Revision Breast Surgery Techniques

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Women considering revision surgery may benefit from these other resources on our site.

To be successful, revisionary breast surgery requires meticulous attention to detail and complete customization to meet the precise needs of each patient. Just as there are a variety of reasons women decide to pursue corrective surgery, there are many different techniques that may be used to achieve an ideal outcome. Dr. Robert Cohen closely evaluates each of his Scottsdale breast augmentation revision patients to understand their motivations for revisionary surgery and their ultimate goals.

Request a cosmetic consultation with Dr. Cohen and find out how his surgical techniques have helped women like you achieve a more attractive breast appearance.

Dr. Robert Cohen: Board Certified by the American Board of Plastic Surgery

For your breast enhancement procedure, you deserve a specialist with years of experience and dedicated focus on his patients' results.

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Breast Revision Techniques from Dr. Cohen

Although I keep the patient's needs foremost in my mind during any surgery, revisionary breast surgery requires a particularly high level of sensitivity. The process of breast revision surgery at my Scottsdale practice has some crossover with the process of breast augmentation, however there are also many new factors to consider. For example, certain complications can alter the skin's quality, and the presence of scar tissue can add an additional layer of complexity. The chest muscle may also be damaged or out of properposition, and blood supply to the tissues may be compromised from prior surgery.

I use a wide array of techniques and materials to help my implant revision patients. In many cases, each breast will require a different combination of techniques in order to achieve the best outcome. Some of these include:

  • Changing implant placement from over the chest muscle to under the chest muscle: I take this approach when addressing complications such as visible rippling and wrinkling. Placing the implant below the muscle has also been shown to reduce the incidence of capsular contracture, a complication that occurs when the body creates excess scar tissue around the implant.
  • Reconstructing the breast pocket to better fit and support the implant: Over time, an implant may migrate from its original location, a complication known as "bottoming out" or malposition. Bottoming out can cause the breast to appear disproportionate, with too much volume below the nipple. Lateral migration can make the implant appear displaced toward the armpit, which medial migration can cause symmastia or "uni-breast" as some patients call it. By reconstructing the breast pocket, I can restore the implant to its original placement and reduce the risk of future migration.
  • Changing the size or type of implant: When placed by a skilled, experienced surgeon, today's implants carry fewer risks than older implants while looking and feeling very natural. Many women decide to "upgrade" their old implants to more current models, for instance, cohesive silicone gel implants. They may also decide to go up or down a size, change profiles, or switch to textured implants.
  • Revising unsightly scars: Occasionally, surgeon error, improper postoperative care, or the patient's own physiology can lead to the development of excessive or unsightly scars. Although all incisions create some degree of scarring, those that are raised, discolored, or large can be distressing. In many cases, surgical intervention can lessen their appearance and restore a patient's confidence.
  • Repositioning or reducing the areola: Large areolae, whether they're naturally large or have been stretched by pregnancy or weight gain, bother many women. Circumareolar mastopexy or other breast lift techniques resize the areola (the portion of colored skin around the nipple) and can reposition it to sit higher on the breast. The result is a more aesthetic and proportionate appearance.

Most revisionary breast surgery lasts between 2 and 5 hours, and the length of yours depends on the issues that you wish to correct. During your consultation, I'll walk you through your particular procedure to give you a good idea of what you can expect.

Better Outcomes with Strattice™

In instances where tissue needs to be reinforced, I may use Strattice Tissue Matrix, a unique medical product for soft tissue repair. Strattice can add an extra layer of tissue to provide better implant coverage, making the implant less visible and palpable. It can also be used to stabilize the implant pocket and prevent problems such as synmastia, lateral migration, and bottoming out. There is also significant data suggesting that use of Strattice decreases the recurrence of capsular contracture.

Learn more about what you can expect from your recovery and results following a revision procedure.

You can also request a consultation to hear more about this procedure from Dr. Cohen, a meticulous plastic surgeon whose personal approach and refined surgical skill attract patients from across the U.S. and abroad.

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