Breast revision surgery can be complex and often requires a full repertoire of techniques to achieve the result you deserve. Thankfully, Dr. Linville can use his cosmetic and reconstructive experience to help correct what is wrong and maximize your results. Every breast surgery, especially revisions, require a thorough workup and evaluation, extensive planning, and detailed communication about your goals, where you’re starting, and the results Dr. Linville can help you achieve. Not everyone is a candidate for breast revision surgery, and not every revision can be done in a single stage.
The decision to have a breast surgery to fix a problem or to achieve a desired result that was not met, is a difficult one. Some of the common reasons women seek breast revision are listed below.
With Dr. Linville’s extensive training and experience in breast surgery, including cosmetic augmentation, complex breast reconstruction, and breast revision surgery, he is able to bring an extensive repertoire of current techniques and knowledge to your consultation and the operating room and will help devise an individualized, tailored plan that achieves the best cosmetic outcome possible. Dr. Linville feels that his experience with reconstruction helps him utilize those techniques to achieve outstanding, long-lasting results for cosmetic revisions, just as his cosmetic experience enables him to enhance his results for reconstruction. A good breast revision expert must combine both worlds and use overlapping skills in order to restore your breast.
When the breast capsule has led to complications, such as contracture, it becomes very important to deal with that capsule in specific ways, such as capsulotomy, capsulorrhaphy, and even with a capsulectomy. Additionally, recent evidence suggests that capsules form and thicken as a result of biofilm, which is similar to a subclinical bacterial infection. Dr. Linville takes numerous precautions during your surgical process to limit exposure of the implant to bacteria.
Reinforcement of soft tissue envelope may be required if the normal breast boundaries have been violated by previous surgeries or by large implants. It may also be required if the skin or breast tissue is excessively thin and causing the implant to be too visible. Reinforcement or thickening of the tissue may be accomplished by various methods including the use of an Acellular Dermal Matrix (e.g. Alloderm, Strattice) or with fat grafting.
Exchanging implants may be necessary if Dr. Linville feels your current implants are not providing the ideal look or feel, or if the implant size is causing problems such as stretching or distortion of the breast.
A Pocket Exchange of the implant, where the anatomical location of the implant is changed from submuscular to subglandular, or vice versa, is a great way to deal with implant mobility and location issues or visibility issues.
Restoring the Inframammary fold is an absolute must, and can often be accomplished by internal methods and capsule work along with ADM, but occasionally external methods, such as the external Ryan procedure, need to be implemented to really recreate the fold at the bottom of the breast and prevent bottoming out, implant malposition, and double-bubble deformities.
Short-scar incisions are utilized when appropriate to attempt to limit scars and incisions and thereby limiting the violation of normal breast anatomy and contour.
After developing your individual plan, Dr. Linville and his team will prep you for surgery. Special medications will be used to help enhance your recovery after surgery. At every step of the way, you should expect personal, concierge service from Dr. Linville and his staff. Dr. Linville will see you the day after surgery and several times afterwards to ensure your recovery and to monitor your results.
The extent of your surgery will determine your recovery process, but in general for the first two weeks you should expect to not lift any weight and to walk. No exercise is permitted initially. After two weeks you can begin to lift 5-10 pounds, and exercise can begin at 1 month. Most healing takes six weeks, so it is important during that time to avoid any trauma or issues to the breast or implant