In some instances, changes occur after breast surgery, with and without implants, that lead to unfavorable results, possibly even posing health risks. In a thorough and thoughtful consultation, Dr. Samuels will evaluate issues resulting from your previous surgery and make suggestions based upon a critical knowledge of advanced techniques designed to restore a better breast aesthetic and perhaps the more youthful, attractive and beautiful appearance you may have intended to experience from your original surgery.
While there is definitely an art to a well-conceived and carried out initial breast surgical procedure, surgeons are well-intentioned, and while the optimal surgical outcome is the goal, occasionally factors may contrive to require breast revision. It is even more important when undertaking revision breast surgery, that patient and surgeon communicate well, that the surgeon listens carefully to the patient's concerns, but also that he or she have extensive skill and experience in the techniques required to undertake a successful revision. Having trained at the prestigious University of Texas Southwestern in Dallas, Texas, which has been named the best plastic surgery residency program in the U.S. the last 15 years, Dr. Samuels trained with the world's leading breast surgeons. She has also been invited to serve as clinical investigator to brand name breast implant manufacturers and has access to shaped, cohesive "Gummi-bear" implants that only a few surgeons in the country can utilize. Some of these devices prove to be very useful in the revision breast implant pocket. With decades of this type of experience in first-time as well as revision breast surgery, Dr. Samuels is uniquely trained and positioned to assist the patient who faces a revision of her breast surgery, and as a result, she has been sought out by women from all over the U.S. for help in this regard.
There are several different kinds of FDA approved textured, shaped breast implants on the market now which can be perfect for the revision patient, because they frequently assist the surgeon in "controlling the pocket" better than the use of a typical smooth, round device, typically placed under the pectoralis major muscle. Since Dr. Samuels was one of fewer than 30 surgeons in the U.S. able to use some of today's most advanced FDA approved silicone gel devices, having used them in their pre-approval clinical trials, she has over 25 years of experience in what are the best implant options for the breast implant revision patient. The newest silicone gel devices were thoroughly "vetted" by the FDA in the 1990's and approved for general use by plastic surgeons in the U.S. in 2006 and 2014. If you have developed or have a history of capsular contracture, Dr. Samuels may recommend the use of a substance known as "acellular dermal matrix" (ACDM) at the time of your revision surgery. ACDM is a temporary (absorbable by the body) substance that is placed inside the breast implant pocket around the new implant and has been shown to drastically reduce the risk of recurrent capsular contracture.
Dr. Samuels does not believe that one breast implant fits all primary breast enhancement patients, and there certainly is not one single implant that fits all revision patients. The list below summarizes the available breast implants. You may also wish to refer to the Breast Augmentation page of our website for more information or call us for a personal consultation with Dr. Samuels. We would also like to refer you to the links to our blog which deal with the Quick Recovery Technique and Revisional Procedures.
Breast revision surgery, even given its increased complexity for the surgeon performing the operation, isn't typically any harder for the patient to recover from than primary breast augmentation or augmentation-mastopexy, with the exception of the fact that surgical drains are typically used for a period of ten to fourteen days after surgery. These drains are easily cared for at home by the patient and easily removed in the office, but otherwise, recovery times closely resemble those of primary breast augmentation or lift since Dr. Samuels uses the Quick Recovery Technique in all her breast implant surgeries. Additionally, Dr. Samuels has additional experience in the use of fat grafting techniques, and the use of acellular dermal matrix substances, which are occasionally helpful in a revision surgery.
As with primary breast augmentation, cessation of nicotine usage six weeks prior to surgery as well as after, is important for optimal healing. Dr. Samuels and her staff will spend appropriate time in consultation and in your pre-operative appointments to answer all of your questions regarding your surgery.
Revision breast surgery is an outpatient procedure performed at Baptist Eastpoint Surgery Center (where Dr. Samuels was an original owner/investor and special pricing is available), or at Premier Surgery Center, Baptist Hospital East, Jewish Hospital East, or Norton Brownsboro Hospital.
Other than the difference in surgical technique and related nuances that any surgeon faces who is willing to assist the revision breast surgery patient, there are no real differences in healing period or wound care experienced by the revision patient beyond that of the typical breast augmentation, mastopexy or augmentation-mastopexy patient. During a very extensive and thorough pre-operative office visit, Dr. Samuels and her staff review all aspects of the post-surgical care and recovery period, including drain and wound care, as well as the additional anxieties that all revision patients understandably experience. Having helped many patients through a revision surgery, we acutely understand what the patient is going through, and we also are committed to the extra time it might require to answer all of their concerns and questions.
***Call for special surgical pricing (502) 897-9411***