Unfortunately, there are a variety of reasons breast revision surgery can become necessary after an initial breast enhancement surgery. Dr. Ching can correct even the most complicated problems and give you the beautiful, natural-looking breasts you were hoping for the first time!
If you’re considering a breast revision surgery, the first step is to request a consultation or call our office. In your initial appointment, Dr. Ching can evaluate your breasts and work with you to develop a plan for surgery.
Dr. Ching discusses why it's crucial for patients to have the freedom to choose their ideal breast size. He explains the process and tools used to help patients make the best decision for their bodies.
Keep in mind that each patient is unique and your results may vary.
Breast implant revision for capsular contracture. Complete capsulectomy (scar tissue removal), replacement of implants with Natrelle 410 375cc MF implants, insertion of Strattice for prevention of recurrent capsular contracture.
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This patient came to see Dr. Shim Ching in Honolulu, Hawaii for a breast augmentation revision. He replaced her implants by using his no scar breast augmentation technique, by making the incision in the armpit.
View Photo Gallery Schedule a consultationCommon reasons for breast implant revision include:
If you have experienced any of these issues following your original breast surgery, it’s critical to choose an experienced specialist for your revision procedure.
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View Financing OptionsFor breast revision surgery at Asia Pacific Plastic Surgery, we use new materials such as the highly purified silk SERI™ Surgical Scaffold, along with porcine and human dermal tissues Strattice and AlloDerm. These products are revolutionary new materials that help provide support and eliminate undesirable outcomes, such as implant malposition and capsular contracture. Fat grafting is another important procedure that can improve the appearance of the breasts. These techniques enhance your breasts after prior surgery and help you achieve an improved natural shape, softness, and appearance.
SERI Surgical Scaffold is a new bio-absorbable, highly-purified, woven silk mesh that may be used during breast revision to support breast tissue. It is most useful in cases of implant bottoming out or symmastia. Learn more about this new technology that is transforming breast revision surgery.
Strattice and its human tissue-based counterpart, AlloDerm, are tissue substitutes that may be used in breast augmentation, breast revision, and breast reconstruction. Both are designed to help control the breast pocket location and size, support and hold the implant in place, reinforce malposition repairs, and offer an additional layer of tissue that may help mask implant visibility, wrinkling, and rippling. There is also increasing evidence that these techniques correct and reduce the chance of developing capsular contracture, which is the leading complication in all breast implant surgeries. Using this material and these techniques for breast revision, Dr. Ching has had great success in fixing recurrent capsular contracture that was not treatable by other methods.
Breast implants can permanently increase the size of your breasts and bring your body into better proportion. Strattice enhances the outcome of breast implants following breast surgery, decreasing the chance of further complications and future need for additional breast revision.
The result for many women at our Honolulu practice is enhanced self-confidence and a more positive body image with longer-lasting results.
Watch this video to learn the crucial questions you should ask your surgeon to ensure you get the best results.
Patients will often see us because their breasts are not symmetrical after breast enhancement surgery. There are several ways to achieve as much symmetry as possible, including:
Bottoming out involves inferior (i.e., downward) migration of the implants. This causes the nipple-areola complex to appear too high on the breasts. Also, the distance from the areola to the inframammary fold is too great. It is the loss of internal implant support that can cause a slow downward migration of the implant. This is because support of the implant by the skin alone is not always enough to prevent downward migration of the implant. Also, over-dissection of implant pockets at the time of surgery may cause immediate bottoming out. This is corrected by “raising” the inframammary fold using internal sutures and supporting materials such as Strattice or SERI.
After breast augmentation surgery, excessive scar tissue may form around the breast implant, which causes the breast implant to harden (similar to what a contracted muscle feels like). There are different grades of capsular contracture, ranging from mild to severe. Correction of capsular contracture can be handled surgically by the removal of the capsule (capsulectomy) and placement of Strattice, which dramatically lessens the risk of the contracture returning.
The capsulorrhaphy procedure, also known as pocket correction or use of internal sutures, involves closing a portion of the breast pocket to correct displacement of the implant. This can also be necessary when breast implants fall toward the axilla (armpits); the pocket needs to be internally sutured to keep the breast implant in the correct position on the chest wall. Supporting materials such as SERI or Strattice are usually used for additional support.
Symmastia — commonly referred to as bread-loafing or uni-boob — occurs when two implants touch one another in the center of the chest. If the breast implant pocket is over-dissected in the middle, the implants may migrate toward the middle of the chest, causing symmastia. Correction of this complication involves suturing the medial part of the pocket closed, placing support materials such as SERI, and decreasing the size or diameter of the implants.
Some patients choose to change their breast size after undergoing breast augmentation surgery. The most common thing that patients say after breast augmentation surgery is that they wish that they had gone bigger. After a year or so, they may decide to remove their current implants and replace them with larger breast implants.
Other patients may have gone larger when they were younger and are now ready to have a more natural look, so they decide to remove their larger implants and replace them with smaller implants.
Patients frequently decide to change the type of their implants as well. The most common change is from saline to silicone. These patients choose to go from saline to silicone because they have rippling, they want more of a natural feel, or just personal preference.
Dr. Shim Ching's exceptional qualifications and results draw patients to his Honolulu plastic surgery practice from across the Hawaiian Islands including Maui, Kauai, and the Big Island. Select a location for driving directions to our practice.
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