wrinkles that show on the surface of your breast? If you have an “over-the-muscle” saline implant, these can often be significantly improved or eliminated by switching to a silicone gel implant placed “behind-the-muscle”.  Sometimes, more advanced methods, like fat grafting or ADM placement, may be recommended.
  • The desire for removal:  Some women have changed their minds about having implants, and simply ask us to remove the implants.

How does Fiala Aesthetics figure out what my new implant size should be?

For women that wish to go to a larger size, we can place an air-filled sizer over the current breast, and the patient can preview the shape and size in a sports bra & T-shirt. By knowing or estimating the size of the current implant, we can then determine the volume of the new implant by adding the volume of the implant and the sizer together and picking an implant shape that will fit the patient’s frame. Often changing to a higher profile implant may give the fuller and curvier shape desired, without making the breast too wide for the patient’s frame.  If you have your implant information, please bring it with you to the consultation.

For women that wish to “downsize”, and go to a smaller size, several options are available. For women that currently have a saline implant, sometimes a pre-operative deflation of the saline implant can be very helpful. This way the patient can “try on” the new implant just like a first-time patient – and get the size selection “exactly right” prior to the second surgery.  Many times, we see that the initial implant was too wide for the patient’s frame, and can look bulky or matronly.  Switching to a more proportionally sized one can help often the patient feel slimmer and better balanced in their figure.


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