Breast Revision - Dr. Danielle DeLuca-Pytell M.D. » Dr. Danielle DeLuca-Pytell M.D.

Breast Revision

“If pregnancy, weight change, or time has caused a change with your breast implants, a revision may be the next step.”

Common name – Breast Revision. Technical name/also known as – Augmentation/Capsulectomy/Capsulotomy/Capsulorrhapy.

Benefits of a Breast Revision

Breast implants are not expected to last a lifetime, and over time, the implants may shift, tighten, or rupture. Similarly, the breast tissue itself can change with time, pregnancy, and age. Revision surgery may be able to restore a more balanced appearance and improved feel and position of the breasts.

How it is done:

This surgery is as individual as the women who come to talk about it. For capsular contracture, removal of scar tissue around the implant is a solution, commonly performed with placement of a new implant. For women dissatisfied with shape or size of the breast, a different sized implant may be chosen or surgery on the breast to reposition the nipple or remove skin may be suggested. For a ruptured implant, replacement or removal with lift may be discussed. For an implant which is out of positon, several techniques are available to reposition the implant in the proper place. Contour irregularities may be improved by fat transplantation from another part of the body to the breast. You will find which is right for you at your consultation.

Upside

Usually women who seek revision surgery are unhappy with some component of their breast and or/implant. This is an opportunity to make that better.

Downside

For surgery done to treat capsular contracture, recurrence is a possibility.   Additional permanent scars may be required for women wishing to downsize or remove their implant completely. For an implant which is out of position (for example, a double bubble) additional implanted materials may be recommended. Sensation to the nipple can change. A drain may or may not be used.

Who pays for this

This is a cosmetic procedure, paid for by the patient. However, in some cases of symptomatic contracture, insurance may pay for a portion of the operation. This varies by insurance plans.

My Post-Operative Bra Suggestions

Please click this link for suggested bras to be worn after surgery.

What to expect

Length of operation

3-5 hours (depending on the extent of procedure).

Anesthesia used

General anesthesia, you will be asleep and monitored the entire time.

In or out patient

Outpatient surgery, you will go home the same day.

Time until final appearance

6 months to one year.

Length of results

Should be long lasting, implant maintenance will continue to be needed. Pregnancy or other hormonal changes can also increase breast size. Changes with age are expected.

Side effects

Implants may temporarily “ride high” on the chest. The change in shape of the breast may come with a trade off for permanent scars. These are located around the areola (the colored skin around the nipple), vertically from the areola down to the fold, and may also include a scar in the fold itself. If acellular dermal matrix is needed, a drain may be placed temporarily. Nipple sensation may change or be absent after surgery. Women who want to breastfeed after this operation may be unsuccessful.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise. Risks include pain, infection, bleeding, damage to skin, nerves, blood vessels, dissatisfaction with the appearance of the breasts, breast asymmetry, unsightly scars, blood clots in the legs and/or lungs, wound healing delays, loss of sensation of the nipples, death of nipples, and death of skin. A complete list of risks will be discussed with you before surgery.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  Please click this link to better understand why:

Smoking and Plastic Surgery

“These are some of my happiest patients. Some women live a long time with breast implant problems because they do not know these problems can be fixed.”

– Dr. Danielle DeLuca-Pytell

Your Next Step

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number

Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to noon.

248-273-7700

Our email address

You can also email us anytime with questions.

[email protected]

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Testimonials for Dr. Danielle DeLuca-Pytell

 

See what Dr. DeLuca-Pytell’s patients have to say about their surgical experience.

Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

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Before and After Gallery

When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

Breast Augmentation18

Side effects

Implants may temporarily “ride high” on the chest. The change in shape of the breast may come with a trade off for permanent scars. These are located around the areola (the colored skin around the nipple), vertically from the areola down to the fold, and may also include a scar in the fold itself. If acellular dermal matrix is needed, a drain may be placed temporarily. Nipple sensation may change or be absent after surgery. Women who want to breastfeed after this operation may be unsuccessful.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise. Risks include pain, infection, bleeding, damage to skin, nerves, blood vessels, dissatisfaction with the appearance of the breasts, breast asymmetry, unsightly scars, blood clots in the legs and/or lungs, wound healing delays, loss of sensation of the nipples, death of nipples, and death of skin. A complete list of risks will be discussed with you before surgery.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  Please click here for a better understanding of why:  Smoking and Plastic Surgery

 

Recovery time

If healing proceeds as expected:

Rest at home (princess treatment) 2 weeks (no housework or exercise) or until drains are removed. Outsource housework and child care while you rest. Walk around the house, but do not work out.

Return to gentle exercise and household chores at two weeks or once drains are removed (whichever is last), but no heavy lifting or bouncing for six weeks.

Return to full activity 6 weeks after surgery.

Returning to Work

This depends on the type of work that you do.   Many women can return to sedentary work at two to three weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.

Time until final appearance

6 months to one year.

Length of results

Should be long lasting, implant maintenance will continue to be needed. Pregnancy or other hormonal changes can also increase breast size. Changes with age are expected.

 

Other information

It will take time for the breast size and shape to settle. I usually recommend waiting until at least 3 months after surgery to be sized and shop for new bras. A list of bras that can be worn after surgery are available here. The scars can stay red for up to a year after surgery then fade as time goes on. Scar care will be discussed.

Your appointment with Dr. DeLuca-Pytell

When you visit the office for your appointment, we will talk about the side effects and risks of this procedure. You will have the chance to ask any questions you might have.

Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

Contact us

Give us a call to schedule your appointment.

Our phone number

  • 248-273-7700