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Breast Revision in Beverly Hills

Beverly Hills plastic surgeon Dr. Robert Cohen performs a wide range of revision procedures designed to repair implant problems caused by previous breast augmentation surgeries. Some clients want to exchange their implants for a different size or type, and some have scars or other complications that they would like to be addressed. 

For many of Dr. Cohen’s patients, the outcome after his breast revisions in Beverly Hills are life-changing. When compromised breasts are transformed back into aesthetically pleasing breasts, it’s extremely satisfying for both doctor and patient. 

Dr. Cohen will be very happy to meet with you to discuss your options for achieving the most ideal breasts possible. Request a consultation online for your complex breast revision in Beverly Hills, or call to schedule an appointment.

What is breast revision?

Every woman has certain goals for her breast surgery, and each expects to be happy with her results. Unfortunately, things don’t always go as planned. Many clients have come to see Dr. Cohen for a complex breast revision in Beverly Hills after getting an unsatisfactory outcome with another surgeon. Common complaints include:

  • Visible wrinkling and rippling
  • An implant that has shifted into an unsightly position
  • Excess scarring/capsular contracture
  • Sagging, asymmetry, or other visible irregularities

Breast revision can correct these imperfections, restoring comfort and quality of life. Dr. Cohen works with each patient to develop a surgical plan that addresses her unique problems and concerns. He spends a great deal of time discussing her specific goals, her unique physical characteristics, and any challenges that the surgery might pose.

Note that not every problem with breast augmentation is from a “botched” surgery. Breasts are a high-maintenance area of the body that can be affected significantly by gravity, pregnancies, loss of skin elasticity, and weight change. Biological processes like capsular contracture (scar tissue hardening) can also occur. Breast revision can help improve your appearance as well as your peace of mind.

What is breast revision with fat grafting?

Many women are interested in the modern trend of “less is more” and trade in their implants for a breast revision with fat transfer using tissue from their own bodies. Fat grafting provides highly natural results in both look and feel. During the process, fat is harvested from an area of the body where it is plentiful, such as the hips, belly, or thighs. The fat is then sterilized and purified before being injected into the breasts to effect a subtle increase in size. 

Fat transfer augmentation has many advantages over traditional implant surgery. Firstly, the patient does not have to worry about complications down the road, such as capsular contracture, double bubble, or implant malposition. Secondly, the patient doesn’t have to concern themselves with replacing the implants down the line should they rupture or ripple. Lastly, fat transfer has the added benefit of slimming the donor area by removing unwanted fat. 

Fat grafting can also be used in tandem with implants to help achieve a more authentic appearance and camouflage the edges of the implants in women with thin skin and not enough breast tissue. Dr. Cohen will create a surgical plan for you utilizing fat grafting to achieve your best results and deliver an outcome that exceeds your expectations.

How is fat grafting performed?

During the procedure, fat is extracted from the donor areas using liposuction. A small incision is made through which the surgeon threads a cannula, or slender tube. The fat is then suctioned out and purified. There are different types of liposuction techniques, including laser lipo, ultrasound lipo, and tumescent lipo, that can be used to help speed up the process, reduce bruising, and minimize recovery time. Dr. Cohen will choose the best approach after performing a physical evaluation at your initial consultation. 

    After the fat is sterilized, it is then ready to be injected into the chest to create authentic-looking breast mounds. Dr. Cohen’s eye for artistry and precision ensures that your final result is balanced, symmetrical, and aesthetically pleasing.

    What are the benefits of fat transfer breast revision?

    • Safe augmentation approach with little risk of allergic reaction
    • Uses your body’s own fat for a natural look and feel
    • Long-lasting results
    • Minimally-invasive
    • Shorter downtime than with implants
    • Slims and sculpts the donor region
    • No scarring

    Who is a good candidate for a fat transfer procedure?

    • Healthy, both mentally and physically
    • No significant medical issues
    • Realistic, positive outlook towards treatment
    • Desires a subtle increase in the bust
    • Is in possession of adequate donor fat

    Why is it so important to choose a highly trained breast surgeon?

    To minimize the chance of problems occurring in the first place, it’s very important for an individual to go to a highly-skilled and experienced surgeon that can offer the latest in techniques and technologies (such as the use of form-stable, fifth-generation gel implants and various tissue reinforcement materials).

    Once aesthetic breast problems occur, the surgeon’s experience is even more important because these cases can be extremely technically challenging, and they become more difficult with each subsequent surgery.

    Alluring woman in black lingerie laying on a bed.

    What techniques does Dr. Cohen use during a breast revision procedure?

    Breast revision surgery requires many methods, as well as the latest technology and innovations. Revision techniques that Dr. Cohen frequently uses include:

    • Elective implant exchange from saline to silicone; in some cases, changing from smooth to textured implants or round to anatomical implants (or vice versa)
    • Internal pocket tightening
    • Scar capsule removal and/or release
    • Exchanging implants from over to under the chest muscles
    • Soft tissue reinforcement with support materials
    • Breast tissue removal
    • Breast lift surgery (mastopexy)
    • Fat grafting to correct any implant visibility
    • Explantation and complete capsulectomies with non-implant reconstruction

    Because of the many different issues that can occur with breasts, each case is a unique problem to be solved. Many of the above-mentioned techniques can be combined in order to achieve the best possible result for the patient. Dr. Cohen will often change the placement of the implants from over the chest muscle to under the chest muscle, which requires tailoring and restructuring the breast pocket for optimal implant support and fit.

    Other cases may involve thinned and stretched-out tissues, which are unlikely to support the implants properly over time. These issues may require the use of a soft tissue support matrix, such as Strattice or Galaform, which provide additional coverage and reinforcement.

    What are the overall benefits of breast revision?

    • Improved breast symmetry
    • Correction of complications such as capsular contracture
    • A more aesthetically pleasing chest appearance
    • Relief from discomfort
    • Enhanced peace of mind and self-image
    • A boost in self-confidence
    • Natural-looking outcome

    Who is a good candidate for breast revision?

    Anyone who is unhappy with how their implants look or feel will make a good candidate for a breast revision procedure, provided they are a healthy non-smoker with realistic expectations. One of the most common reasons that women pursue breast revision is that they wish to address complications. These might appear as capsular contracture, double bubble, uniboob, rippling, rupture, or implant malposition. 

    Some women simply wish to return to a more natural look and choose to undergo a fat transfer breast revision instead of having implants. Dr. Cohen will meet with you in private to discuss your options for revision and will help to create a personalized plan to resolve your concerns.

    Close up of a beautiful woman in a white bra and beige sweater.

    What can I expect from recovery?

    Recovery for breast revision in Beverly Hills depends on the extent of correction involved, but in general, it is comparable to recuperation from breast augmentation. Dr. Cohen always provides detailed recovery information and post-surgical care instructions at the pre-op appointment. Our staff is also here to answer any questions you may have.

    After breast revision, you may be asked to wear a compression garment to help reduce your postoperative swelling and preserve your new breast shape. You will receive prescriptions for pain medications as well as antibiotics to prevent infection. Most patients need to rest for 7-10 days and will need to avoid strenuous exercise for several weeks.

    How much does breast revision cost?

    Pricing for breast revision will vary from patient to patient, based on the method of revision chosen and on whether any additional treatments are performed at the same time, such as a breast lift or fat transfer. Costs are based on the surgeon’s fees, facility fees, anesthesia fees, postoperative garment fees, and others. 

    It’s important that you choose the best doctor for your procedure. Don’t let cost be the controlling factor when it comes to breast surgery. Many patients find out the hard way that you get what you pay for and end up having to pursue revision surgeries down the line to correct inferior work. Dr. Cohen is a highly experienced, seasoned plastic surgeon who has a reputation for safety and aesthetic excellence. 

    Why choose Dr. Cohen for breast revision in Beverly Hills?

    After many years in private practice focusing on aesthetic breast surgery, Dr. Cohen has seen nearly every possible problem and combination of issues in his operating room. As a result, he has the experience and preparation to handle virtually any aesthetic breast problem.

    Many of the women who see Dr. Cohen for breast augmentation revision in Beverly Hills have already had multiple breast surgeries. Their issues often include stretched or thinned-out skin, as well as internal and external scar tissue – none of which were present at the time of the original surgery.

    Prior surgeries also change the anatomy of the breasts and the chest wall. Dr. Cohen will have to fix this in order to achieve an optimal outcome.

    For these and many other reasons, corrective breast surgery is far more complex and time-consuming than first-time breast augmentation surgery and can require every tool available such as pocket adjustments, fat grafting, reinforcement materials, and breast lift techniques.

    FAQs

    What procedures can be combined with breast revision?

    Breast revision is often combined with mastopexy, or breast lift surgery. Mastopexy helps to address breast sagging and create a more youthful breast profile with elevated nipples. By combining breast revision and breast lift, you experience less scarring and less recovery time overall. Fat transfer can also be combined with breast revision. A fat transfer procedure can help to create a more natural look and feel for your breasts without adding to your downtime.

    What are the risks and complications?

    Dr. Cohen does everything possible to lower your risks during breast revision surgery, and thanks to his meticulous attention to detail and conservative techniques, most clients experience a seamless recovery. However, as with any surgery, there are inherent risks, which include anesthesia risks, temporary numbness, bleeding, infection, poor wound healing, scarring, and a poor cosmetic result.

    Can breast implant revision fix asymmetry between breasts?

    Dr. Cohen does everything possible to lower your risks during breast revision surgery, and thanks to his meticulous attention to detail and conservative techniques, most clients experience a seamless recovery. However, as with any surgery, there are inherent risks, which include anesthesia risks, temporary numbness, bleeding, infection, poor wound healing, scarring, and a poor cosmetic result.

    Will insurance cover my implant revision surgery?

    Unfortunately, most insurance companies consider breast augmentation and breast revision to be purely cosmetic endeavors. You can always check with your carrier, however. Our team is standing by to help make the financing portion of your surgery as stress-free as possible.

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