Breast Revision Philadelphia | Breast Revision Surgery Bryn Mawr

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Breast Revision

Unfortunately, many women who have had breast augmentation in the past are not fully satisfied with the results. At StarkMD Plastic Surgery and Aesthetic Center, board-certified plastic surgeons, Dr. Ran Stark and Dr. Carey Campbell, have helped many patients overcome their insecurities and achieve the outcome they desire by performing skillful and thoughtful Philadelphia breast revision. Their work alongside the very best breast surgeons in the world and their intense aesthetic training have given them an advanced skillset in breast revision surgery.

REVISION

What Is Breast Revision?

Breast revision is surgery done to correct, update, or remove the results of a prior breast augmentation. In some cases, that means replacing older implants with a different size, profile, or fill. In others, it means removing implants altogether, repairing the pocket, treating capsular contracture, correcting bottoming out or malposition, or combining implant work with a lift so the breast shape still makes sense afterward.

The details matter here. A woman may come in saying she wants smaller implants, but the real issue may be stretched skin and a low nipple position. Another may think she needs a lift when the bigger problem is the implant pocket itself. Revision surgery works best when the reason for the problem is identified clearly before the plan is built.

That is part of what makes breast revision more nuanced than first-time breast augmentation. The surgeon is dealing with scar tissue, existing pockets, altered anatomy, and tissue that may have changed with pregnancy, weight fluctuation, implant age, or time. A thoughtful revision plan starts with what is there now, not what the breast looked like before the first surgery.

Benefits
of Breast Revision

The biggest benefit of breast revision is that it gives patients a chance to correct a result that no longer feels right on their body. That may mean improving comfort, changing the look of the breast, solving a technical problem from earlier surgery, or removing implants that no longer fit the patient’s goals.

Benefits of breast revision may include:

correction of implant malposition, bottoming out, or asymmetry
treatment of capsular contracture or firmness
replacement of older implants with a different size or type
improvement in breast shape after pregnancy, weight loss, or tissue stretch
removal of ruptured or aging implants
better balance between the breast, chest, and body frame
the option to remove implants and reshape the breast with a lift or fat transfer
better comfort in clothing, bras, and daily activity
a result that feels more current and more consistent with the patient’s life now

The aesthetic benefit is obvious, but the practical one matters too. Some patients are tired of heaviness. Some are bothered by rippling, shifting, or firmness. Some simply want to stop thinking about their implants. Revision surgery gives them a way to deal with the actual source of the issue instead of trying to dress around it.

Who Is a Good Candidate for Breast Revision?

Good candidates for breast revision are women who have had prior breast augmentation and are no longer happy with the result, the feel of the implants, or the way the breasts sit on the body. Some are dealing with clear problems such as capsular contracture, implant rupture, bottoming out, rippling, or visible asymmetry. Others feel that the implants no longer fit their frame, their age, or the way they want to look now.

A strong candidate usually has a specific complaint, even if she does not yet know the surgical answer. The breasts may feel too large, too heavy, too low, too firm, too far apart, or simply unlike what she would choose today. Sometimes the issue is the implant itself. Sometimes it is the pocket. Sometimes the real problem is stretched skin and loss of support in the breast tissue around the implant.

Candidates tend to do best when they are in good overall health, close to a stable weight, and clear about what they want to change. A woman asking for smaller implants may still want upper fullness. A woman asking for implant removal may still want shape. A woman asking for symmetry may need pocket repair more than new implants. This is why revision surgery needs a more exact consultation than primary augmentation.

Reasons for breast revision surgery

Breast revision is a surgical procedure that typically involves removal and exhange of existing breast implants. Some women come to StarkMD Plastic Surgery and Aesthetic Center because they are displeased with the implants they have—they may dislike the shape or size. Technology has advanced greatly and there are many types of implants which may not have been available to choose from when they had their initial surgery. Some decide they don’t like the fill of their implant.

For example, they may see rippling with a saline implant and desire a silicone implant instead. Their bodies may have changed since having the initial surgery—weight fluctuations, pregnancies and time can cause implants to shift. Additionally “migration,” “bottoming out” or “malpositioning” of implants can occur after surgery. Some women develop a “capsular contracture” following implant placement. This is when your body develops hard, internal scarring around the implant causing the area to feel firm. Rarely, an implant can rupture and have to be changed.

Bryn Mawr breast revision model in the ocean

What is a SIEF procedure?

Some women decide years after having an augmentation procedure that they simply do not want implants anymore. In these cases, our surgeons can safely remove the implants and use a lift alone or in combination with the patient’s own fat to restore the shape of the breast. SIEF stands for simultaneous implant exchange and fat transfer. This provides women a way to regain a natural breast appearance, even after removing their implants. As always, our surgeons use their advanced technique to close the incision site with finesse, minimizing scarring.

What is entailed in a breast revision surgery?

With careful examination and precise measurements, Philadelphia breast revision surgeons, Dr. Ran Stark and Dr. Carey Campbell are able to overcome the challenge of never having seen the patient’s breasts in their original form. Vectra H2 3D imaging helps to assist you in choosing the type of breast revision that will align with your goals. Often our surgeons can use already existing incision sites to minimize scarring. However, depending on how your prior surgery was performed and the complexity of the revision, new incisions must be made. First, the patient’s implants are carefully removed.

Then the capsule may be removed if necessary or the pocket repaired with internal sutures. A new implant may then be placed into the existing pocket or, depending on the problem, a new pocket is created relocating the implant from above the muscle to below, or vice versa. Additionally mesh may be used in some cases to help support the tissue, acting as an internal bra. All of these options will be discussed and decided during your Breast Revision consultation depending on your anatomy and aesthetic goals.

Breast revision Recovery

This depends on what is required in the surgery. However, in general, breast revision recovery is the same as or even easier than your initial surgery. Our surgeons will provide you with specific instructions regarding medications and activity level following the surgery. Many times, a rapid breast revision recovery can be expected and, as long as you are not straining or lifting at work, you may be able to return several days after the procedure.

Breast Revision Results

Breast revision results depend on what is being corrected. A straightforward implant exchange for size may recover and settle differently than a revision involving capsular contracture, pocket repair, implant removal, a lift, or mesh support. The breast usually goes through a period of swelling, tightness, and shape change before the final result starts to declare itself.

Most patients notice the first improvement in clothing and proportion. The breast sits differently in a bra. The chest feels lighter or more balanced. Rippling, firmness, or malposition may be reduced. If the revision includes a lift or pocket repair, the breast shape may look more controlled and less tired. If implants are removed entirely, the result depends heavily on the quality of the remaining tissue and whether a lift or fat transfer is part of the plan.

Revision patients should expect a settling period. A breast that looks high, swollen, or slightly uneven early on may look very different once the tissues relax. Final results are shaped by scar tissue, skin quality, implant choice, pocket work, and how much support the breast has to begin with. That is why the first few weeks are not the time to judge the outcome.

Dr. Ran Stark Philadelphia Plastic Surgeon

Your patient experience

Whatever the reason for your breast revision Philadelphia plastic surgeons, Dr. Ran Stark and Dr. Carey Campbell can help. Firstly, they will ensure you feel comfortable the minute you walk into StarkMD Plastic Surgery and Aesthetic Center. Their friendly staff, comfortable exam rooms and warm bedside manner will immediately put you at ease.

We understand surgery can be emotionally difficult and ultimately the key to a successful surgery is alignment of your goals with those of your doctor. The consultations at StarkMD Plastic & Aesthetic Surgery allow the time and comfort each woman deserves to discuss her desired outcome. As with any surgery, health is of the utmost importance and our surgeons will ensure you are taking any necessary supplementation and stop any medications that may interfere with surgery. In addition, our Philadelphia plastic surgeons’ considerable skill and finesse come through to minimize scarring with every closing suture.

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International Society of Aesthetic Plastic Surgery

Northeastern Society of Plastic Surgeons

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If you're interested in finding out more about breast revision Bryn Mawr breast experts, Dr. Ran Stark and Dr. Carey Campbell, can answer any questions you have and address any concerns during a consultation. Call the offices of StarkMD Plastic Surgery and Aesthetic Center to schedule today!

CONSULT

Breast Revision FAQs

Why would someone need breast revision surgery?

Breast revision is usually done to correct a problem from a previous augmentation or to update a result that no longer feels right. Common reasons include capsular contracture, implant rupture, bottoming out, rippling, asymmetry, implant malposition, or a breast shape that changed after pregnancy, weight fluctuation, or time.

Can breast revision make my implants smaller?

Yes. Many women choose breast revision because they want less volume, less projection, or a breast shape that feels more in proportion now. In some cases, that means exchanging to smaller implants. In others, it means implant removal with a lift so the breast still has a good shape afterward.

Will I need a lift with breast revision?

Sometimes. If the skin has stretched, the nipple sits lower, or the breast has lost support over time, a lift may be the part of the surgery that makes the final shape look right. Removing or downsizing implants without addressing loose skin can leave the breast flatter or lower than the patient expects.

How is breast revision different from primary breast augmentation?

Breast revision is more complex because the anatomy has already been altered by prior surgery. The surgeon may be working around scar tissue, existing implant pockets, stretched skin, capsule problems, or changes caused by pregnancy and weight fluctuation. The operation is built around what needs to be corrected now, not around a first-time augmentation plan.

Philadelphia’s Beauty Standard — StarkMD

Philadelphia plastic surgeons Dr. Ran Stark and Dr. Carey Campbell bring decades of experience and training to each consultation. When you meet with our surgeons, they take the time to give you information and options, so you can have confidence in your decision to move forward with the best procedure for you. Confidence. Personalized care. Impeccable results. That’s the Stark Difference. Discover that difference yourself by scheduling a consultation today.

135 South Bryn Mawr Ave, Suite 220, Bryn Mawr, PA 19010

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Breast Revision

Breast Revision

REVISION

Breast Revision Before & Afters

What Is Breast Revision?

Benefits of Breast Revision

Who Is a Good Candidate for Breast Revision?

Reasons for breast revision surgery

What is a SIEF procedure?

What is entailed in a breast revision surgery?

Breast revision Recovery

Breast Revision Results

Your patient experience

STARK

Schedule a consultation

CONSULT

Breast Revision FAQs

Why would someone need breast revision surgery?

Can breast revision make my implants smaller?

Will I need a lift with breast revision?

How is breast revision different from primary breast augmentation?

Philadelphia’s Beauty Standard — StarkMD

Benefits
of Breast Revision