Even after proper planning and execution of breast surgery, limitations based on healing, the patient’s pre-operative anatomy, or placement changes can lead patients to consider breast revision surgery. These changes can be implant-related or from natural changes in the breast tissue from pregnancy and breastfeeding. The most common reasons for seeking revisionary breast surgery are implant deflation, a desire to change implant (size or type or position), or capsular contracture. Dr. Charles Hsu, a Beverly Hills plastic surgeon, has performed many successful breast revision surgeries that have improved his patients’ satisfaction with their breast surgery.
Common concerns that patients seeking breast revision surgery have are:
- Differences in nipple position between the two sides
- Wanting their implant size either bigger or smaller
- Switching their implants from saline to silicone
- Implants that have dropped or risen over time
- Concerns about capsular contracture
- Unhappy with another facility’s breast augmentation results
"I had seen Dr. Hsu a few years ago, when he was relatively new in Beverly Hills. Even though I had a Groupon cupon he took excellent care of me. I returned today after a few years of hiatus, and was a little woried, that now, that he is more established he probably won't be as engaging as he was before. I was TOTALLY wrong. His demeanor, bedisde manner are the same as they were before; he is very friendly, patiently answers all your questions, explains all the pros and cons of various options, and spends all the time you need with you.Fabulous professional."- J.M. / Yelp / Apr 05, 2017
"I had work done on my eyes by Dr. Hsu, he did a wonderful job I am very pleased with his work. I advise anyone who would like to get cosmetic surgery go to Dr. Hsu you will be very pleased. Thank you, Wanda Williams"- W.W. / Yelp / May 06, 2015
"I came here for Microneedling with PRP. The procedure was done by Mimi who is amazing at what she does. She's super friendly, helpful, and knowledgeable about the procedure. She was patient with me and took the time to explain the whole process and answered all of my questions. She made me feel comfortable and less anxious about having multiple needles digging into my face. The office itself is nice and clean. The receptionist was friendly and helpful.I have noticed a definite improvement in my face. My pores look tighter and my skin looks brighter. I can't wait to come back to have another one done by Mimi!"- C.S. / Yelp / Mar 31, 2017
"I highly recommend Nurse Practitioner Mimi. I had initially picked this office from the reviews that recommended her for the PRP with micro needling and I was so pleased with the experience and the results that I decided to return today for botox injections. Mimi is extremely gentle and knowledgeable. She took the time to evaluate my needs and explained how she could help me meet my aesthetic goals without trying to "sell" me on unneeded treatments. Mimi is fantastic!!! Additionally, the office is beautiful and has a modern yet warm and serene environment with an extremely professional and kind receptionist."- J.M. / Yelp / Mar 03, 2017
"Nurse practitioner Mimi was very professional,friendly and knowledgeable. She made me feel very comfortable and answered all my questions. Love the results of my PRP micro-needling procedure."- V.P. / Yelp / Jan 19, 2017
During the consultation, Dr. Hsu will talk to the patient about their current concerns about their breasts and what they are expecting after breast revision surgery. Each patient is given a thorough physical examination. This includes taking current breast measurements, as well as discussing the patient’s full medical history. This is so Dr. Hsu can determine the best treatment plan for the patient.
Breast revision surgery varies depending on each patient’s problem. The majority of revisions revolve around symmetry. In general, the most common reason for breast revision is when patients would like to improve their symmetry in terms of the position of the implant or the position of the nipples. Dr. Hsu will make a small revision to the pocket where the implants were placed and improve the symmetry of the implant position. Dr. Hsu uses a special technique to close the incisions with dissolvable stitches that will leave a minimal, barely visible scar.
Recovery & Post-Op@headingTag>
After the surgery, Dr. Hsu will wrap dressings around the breasts for support during the first week. Patients will also be given a surgical bra to wear for about a week to aid the healing process. Patients are advised to walk as soon after surgery as they feel comfortable and continue to walk while recovering to help healing and prevent clots. It is important to keep the breast area dry until the patient gets approval from Dr. Hsu. Patients will see the most swelling and bruising within 48 hours after the surgery, but it should resolve itself by the second week. Patients will be given pain medication to take, which will mean they cannot drive. Most patients return to work 1-2 weeks after the surgery and more strenuous activity can be resumed after 4-6 weeks. Patients must schedule their follow-up appointment before they are dismissed.
From Dr. Hsu@headingTag>
“Breast revision surgery is a highly individualized procedure, and it depends very much on exactly what needs to be revised. Often, there may be a variety of reasons why a revisional procedure needs to be performed. In my experience, the most common reasons patients come see me for revisional surgery is for breast asymmetry after they have healed from prior surgery.
Revisional surgery is challenging and requires experience with these types of procedures. I’ve found that my experience taking care of challenging breast reconstruction cases comes in very handy in making decisions on how to best revise the results from a prior operation. This is particularly true when the original operation was performed elsewhere, and the patient does not have all the information available about their prior operation. Small differences in choice of procedure and technique utilized can make a significant difference in aesthetic outcome.
The good news is that in many cases, prior breast surgery can be revised and changes can be made to improve the outcome. The cases are very individualized and the surgical plan needs to be carefully tailored on a patient-by-patient basis.”
Plan Your Procedure
- Average Cost
- $8,500 - $8,500
- Recovery Time
- 6 Weeks
- Average Procedure Time
- 1.5-2 Hours
- Post-op Follow-up
- 6-12 Months
- Procedure Recovery Location
Breast Revision FAQs@headingTag>
Most patients come to Dr. Hsu for breast revision surgery after their initial breast surgery created asymmetrical or lop-sided breasts. This is very common because it can be difficult for the surgeon to account for differences inside the body when choosing and placing implants.
Dr. Hsu may also perform a capsulectomy procedure during breast revision surgery to remove any thickened capsule (scar tissue) that is surrounding the implant. This may be what is responsible for the implant malposition.
Saline to Silicone?@headingTag>
Due to the advancement in the quality and safety of silicone implants in recent years, many patients decide to have their saline implants removed and replaced with silicone. Many patients find that they are happier with the natural shape and appearance of silicone implants.