Revision Breast Augmentation

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Surgery to revise a previous breast augmentation may be requested for several reasons. One of the most common reasons women want revision surgery is to change the size of their breast implants. Columbia board-certified plastic surgeon Dr. John J. Seaberg draws on his extensive experience to assist patients in their decisions. His training and experience are also vital for women who experienced complications after their initial breast augmentation.

When choosing a Columbia plastic surgeon for revision breast surgery, which is often more challenging than a first-time augmentation, it's important to select a surgeon who takes the time to understand your goals. Please request a consultation online, or call us at (573) 443-5500 to schedule an appointment.

John J. Seaberg, MD, FACS Double Board Certified Plastic Surgeon

Dr. Seaberg earns the trust of patients by listening to their cosmetic goals and achieving the results they desire.
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The Procedure

Complications are relatively rare following breast augmentation surgery, but they can occur. The exact nature of revision surgery will depend on if there is a problem with your existing implants, or you have changed your mind about the size of your implants. Sometimes revision surgery is required because the initial breast augmentation should have been combined with a breast lift. This is usually the case with sagging breasts following childbirth or significant weight loss.

Revision surgery is similar to an initial breast augmentation, but there can be some significant differences.

Reasons for Revision Surgery

Breast implants are durable and often last more than 10 years. Nevertheless, at some point most women with implants will need revision surgery. In other cases, however, complications occur that require surgery to correct. They usually fall into one of the following categories:

  • Capsular contracture — This is the most frequent complication following augmentation surgery. It's normal for a thin lining of fibrous tissue to form around the implants, forming a capsule. In some cases, though, the tissue tightens too much and the breast can feel hard and even become painful and misshapen.
  • Bottoming out — When an implant descends too low on the chest, it causes the nipple to sit too high on the breast mound. This complication is most often noticed in thin women with little breast tissue and skin coverage.
  • Double contour profile — When implants drop below the natural fold where the breast connects to the chest, it can appear as a "double bubble." Careful measurements taken during your consultation with Dr. Seaberg will help prevent this complication.
  • Rock in a sock — Breast augmentation alone usually doesn't produce the desired results for women with severely sagging breasts after multiple childbirths or significant weight loss. Without combining the augmentation with a breast lift, the implants will end up at the bottom of the breasts, pulling them downward.
  • Synmastia — Often called bread loafing, this is the least common complication of augmentation surgery. Synmastia is occurs when the breast mound crosses the sternum, giving the appearance of a single breast or "uniboob." If it results after augmentation, it is usually the result of improperly placed implants.
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John J. Seaberg, MD, FACS