About Breast Revision Surgery
Breast augmentation using implants is one of the most common cosmetic procedures in the U.S., and in the majority of cases, it offers outstanding outcomes. Unfortunately, sometimes a patient can be dissatisfied with the appearance of her breasts and may need breast revision treatment. Keep in mind that not all breast revisions are because of surgeon error. While few breast augmentations do end with an undesirable outcome, there are individuals who want a larger or smaller implant while some may have a defect and prefer to have the implant corrected or removed altogether. Furthermore, some women need revision treatment for a unique condition. Board-certified aesthetic plastic surgeon Dr. George Kouris performs breast revision surgery after giving an in-depth evaluation at Kouris M.D. Cosmetic Plastic Surgery so that a healthy and desired outcome is delivered.
"I will start by mentioning that Dr. Kouris is an excellent doctor all-around. He is compassionate, very knowledgeable, extremely polite, and has a wonderful team - Sheila and Suzy are the best!I have known Dr. Kouris since 2017. I had 3 procedures - Breast reduction, Tummy Tuck and brow lift. I am 54 years old looking like i am in my 40s. I love all 3 of my procedures but my brow lift is incredibly natural. No one realizes what I had done. I am receiving compliments about how young I look. Ultimately, I believe the doctor that makes you look younger and feel extremely confident in your own skin has a magic touch! I highly recommend him to anyone who is in the search of doing any plastic surgery. Give Dr. Kouris a shot, you will not be disappointed."- M.K. / Google / Dec 27, 2019
"I have never been so assured of a doctor's capabilities. Dr. Kouris is kind, patient, and dedicated. His knowledge and demeanor put me at ease right away. I will always be grateful that he is in my life."- A.G. / Google / Dec 23, 2019
"UPDATE: The clinic called me back and asked if I could come in for complementary Botox to make up for the previous problems. The appointment went well. I met with Dr. Kouris and let him know that he didn't have to completely comp the Botox but he insisted and profusely apologized. He is a nice man and he truly care about his patients and their time. Kudos to him for making things right:) I’ll start with saying that I hardly ever write a poor review. However, I am very disappointed with this clinic. I made an appointment over a month ago for the 12th of December and let the receptionist know that I would be coming in during my lunch break. She assured me that they would be able to see me in a timely manner. I was supposed to be receiving a consult for skincare as well as Botox. Eight days before my appointment, I was contacted by Dr. Kouris’ receptionist reminding me of my appointment on the 5th. I let her know that she was mistaken that my appointment was made for the 12th as my husband was out of town during the 5th and I would not have made an appointment for that day. She apologized and updated her schedule for the 12th. On the 9th I was once again contacted by the receptionist letting me know that the individual who would be assisting with the skincare consult would be out of the country on the 12th and would not be able to see me during my appointment and let me know that I would need to make another appointment to see her. I was a bit bothered by this given this was the second “mishap” with scheduling but she let me know that she would have the person give me a call the following day so I could at least speak with her. I thought it was a nice gesture, so I agreed. I was able speak with the individual but as expected, she ultimately said she would need to see me to make any definite suggestions. Well, today I showed up for my appointment at 12:00 and was given paperwork to complete. I let the receptionist know, once again, that I was on my lunch break and needed to be sure they were aware that I didn’t have much time. She let me know that she would remind the clinic team and not to worry, they would get me back in time. Well, 45 minutes later, I was still waiting to see someone from the clinic staff. I had to leave before seeing anyone. The receptionist said “Sorry, we had another patient JUST stall everything”. I told her that I was more bothered by the fact that nothing had been communicated to me than the fact that they were running behind. I was also bothered by the receptionist lack of concern that I had to leave before being seen. I would expect more than a simple “sorry”. The explanation was only given after I prompted for more information. A clinic that allows the receptionist to be the face of the organization should strive for a more sympathetic, organized, communicative, individual."- E.Z. / Google / Dec 20, 2019
"I recently had some elective surgery with Dr Kouris. He listened very carefully to my hopes and concerns, and we came up with a plan. I could not be more pleased with the results. I felt like I was in very capable hands with Dr Kouris, his nurse Sheila, and the whole office staff from start to finish. I will definitely recommend Dr Kouris to anyone searching for a qualified plastic surgeon."- M.S. / Google / Dec 20, 2019
"I had a very successful outcome with Dr. Kouris and his staff. From the beginning I felt like I was in competent, caring hands. Highly professional and experienced."- M.S. / Google / Dec 18, 2019
Should you have any trouble (either medical or cosmetic) after breast augmentation surgery, please make a consultation with Dr. Kouris to discuss your needs and wants and to determine your custom breast revision surgery plan. Whether it's scar tissue, breast drooping, ripples under the skin, or size variations between the breasts, revision surgery can help the condition and provide a more pleasing and properly functioning outcome. This operation may also be appropriate if you want to alter the implant style, size, or address another aspect of your breasts.
Common Reasons for Revision
This cosmetic surgery either removes an implant that is not functioning properly or is no longer desired. Breast revision surgery may also be performed to change implant size or go from saline to silicone (or vice versa). There are other common situations where a revision or secondary surgery is needed.
This condition occurs when the implants look uneven. This may be due to an incorrect size implant, or sagging/drooping on one side, or a different condition that would cause asymmetry. A physical examination would need to take place to determine the cause of the asymmetry, then a revision surgery would be performed to resolve the issue, and finally, a new set of breast implants would be placed to achieve a balanced look.
This is a problem that can happen if one or both implants "bottom out" or drop too low. Sometimes this is a placement issue from the original treatment. To correct this, a different placement positioning approach may be considered. For some patients, tissue grafting may be needed in addition to a surgically created pocket to encircle the new implant. For many patients, moving to a silicone breast implant can solve this issue.
Sometimes breast revision surgery is as straightforward as getting a different sized breast implant. During the first surgery, you may have gone too big or too small. A different implant size can be chosen to achieve the desired goal.
This is known as scar tissue, occurring when the soft tissue that surrounds the implant becomes thick and hard. While most augmentations do create some internal scarring, most patients will never know. In some patients, the hardening tissue could alter the implant placement, which may change the breast shape and result in an undesirable outcome. Scar tissue removal surgery to clean up and remove scarring would be necessary.
Implant rippling occurs when you see visible wrinkles and ripples under the skin. This deformity typically forms near the edge of the implant. Rippling is generally found in women who are very thin. Many times, this issue can be corrected by simply switching to a silicone breast implant.
While this is a rare occurrence, breast implant rupture can occur. When a saline implant ruptures, the implant will deflate quickly. Because of this, a visible defect will be noticeable. Meanwhile, if a silicone implant ruptures, it is only detected via an MRI. Either way, when a rupture occurs, an additional surgery will be necessary.
Symmastia occurs when breast implants are placed too closely together. Most often, this is because the breast implant chosen was the incorrect width, shape, or size. Breast revision surgery will repair this visible deformity by picking an implant that works with your frame and looks proportionate.
What to Expect
Following your procedure and a brief observation period, you should be able to go home to begin your recovery. The recovery period varies, depending on what is involved in your surgery. A revision that needs any type of reconstruction or grafting will have a longer recovery, which could last up to 6 – 8 weeks. You should slowly start to see your surgical results when the bruising and swelling start to disappear. Dr. Kouris or someone on his team will discuss what you can expect while you recover, plus tips to help you heal faster. You should also schedule your follow-up visits as often as directed so Dr. Kouris can monitor your healing and results.
Frequently Asked Questions
How much does breast revision surgery cost?
Your cost for breast revision surgery will vary based on the complexity of your procedure. In your consultation, Dr. Kouris will listen carefully to your needs and goals before completing a physical examination of your current implants. After this, he will discuss your choices before creating your treatment plan. The total cost of breast revision surgery will be based on the length and complexity of the procedure, plus your new implants. It's better to concentrate on getting great results by choosing a skilled surgeon, like Dr. Kouris, instead of the cheapest surgeon. As a way to help make your surgery affordable, Kouris M.D. Cosmetic Plastic Surgery accepts many payments, and we will give you information on low-interest medical financing.
What if Dr. Kouris wasn't my original surgeon?
Dr. Kouris can perform your breast revision surgery even if he was not your original surgeon. Revision surgery is sometimes more difficult compared to augmentation surgery, especially if you want significant changes or have problems, which is why it is important to select a doctor, like Dr. Kouris, who has advanced training and experience in breast surgery. Dr. Kouris also encourages his patients to come back to Kouris M.D. Cosmetic Plastic Surgery for breast revision surgery after their original breast augmentation surgery if they notice an issue or would like new implants.
What about loose skin?
When you are getting your implants exchanged or removed, you may want to have excess skin removed as well. After hearing your goals and evaluating your current implants, Dr. Kouris can discuss adding a breast lift to remove sagging skin. If you lose a lot of weight, get pregnant, or breastfeed after breast augmentation surgery, a breast revision combined with a lift gives you better results.
Will there be new scars?
Whenever possible, Dr. Kouris will try to make incisions for breast revision surgery in the same place as your original augmentation incisions. If this isn't possible, he will place the revision incisions where they are least visible. Revision surgery may use a transaxillary incision (in the armpit), a periareolar incision (along the lower border of the areola), an inframammary incision (beneath the breast fold), or TUBA incision (transumbilical, through the belly button). Dr. Kouris or a member of his team will explain scar care instructions so your new incisions heal flat and blend with your normal skin.
Do I have to change my implants?
Although implants are long-lasting, they usually do require replacement eventually. Once you've had breast augmentation surgery, it's important to get your implants examined at least once a year so Dr. Kouris can help you determine if your implants need to be exchanged. With frequent advances in medical technology, you may prefer the new implant types and shapes to get a better outcome from breast revision surgery.
Plan Your Procedure
- Average Cost
- $10,000 - $14,000
- Recovery Time
- 1 – 2 Weeks
- Average Procedure Time
- 2 – 3 Hours
- Post-op Follow-up
- 2 – 6 Weeks
- Procedure Recovery Location
Change Your Mind
Breast revision surgery is a specialized procedure tailored for your specific needs by Dr. George Kouris. If you are not happy with your breast augmentation results or wish for a different result, we invite you to call our Hinsdale, IL office to schedule your appointment at Kouris M.D. Cosmetic Plastic Surgery. There are numerous factors to consider and Dr. Kouris will give you a full physical exam, create your revision options, and discuss realistic expectations.