Overview

Dr. Michael Decherd and Dr. Matthew Isakson are skilled to perform breast revision surgery for women who are not pleased with the results of a prior augmentation procedure. There are countless reasons why a woman may need or require a revision surgery. For some, the results may not be aesthetically pleasing, while for others, implant malfunction may be an issue. Some women will make the personal choice to have their implants removed, or may decide later to increase or decrease their size. We will consult with each patient to determine what the aesthetic goal of surgery is and will work to achieve the results the patient desires.

Reasons for Revision Surgery

There are various circumstances as to why a woman may decide to undergo breast revision surgery. The most common reasons are listed below.

If a saline implant ruptures, the implant device will deflate due to the leakage of saline. This will result in an obvious deflating of the breasts. Silicone implants will not deflate visibly, however a break in the shell may still occur. The only true way to detect a shell break is through an MRI, which is why routine check-ups are recommended throughout the years.

Breast rippling and/or wrinkling can occur along the side of the breast, or underneath it. This occurs within saline implants resulting in an unnatural appearance under the skin. This is most common in women who are extremely thin.

“Double bubble” is a rare complication with women who have breast implants. This occurs when the implant drops down behind the natural breast crease, or it has risen and now over-drapes (double folds) the breast. When this occurs, an unnatural indention will result in a “double” breast appearance. This is usually caused by improper breast placement from the original surgery, or severe capsular contracture, which shifts the implant from its position.

Some women may decide later in life they no longer wish to have breast implants in place. Breast implant removal is a procedure that removes the implants and tightens the skin around the breasts to create a natural look.

Some women will be unhappy with their breast size following breast augmentation surgery. They may desire a secondary surgery to replace the implant with one of a different size, texture or shape. Some women may want to go from saline to silicone, or vice versa to achieve the results they desire.

Scar tissue that has formed around the implant may create a capsular contracture. When this occurs, excessive tightening of the capsule will result in a hard feel of the breast. Sometimes, in order to correct this, a capsulectomy must occur. This is the removal of scar tissue from around the implant. In general, silicone implants have a higher incidence of capsular contracture (approximately 10-15% chances) than saline implants (5% chance).

This can occur post-surgery when an implant shifts or moves from its original location. This can also occur with aging, gravity, trauma to the chest area, or with excessive scarring.

Some women are not good candidates for breast augmentation surgery. Instead, they should first have a breast lift. Women who have sagging breasts and undergo breast augmentation surgery alone will not have strong results. The breast will continue to sag further due to the increase weight of the implant.

Surgical Technique

Patients who wish to have their implants replaced will undergo a procedure where an exchange of one or both implants may occur. These revision surgeries are generally straightforward. If scar tissue does exist around the implant, an additional step will be taken to remove this. Some patients may require a breast lift during the revision surgery. In addition, a tissue matrix device known as a strattice may be used if added support is needed. The goal of the revision process is to resolve or overcome issues in a way that satisfies the patient’s aesthetic goals.

Before & Afters

Be inspired by the remarkable transformations in our before and after gallery, where artistry and surgical experience converge. Each result is a testament to our commitment to natural-looking enhancements and personalized care. Your transformation awaits – schedule your consultation today.

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DURING/AFTER SURGERY

Breast revision surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. The ease of recovery will depend on exactly what was being done during the revision process. Most women are able to resume their normal work activities after a full week of rest. Exercise will be a gradual process. It may take up to a full year for the scars to begin to fade and for the newly revised breast or chest area to look and feel natural.

Board Certified, MD

Dr. Decherd

Dr. Decherd is a fourth-generation doctor who chose plastic surgery because he enjoys helping people look and feel their best.

Meet Dr. Decherd

04 – Meet The Doctors

Michael E. Decherd, MD, and Matthew H. Isakson, MD, our board-certified plastic surgeons at San Antonio Plastic Surgery Institute, prioritize your comfort and safety throughout your surgical journey. Their extensive training and experience promote personalized attention and the highest standard of care possible.

Board Certified, MD

Dr. Isakson

Dr. Isakson is a board-certified plastic surgeon with specialized fellowship training and extensive experience in aesthetic surgery.

Meet Dr. Isakson

Plan Your Procedure

Recovery Time: 4-6 Weeks

Average Procedure Time: 1-2 Hours

Post-op Follow-up: 5-9 Days

Procedure Recovery Location: Outpatient

Related Procedures

Breast Augmentation

Breast Augmentation With Lift

Breast Lift

Breast Revision Surgery San Antonio, TX

Overview

Reasons for Revision Surgery

Surgical Technique

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