Plastic surgeons have been performing breast augmentation surgery for more than 40 years. As most people know, the quality and choice of breast implants have improved dramatically over this period of time, and things are no different at my practice here in New Jersey. Board-certified plastic surgeons are now using the sixth generation of these devices and are achieving results far superior to those of just 10 to 20 years ago.
I’ve been a board-certified plastic surgeon practicing in New Jersey for 25 years now. The interesting thing about being in practice for that length of time is the opportunity to see patients come back for follow-up visits over the years. I’ve gained a wealth of experience by having the privilege of evaluating long-term results, something that allows me to continuously make improvements to my techniques. I like to look at it as not really getting older — just getting better.
Some of my patients, as well as those who had their original surgery elsewhere, inquire about updating their implants or correcting changes that have occurred over time. I perform breast augmentation revisions for a few reasons that fall into several categories and have listed common questions and answers that arise in each:
THE OLD IMPLANT
Q: “I had implants done when the only choice was saline-filled implants. What are my options now?”
A: Contrary to popular belief, many patients have implants that have lasted 20 years or more and have not leaked. Usually, these patients complain of wrinkling or rippling, or say that the implants are no longer in a good position (e.g., they’re now too low, too high, or off to the side).
Very nice corrections can be achieved by replacing the implants with the current silicone gel choices and correcting any stretching or shrinking of the implant space to achieve better shape and position. There is usually much less discomfort and downtime, compared to the original procedure.
THE LEAKING IMPLANT
Q: “I’ve noticed a definite change in the size and/or shape of one breast.”
A: Implants can certainly develop small areas of weakening for different reasons. If saline implants deflate, for example, there will be an obvious asymmetry, and replacing the implant is the only option. However, it is important to understand there is no medical or health-related danger from this event. Typically, both implants should be replaced, and as in the “old implant” situation above, it gives us the opportunity to achieve significant improvement in the overall breast appearance. Some insurance companies will cover part of the cost of the procedure.
THE SAGGING BREAST
Q: “I’ve had 3 kids and my breasts look different than they did years ago. What can I do?”
A: In many patients, because of pregnancies or weight change, the shape of the breast tissue and skin can change over time. This usually will give the breasts a long or drooping appearance, even though the implants may be in the correct position. A breast lift or mastopexy will reposition and reshape the breast tissue to a more youthful position. In some cases, the implants do not need to be changed or adjusted. The recovery is usually easier than the original implant surgery.
I perform all the above breast revision surgeries in the comfort and safety of Contemporary Plastic Surgicenter, our onsite accredited surgical suite. We meet all New Jersey state and federal safety standards, and patients enjoy a very private, personal approach, making them feel at ease and well cared for.
Mention my blog when you call to schedule your appointment and your August consultation will be complimentary.