At my practice in Santa Monica, I perform a wide range of procedures that are designed to repair problems caused by previous breast surgeries performed elsewhere. Some of the women I see for breast revision, who visit from Los Angeles and throughout Southern California, are unsatisfied with the results achieved by another surgeon; some want to exchange their implants for a different size or type; and some have scars or other complications that need to be addressed.
This patient is a 58 year old female who presented to my office with widely spaced, unnatural appearing breasts. She also had hardening of the breasts consistent with capsular contractures. I felt this patient would need a complex breast revision with complete capsulectomies...
After multiple pregnancies and previous breast surgery by another surgeon, this 37-year-old woman came to my office for corrective surgery. I recommended a Mommy Makeover procedure that included complex breast revision surgery and a tummy tuck with power-assisted liposuction of the flan...
This patient, age 44, returned to my practice for a tummy tuck after her positive experience with corrective breast surgery. For this procedure, I performed a full tummy tuck that included tightening of the abdominal muscles. I enjoy renewing my patients' bodies after pregnancy with...
This patient is a 40 year old female who presented to my plastic surgery practice with interest in revision breast augmentation surgery. The patient was noted to have a severe right breast deformity as well as medial malposition, asymmetry, and drooping of the left breast.This patient had underg...
This patient is a 24 year old female who presented to my practice with complaints of breasts that were unnatural in appearance. The patient had undergone prior breast augmentation with saline implants by another surgeon and wished to have a revision of her breasts to give her a perkier, rounder,...
Not every problem with breast augmentation is from “botched” surgery. Breasts are a high maintenance area of the body that can be affected significantly by gravity, pregnancies, skin elasticity loss and weight change. Also, biological processes like capsular contracture (scar tissue hardening) can occur. To minimize the chances of problems in the first place, it is important for a patient to go to a highly skilled and experienced surgeon that can offer them the latest in techniques and technologies (such as the use of form-stable 5th generation textured implants and various tissue reinforcement materials). Once aesthetic breast problems occur, the surgeon’s experience is even more important, as these cases can be extremely technically challenging, and they become more difficult with each subsequent surgery.
Every woman has unique goals for her breast augmentation surgery, but they all expect to be happy with their results. Unfortunately, some women come to me after getting unsatisfactory results from a procedure with another surgeon. Common problems include:
I work with each woman to develop a surgical plan that addresses her specific problems and concerns. I spend a great deal of time with each patient discussing her goals, her unique physical characteristics, and the challenges that her surgery might pose.
After many years in private practice focusing on aesthetic breast surgery, I have seen almost every possible problem and combination of issues in my operating room. As a result, I have the experience and preparation to handle virtually any aesthetic breast problem, as evidenced in my photo gallery.
Many of the women who consult with me for breast augmentation revision have had multiple previous breast surgeries. There are often issues with stretched or thinned 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, and I 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 primary (first time) breast augmentation surgery.
I find corrective breast surgery to be very gratifying, although technically challenging. I really enjoy helping women – many of whom have experienced a great deal of disappointment – to have the beautiful results that they sought from their original breast surgeries. For many of them, the outcome after my revision surgery can be life changing when deformed breasts are transformed into aesthetic appearing breasts again.
Revision breast surgeries are an opportunity for me to utilize the full range of surgical skills I first gained during my training with some of the world's premier breast surgeons, and later refined and mastered after many years of intense focus in my private practice. I now teach these techniques to other surgeons at national and international plastic surgery meetings.
Revision surgery requires many techniques as well as the latest technology and innovations. Revision techniques I frequently use include:
Because of the many different issues that can occur with breasts, each case is a unique problem to be solved, and many of the above-mentioned techniques can be combined in order to achieve the best possible result.
I 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 well over time. These issues may require the use of a soft tissue support matrix - such as Strattice™ or Seri® - which provides additional coverage and reinforcement.
Women often want to change the size or type of their breast implants, most commonly exchanging saline-filled implants for the latest cohesive silicone gel implants. I may also make changes to the areolas, revise scars, and utilize a variety of maneuvers to achieve an aesthetic outcome.
Recovery depends on the extent of correction involved, but in general it is comparable to recuperation from breast augmentation. I always provide detailed recovery information and post-surgical care instructions at your pre-op appointment.