Breast Implant Revision
On occasion, surgery must be performed to revise the results of previously performed surgery on the breasts. Fortunately, this is not common. Dr. Burden and Dr. Ennis frequently evaluate patients who are sent from other physicians to evaluate their results following breast augmentation, breast reconstruction, and breast reduction. Each problem is specific to the primary procedure performed.
Dr. William Burden and Dr. Scott Ennis of Destin Plastic Surgery are committed to helping you with the important decisions you face when a revision is needed. Women visit them from neighboring states and international locations, as well as surrounding cities like Pensacola, Panama City, and Destin, Florida for breast implants revision surgery. To find out more, request a consultationrequest a consultation online or call our office at (850) 654-1194 to schedule your appointment.
Dr. Ennis has given many talks to international groups of surgeons on complex revision breast implant surgery and is known as an expert in the field of revision augmentation surgeries. Dr. Ennis has been able to successfully perform corrective surgeries for patients who have been through multiple previous revision surgeries by other surgeons and frequently has patients travel great distances to have their previous breast surgery corrected by him.
Reasons for Revision Surgery
The 2 most common problems following breast augmentation and reconstruction with an implant are:
- Capsular contracture
- Undesirably palpable implant ("rippling")
The doctors at Destin Plastic Surgery perform submuscular breast augmentation near Pensacola, Mobile and Montgomery, which has 2 major advantages over subglandular placement of the implant:
- Decreased rate of capsular contracture
- More tissue to cover the implant to prevent the implant from being easily seen or felt
Dr. William Burden
An internationally renowned plastic surgeon who draws patients from near and far.
Dr. L. Scott Ennis
World renowned plastic surgeon recognized by the International Society of Aesthetic Plastic Surgeons (ISAPS)
Dr. Ennis is an internationally recognized and renowned plastic surgeon specializing in breast surgery and complex breast revision who is devoted to achieving the optimal outcome for every patient. Dr. Ennis has been recognized by the International Society of Aesthetic Plastic Surgery with membership in the society. An exclusive recognition requiring at least 2 other internationally recognized surgeons to nominate him for membership, ISAPS membership is drawn from some of the world most elite surgeons in 73 countries on every continent.
Capsular contracture is the term used to describe the formation of scar tissue around the implant which, when thickened, can make the implant feel hard and round. Although the implant itself remains soft, the scar tissue "squeezes" the implant, which makes the implant itself feel hard. In the submuscular position, the rate of capsular contracture is decreased in general from 15% to 3%. That's a significant difference.
This patient had previously undergone a breast augmentation by an outside surgeon and developed a right breast capsular contracture (top row). She subsequently underwent a right breast capsulectomy at Destin Plastic Surgery to correct the contracture (bottom row).
"Rippling" occurs when the implant shell is easily felt beneath the skin. With subglandular augmentation, studies have shown that the chance of rippling is 3 times greater than with the submuscular, or under the muscle, position.
Additionally, a patient with very little breast tissue will benefit from changing breast implant type to a silicone implant instead of a saline implant as illustrated below.
This patient had very little breast tissue and underwent a submuscular breast augmentation with saline implants by an outside surgeon. The patient was unhappy with the rippling that occurred when she leaned forward. She subsequently underwent an implant exchange from saline to silicone by Dr. Ennis at Destin Plastic Surgery and as you can see in the right hand picture, the rippling was significantly improved.
This patient underwent a subglandular (above the muscle) augmentation and several subsequent revisions by an outside surgeon prior to presenting to Destin Plastic Surgery. At our office, she underwent an endoscopic implant exchange from over the muscle to under the muscle by Dr. Ennis. Note the tremendous improvement in the shape and contour of her breast in the bottom row of photo.
This patient also underwent a subglandular (above the muscle) augmentation and subsequent revisions by an outside surgeon prior to presenting to Destin Plastic Surgery. Here, she underwent an implant exchange from over the muscle to under the muscle by Dr. Ennis. Note the tremendous improvement in the shape and contour of her breast in the bottom row of photos after the revision.
Bottoming Out or "Double Bubble"
Bottoming out is the term used to describe an implant that drops too low (also known as implant malposition or a "double bubble"). Many patients who have experienced this problem complain that their nipple is too high and will show out of the tops of bathing suits. This happens because the distance between the nipple and the bottom of the breast is too long. This may be corrected with a small incision underneath the breast and sutures placed along the bottom of the breast to tighten the fold and reposition the implant into the proper position to re-center the nipple over the implant. This will significantly improve the appearance of the breast and clothes as well as bathing suits will fit much better.
This patient underwent bilateral capsulorraphies to correct the bottoming out by raising the implants by Dr. Ennis, which significantly improved the appearance of the breasts.
This patient underwent a left breast capsulorrhaphy by Dr. Ennis to correct the bottoming out by raising the implant significantly improving the appearance of the breast.
A double bubble occurs when an implant drops too low or when the implant drops down behind the natural fold of the breast rather than forward into the breast. This creates 2 folds with an unnatural appearance.
Depending on the patient's breast, it may be corrected by tightening and raising the fold or with a breast lift (mastopexy). Dr. Burden or Dr. Ennis can further discuss which option may be best for you during your consultation.
Dr. William R. Burden, MD, FACS and Dr. L. Scott Ennis, MD, FACS are known for their experience and dedication to staying in the forefront of leading technology in plastic surgery in Destin, Florida. They use breast implants for primary breast augmentation and also perform many breast surgery revision procedures. Drs. Burden and Ennis not only treat many patients from the Florida panhandle including Panama City, Pensacola, Fort Walton Beach, Tallahassee, Dothan, Atlanta, and Birmingham but also from around the world. Many people travel from Europe, South America and Asia to Destin to seek out their services.
This patient underwent an augmentation several years ago by an outside surgeon and subsequently developed a double bubble on the right side. She underwent an implant exchange from saline to silicone and a right breast capsulorrhaphy by Dr. Ennis at Destin Plastic Surgery to correct the double bubble.