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Revision Breast Augmentation in Atlanta, GA

Breast enlargement is the most popular plastic surgery procedure among American women. Over time, though, some women become dissatisfied with the results of their breast augmentation. At Atlanta Aesthetics in Cumming and Atlanta, we offer breast implant revision surgery to replace your breast implants. Voted the 2015 Best Cosmetic Surgeon by Best of Forsyth Reader’s Choice Awards, Dr. Christopher Killingsworth, a double board-certified plastic surgeon, specializes in revision breast augmentation for women in Atlanta, Cumming, Forsyth County and surrounding areas in Georgia. Dr. Cristen Catignani also brings her expertise to the practice as an Atlanta plastic surgeon, specializing in breast surgery.

Surgery to Revise Breast Implants

Women choose breast surgery for many personal reasons, and when having a cosmetic procedure performed, no woman expects to be unsatisfied with the results. Feeling beautiful is very important, and at Atlanta Aesthetics, Dr. Killingsworth and Dr. Catignani offer breast revision surgery to help change whatever is required to correct the problems or concerns you have with your breasts. While, in most cases, breast augmentation surgery is carefully planned and accurately carried out, changes can occur over time that require surgical revision. The changes can be a result of problems with the actual implants themselves, or they can be natural changes to breast tissue after childbirth, fluctuations in weight, or the aging process.

Dr. Killingsworth and Dr. Catignani advise their patients that breast implants are not guaranteed for life, and secondary surgery may be needed at some point in a breast augmentation patient. Some women grow tired of the size of their implants. According to statistics from the FDA, switching to a larger size implant accounts for approximately 37% of all breast revision surgeries in the United States. Many women considering breast augmentation fear that their breasts will be too large so they opt for smaller implants and when the post-operative swelling subsides, they wish they had larger breasts. For some older patients, women who had implants placed when they were younger are now at a different place in their life, and they want the implants removed.

Whether you are unhappy with the results from prior breast surgery, or you desire a different look or size, through breast revision surgery Dr. Killingsworth and Dr. Catignani can address your issues and give you the desired results you expect and deserve. During your consultation, Dr. Killingsworth or Dr. Catignani will evaluate your particular situation to determine the best way to correct your specific problem(s) and, in some cases, breast revision surgery will involve replacing the saline or silicone gel implants or removing them, letting them heal, and basically starting the breast augmentation procedure completely over.

Benefits of Breast Implant Revision and Revision Breast Augmentation

Some of the common reasons women seek breast revision surgery include:

  • Implant Volume/Size: Women who are not satisfied with the size of their breasts after implant surgery may choose to go smaller or larger. With saline implants, Dr. Killingsworth and Dr. Catignani can remove or add fluid to change the size and by adding or subtracting small amounts of fluid (saline), you can achieve better symmetry or balance in size with your breasts. With silicone or gel implants, the volume is permanent and requires a new implant.
  • Capsular Contracture:  Capsular contracture is the leading complication for breast augmentation patients. Although a fully natural occurrence within the body, capsular contracture occurs when the capsule causes the breast to become hard and produces visible distortion. Any time a foreign object is placed inside the body, a scar-like shell (capsule) of collagen fibers encases the object and under normal circumstances, it is completely harmless. In some cases, however, the capsule grows thick and tightens around the breast implant causing the breast to feel very dense and misshapen. Capsular contracture is measured in four different grades (grades 1-4) with the fourth level being the most severe needing corrective surgery to remove the capsule.
  • Symmastia: When breast implants are placed submuscular (under the muscle), there is a possibility that the pectoralis muscle will be cut, allowing breast tissue and the breast implants to fall towards the sternum at the center of the chest. This can happen when the breast pocket is overly dissected towards the center, allowing the pectoralis muscle too much release, which results in the implants being too close to the center with unnatural looking cleavage. This condition is often referred to as a “uniboob” or “bread-loafing” effect. A similar problem can occur when creating pockets for implants under the gland (subglandular) and the space between the pockets is too close to the center. There are many techniques to correct or repair symmastia including using internal sutures to reattach and reinforce the cleavage area from the breast implants.
  • Bottoming Out: Patients with breast implants that have “bottomed out” have nipples that appear too high or they have an inframammary fold that appears unnaturally low. Bottoming out has a higher occurrence in patients who have very thin breast tissue because the implant can pull the breast downward. This condition is also more common in subglandular breast implant placement as opposed to submuscular or partial submuscular placement. The corrective surgery to repair bottoming out of breast implants consists of moving the inframammary fold higher, which is done by reinforcing the lower area of the breast pocket with internal sutures, thus raising the breast implant and resulting in a more natural breast mound and inframammary crease.
  • Ruptured Implants: Decreased breast size, uneven breasts, or pain and swelling can indicate a ruptured saline or silicone breast implant. There are many reasons why an implant may deflate or rupture and underfilling or overfilling the implant beyond the manufacturer specifications is often the cause. Underfilling can cause the implant to have folds in it and these folds over time rub together creating friction, which weakens the implant. Overfilling the implant can cause the shell to stretch, and this weakens the breast implant causing it to rupture. An accidental trauma to the breast can also cause an implant to rupture and slowly leak fluid or gel.
  • Double Bubble: A “double bubble” occurs when the implant drops below the natural fold of the breast, and when tissue hangs beneath a submuscular implant, it is referred to as a “double bubble” or “high-riding” implant. This usually occurs with an individual who has sagging breasts before their breast augmentation surgery and factors that increase the risk of “double bubble” implants are pregnancy, breastfeeding, weight loss and aging. The appropriate repair for a “double bubble” is either a breast lift to correct the sagging breast tissue or changing the placement of the implants.
  • Falling Outward/Lateral Displacement: This condition occurs when breast implants fall toward the axilla (armpits). To correct this, the pockets need to be internally sutured to keep the breast implant in the correct position on the chest wall.

Evaluation for Breast Revision Surgery

The first step in your breast revision surgery is to determine your options for breast implant replacement. Dr. Killingsworth and Dr. Catignani provide professional guidance on potential replacement implants, and they help you have realistic expectations of the revision breast augmentation. They take the time to understand what you like and dislike about your first breast augmentation surgery, and they also describe how they will correct any flaws that result from your initial surgery.

The Revision Breast Augmentation and Breast Implant Revision Procedure

The exact kind of breast revision surgery Dr. Killingsworth and Dr. Catignani perform on you will be based on your individual needs and personal preference. The healing process for breast revision surgery will depend on the type of surgery you have, and the recovery will typically involve some degree of bruising and swelling. Pain and discomfort can be controlled with medication and patients should not engage in strenuous activities for at least six weeks following breast revision surgery. You will be instructed to take special care to protect your breasts from harm, and many patients are able to return work 7 to 10 days after their procedure. Dr. Killingsworth and Dr. Catignani understand that each woman is unique with different reasons for wanting breast revision surgery so if you would like more information, or you are ready to schedule your confidential consultation, please call Atlanta Aesthetics today.

Atlanta Revision Breast Augmentation and Breast Implant Revision Cost and Financing Options

Revision breast augmentation is a surgery that Dr. Killingsworth and Dr. Catignani recommend to women who are dissatisfied with the results of their initial breast augmentation. Surgical interventions for breast implant revision are very individualized, so the cost varies. Once we know the extent of your revision breast augmentation, we provide a complete cost of the procedure. We accept payment by cash, personal check and credit card, and you can apply for financing through CareCredit®.

Did your breast augmentation surgery give you less than satisfactory results? Have your breasts changed over time, or do you want to change the size and shape of your implants? If you live in Cumming, Forsyth County or other areas near Atlanta, contact Atlanta Aesthetics to schedule a personal consultation with double board-certified plastic surgeon Dr. Christopher Killingsworth and Atlanta plastic surgeon Dr. Cristen Catignani at our Atlanta or Cumming location.

Atlanta Aesthetics, Physicians & Surgeons  Cosmetic, Plastic & Reconstructive Surgery, Cumming, GA