“Revising and correcting significant breast problems, whether congenital in nature or as a result of a poor surgical outcome is one of the most challenging and in the end rewarding areas of aesthetic breast surgery.
This is where experience is vital.
It is one thing to read about a technique to correct a difficult problem; it is another to know precisely what to do; having done it on numerous occasions. “It is that experience and attention to detail and technical ability that allows me as a surgeon to take breasts that are different in size, shape and nipple position and work to create a pleasing match.
It is vital to know through experience, how to re-create an inframammary crease following a poorly performed breast augmentation, when the breasts are misshapen. I have successfully corrected these problems caused by less than ideal surgical outcome from another surgeon many times.
Through the performance of thousands of breast cases, I have been able to develop the proper judgment, surgical techniques and with 28 years of long term follow up, the ability to see what truly holds up over time and what does not.
With the performance of each case a good surgeon learns a little more that he can carry over to the next difficult problem case. Over the 28 years I have made this my priority which makes me comfortable in my ability to handle even the most difficult breast problems.”
– William F. DeLuca, MD FACS
Breast augmentation is a procedure that is often assumed to be simple in nature and execution but is actually quite complex. Proper surgical technique and attention to detail are essential to good results, and too often these are overlooked. In his opinion, this is why Dr. DeLuca sees so many patients who are dissatisfied with their augmentation or have developed one or more complications.
There is no such thing as a simple breast augmentation revision, and an attitude of “seen one, seen them all,” simply will not suffice when dealing with the subtle complexities and intricacies of breast augmentation revision surgery.
Visually, the difference between a good and great breast implant revision can often be dramatic. And yet, big visual differences often boil down to a series of very minor decisions and actions made by a surgeon both before, during and after the procedure. Becoming a master at all the little things that collectively add up to produce a great breast revision result takes years of constant practice and a commitment to learning something new from each and every case. Dr. DeLuca has done precisely this for over 28 years.
I was in search of a plastic surgeon to perform a replacement of my breast implants which had become severely contorted due to capsular contracture. My surgery ended up more complicated than expected, however you would never know, because my breasts look beautiful!
Dr. DeLuca took the time to make sure my surgery was a success. I am a petite woman, and wanted to look natural. Dr. DeLuca LISTENED to my request and replaced my 300cc saline, over the muscle implants with the same size MemoryGel silicone implants, submuscular. Besides looking beautiful, they are comfortable, especially compared to my other implants, which was another important factor for me.
Thank you Dr. DeLuca, my breasts look and feel wonderful now.*
– Judy C. / Amsterdam, NY – July 4, 2012
To view more breast augmentation revision before & after photos, click here.
Breast implant revision surgery is the general way to describe surgery to improve and/or correct complications related to a previous breast operation. Patients may be in need of a revision surgery if they are experiencing any of the following conditions or complications:
I originally went to Dr. William DeLuca at a referral from a girlfriend after another Albany plastic surgeon did an unsatisfactory job of altering my breasts (too large and uneven). I was so pleased with Dr. DeLuca’s listening skills, honesty and patience with me that I chose to have the surgery again. This was almost seven years ago and the results were excellent. Since then I have returned to Dr. DeLuca for a couple of other “non-breast” procedures with incredible results. I would recommend Dr. DeLuca to other friends (which I have) without hesitation.*
– Lynn K. / Breast Implant Revision
Albany, New York
Bottoming out describes breasts with implants that have either stretched out the skin below the nipple-areola or migrated below the inframammary fold. In both cases, the distance between the nipple areolar and inframammary fold is greater than it should be, implants. It can also occur when the pocket surrounding the implant has enlarged or stretched.
To correct “bottoming out” of implants due to an enlarged pocket, Dr. DeLuca uses sutures to tighten up the breast pocket and create an “internal bra” (aka capsulorrhaphy) that will support the implants in their new and proper position.
Implant Asymmetry results when one implant is placed higher or lower when compared to the other implant. Breast Asymmetry Correction is performed through implant exchange and repositioning the implants.
Revision surgery can correct a number of abnormalities that result from a previous augmentation surgery, including:
Symmastia is commonly known as “uniboob.” It is when one or both implants are positioned too close to the mid-line over the breastbone or sternum. Symmastia Repair may require surgical correction of the pockets as needed and a reduction of scar tissue.
Other problems are often caused by the implants used in an augmentation rupturing or changing over time.
A surgically implanted saline prosthesis that has lost its size and volume rather noticeably over the course of one or two days has likely ruptured or deflated. An implant exchange should be performed within a few weeks to keep the pocket from shrinking. Sometimes, the deflation of an implant is less noticeable – in these cases, either ultrasound or MRI testing will determine whether or not any leakage has occurred.
While very few of Dr. DeLuca’s own breast augmentation patients end up desiring either a smaller or larger implant after their primary (1st) augmentation, he has performed hundreds of implant removal & replacement procedures over the years as a result of his expertise in revisionary breast surgery.
There are two types of “double bubble” deformity, which can occur immediately following implant surgery, or overtime due to weight loss, pregnancy or natural gravity. The double bubble look occurs when there is a groove along the breast below the nipple giving the impression that the breast is sitting on top of the implant.
The double bubble deformity can usually be corrected with a breast lift (mastopexy) or pocket correction. There are 4 indicators of the double bubble deformity:
Rippling occurs when there are irregularities of the implant surface that can be felt or seen through the skin. This could be a result of skin tissue covering the implants thinning, a saline implant leaking, the placement of the implant above the muscle, or a combination of any of these. To correct rippling, a possible solution is a Pocket Correction revision using a silicone implant, which is less palpable than saline. Removal of the breast implant from the pocket above the muscle to the pocket below the muscle could decrease the rippling effect.
Capsular Contracture occurs when tightly woven collagen fibers form around the implant, thus the body forms a thick scar. This condition tightens or squeezes the breast implant, causing pain and discomfort. There are four grades of capsular contracture based on the baker scale:
Depending on severity, solutions for correcting Capsular Contracture include Capsulectomy and Capsulotomy revisions. A Capsulectomy involves the reduction of the capsule (scar tissue) that is surrounding the implant. Lower grade Capsular Contracture can be corrected with Capsulotomy, when the scar tissue or capsule is adjusted or partially reduced through incisions in the breast.
These procedures are just some of the options Dr. DeLuca offers for breast revision. These different solutions can be combined to help work toward your desired breast look. During your consultation, Dr. DeLuca will address your specific aesthetic needs and recommend a surgical plan that is tailored to your goals.
Dr. DeLuca has performed numerous breast implant revision surgeries. He sits down with each patient and develops a customized plan that meets their individual needs. A specific revision surgery plan’s cost will vary based on the severity of each individual case. The cost of combining related surgeries into one procedure significantly reduces the cost of anesthesia and operating room time. Depending on the average physical activity of the patient, and the complexity of the surgery, a return to normal lifestyle usually occurs within one to two weeks following their breast revision surgery.
Dr. DeLuca is proud to provide extensive post operative care, including his recovery program, which is designed to help optimize patients’ healing process. He is available for emergency care 24/7 after surgery and will extend the same concern and attention that he provides every client.
*Disclaimer: The individuals featured in the above testimonials are all actual patients of DeLuca Plastic Surgery. Please note that outcomes from plastic surgery procedures may vary and the experiences shared in the testimonials are specific to that particular patient and may not be representative of the experience of others.