The overwhelming majority of women who undergo breast augmentation surgery do extremely well after surgery and enjoy the benefits of the surgery for many years. However, there are some circumstances where women who have undergone breast augmentation require additional corrective surgery. At the Morea Plastic Surgery Center in Raleigh, North Carolina, patients seek the expertise of Dr. Christopher Morea for corrective breast surgery or revisional breast surgery when they are unhappy with the appearance of their breasts following a cosmetic procedure.
Corrective breast surgery in Raleigh, North Carolina can address a number of problems with saline, silicone (cohesive) gel breast implants. Breast augmentation revision surgery is available to patients who wish to increase or decrease their breast implant size or change some other implant characteristic, such as the:
In addition, patients who have experienced breast augmentation complications or poor cosmetic outcomes may also seek corrective breast augmentation surgery. Some common complications that can be addressed with surgical revision include:
Prior to corrective breast augmentation surgery, Dr.Morea will talk with you about your cosmetic goals and evaluate your surgical results. If you determine that a revision procedure will correct the problems you are experiencing or bring you closer to your desired cosmetic results, Dr. Morea will give you an individualized plan for your revision surgery.
Corrective or revisional breast surgery is performed in our Raleigh, North Carolina AAAASF accredited operating suite using either twilight anesthesia or general anesthesia. The length of the procedure may vary from one to three hours depending on the exact procedures that need to be performed.
Recovery following corrective breast surgery is usually the same as the initial breast augmentation procedure. Most patients will return to work and resume normal activity within one to two weeks. However, strenuous physical activity and heavy lifting (over 10-15 pounds) should be avoided for four weeks.
During your consultation for revisional or corrective breast surgery, you will meet personally with Dr. Morea. He will give you the opportunity to view before and after photos of previous patients. He will discuss the problems you are having as a result of your previous surgery and ask you many questions about the size, shape and individual look you desire. Dr. Morea will take the time to answer all of your questions and formulate an individual treatment plan to help you achieve the best cosmetic breast surgery results.
A small incision on the lower abdomen similar to a C Section incision is utilized to perform a mini tummy tuck. Mini tummy tuck scars are easily concealed under most clothing, lingerie and bathing suits.
Dr. Morea: I would recommend waiting four to six months before considering a breast augmentation revision. The reason for this is because it can take four to six months for breast implants to fully settle and for all swelling to be resolved.
When I see a patient for cosmetic abdominal surgery, I evaluate the three components of the abdomen which I can change. The skin, excess fatty tissue and the strength/weakness of the muscle/fascial layer. The procedures of choice will range from liposuction to full extended abdominoplasty. Depending on what is bothering the patient, their exam and physical findings will determine what procedure is best for them.
A mini tummy tuck is an operation that is designed for women who are unhappy with the appearance of their lower abdomen. Specifically, the area below the umbilicus or belly button. It is the procedure of choice for women with a small amount of excess skin or bulging that is limited to the lower abdomen. It will not address the stretch marks, excess skin or bulging above the umbilicus. It has been my experience that about 1 in 20 women who come to me for tummy tuck consultation are considered to be a good candidate for a mini tummy tuck. During your consultation, I will examine your abdomen to determine which procedure is most likely to give you the results you desire. Factors that will be considered are the amount of excess skin, amount of excess fatty tissue and condition of the underlying muscle wall.
Most patients should plan on being off of work both inside and outside of the home for 10-14 days following a tummy tuck. It will take 3-4 months for all of the swelling to resolve and you will have lifting restrictions for 6-8 weeks following a tummy tuck. I strongly advise mothers with small children to arrange help with child care for 7-10 days following their surgery.
A standard tummy tuck usually involves an incision from hip to hip. Liposuction is done through much smaller incisions frequently at the same time. Most women can still wear a two piece swimsuit following a tummy tuck procedure.
Breast implants come in a variety of shapes, sizes, widths and projections. I believe it is important to choose an implant that fits your chest dimensionally well. Breast implants can rotate when they are in the body. If a round implant rotates, there will be no change in the shape of the breast. However, rotation of a non round implant may distort the shape of the breasts. However, some patient’s are better candidates for the non round implant due to their particular anatomy. For this reason, it is important to individualize the surgery for each patient as much as possible.
There are pros and cons to each position placement. As a general rule, I believe most patients who are an A cup initially, are better off long term with submuscular placement or under the muscle. I believe saline implants should always be placed under the muscle. Any implant placed subglandularly, or on top of the muscle, has a greater risk of palpability and rippling. Any implant under the muscle has the risk of implant distortion with use of the chest muscles.
I tell all of my patients that it will be 4-5 months before all of the swelling is gone and the implants have fully settled into place. Most patients can begin a light work out within one week and have no restrictions after one month. Most patients can return to work both in and out of the home in 4-5 days.
Both implants are excellent choices. One is no better than the other. The silicone breast implant is the softer, more natural feeling implant if every other factor remains the same. I believe my job as a plastic surgeon is to review the differences between the two implants. If I feel that one implant is better for a particular patient, I will tell them and explain the reasons why I feel that way. Both saline and silicone implants work well and are FDA approved.