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A brunette woman in a black bra on a light yellow backgroundBreast augmentation surgery, also known as “augmentation mammaplasty,” is a highly safe and effective procedure in which the vast majority are extremely satisfied. We welcome you to view Dr. Hiatt’s before and after photos of breast augmentation to get an idea of what can be achieved with this procedure. According to The American Society for Aesthetic Plastic Surgery (ASAPS), over 313,000 breast augmentation procedures were performed in 2013, making breast augmentation the second most popular plastic surgery procedure in the United States. Dr. Hiatt takes care to fully inform his patients about the procedure and of all of their options available in order to achieve their ideal results. He discusses patient goals and results so that expectations can be achieved or exceeded.

Fortunately, very few are unsatisfied with the results of their procedure, but complications, although rare, can occur. Breast revision surgery is a secondary procedure performed to correct complications or improve unsatisfactory results from a primary breast augmentation surgery. Many doctors charge additional fees to correct complications – Dr. Hiatt does not.

Some of the most common reasons that women undergo breast revision surgery are not a result of a complication but will also need a surgical solution. Reasons for a breast revision include:

Capsular Contracture

After breast augmentation surgery, a thick scar, or “capsule,” of fibrous tissue forms around the implant as the body’s natural response to a foreign object, and this capsule holds the implant in place within the breast. Occasionally, this tissue capsule will contract and squeeze the implant, causing deformation of the implant. This can distort the appearance of the breast and make the implant feel hard.

Implant Rupture

A rupture is a “wear spot” or tear in the implant, which can lead to implant leakage. Fortunately, highly cohesive silicone gel implants are designed not to permeate through the tissue as the old silicone oil implants did. Also, their chances of rupturing are lower compared to older implant types.

Double Bubble Deformity

Double bubble deformity occurs when the implant falls below the original breast fold and creates the appearance of a “double bubble” in the lower breast. The risk of this complication developing can be reduced by choosing a qualified and experienced plastic surgeon, but it still may occur. Double bubble may be the result of an implant placed lower on the chest to avoid having to perform a mastopexy (lift), which has its own set of complications.

Changing From Saline to Silicone Gel

With the technological developments in silicone gel implants, many women are deciding to switch out their saline implants for silicone. Silicone gel implants also come in a variety of textures and shapes in order to better achieve the breast appearance the patient desires. To learn more about the benefits of silicone gel implants, you can read my previous blog on “The Evolution of Choice… Sientra® Breast Implants.” Other implant manufacturers have evolved as well, but the Sientra® brand is available only to highly trained plastic surgeons – ask your choice of plastic surgeon if Sientra® implants are available in their office.

Gloved hands measuring an implant with a ruler

Wanting a Larger Size

Surprisingly, this is the most common reason for breast revision surgery, and it is not considered a complication but a patient preference. Patients often choose a smaller implant size for their primary breast augmentation, and after the initial swelling of their breasts decreases, they often wish the resulting size of their breasts were bigger.

If you are experiencing any results from your primary breast augmentation for which you feel a revision would be helpful or even necessary, Dr. Hiatt offers breast revision surgery to correct a variety of problems and achieve the breast shape and size you desire.

If you are interested in breast augmentation or breast revision and would like to learn more about the procedures, please call (480) 844-1410 or fill out our online consultation form. We look forward to helping you achieve the breasts and figure you desire!