Breast augmentation is one of the most popular cosmetic procedures, but sometimes, the results may not meet a patient's expectations due to aesthetic concerns or complications. Whether you're experiencing discomfort, dissatisfaction with the appearance of your implants, or changes over time, breast augmentation revision surgery offers a solution to help you achieve your desired look.1
Dr. Farbod Esmailian, a board-certified plastic surgeon serving patients in Orange County, Newport Beach, Torrance, Long Beach, and Los Alamitos, specializes in complex breast augmentation revisions. His personalized approach ensures each patient receives a tailored plan to address their unique concerns, resulting in natural and beautiful outcomes.
Common Reasons for Breast Augmentation Revision
1. Capsular Contracture
Capsular contracture occurs when the body forms a thickened scar tissue capsule around the implant, causing it to harden, shift, or distort shape.2 This can lead to pain or discomfort. Modern techniques, such as capsulectomy, using Strattice (a dermal matrix), and prescription medications (Accolate), offer effective solutions for managing this challenging condition.
2. Implant or Nipple-Areola Asymmetry
Asymmetry can arise due to improper placement or changes over time. If implants sit too high, low, or unevenly, or if nipple positioning is off, a revision can correct these concerns. Dr. Esmailian employs advanced techniques to create a balanced and natural-looking appearance.
3. Double Bubble Deformity
Double bubble deformity occurs in two ways:3
- The breast tissue descends below the inframammary fold while the implant remains in place, creating an uneven contour.
- The implant drops below the natural breast crease, causing visible implant edges beneath the breast tissue.
Revision surgery may involve lifting breast tissue or securing implants back into position with capsulorrhaphy and, in certain cases use of synthetic or biologic mesh (Strattice) to achieve a smooth, cohesive result.
4. Breast Ptosis (Sagging)
Breast sagging, or ptosis, can develop after augmentation due to aging, pregnancy, weight loss, or insufficient lifting during the initial surgery. Patients with significant natural breast tissue are more prone to this issue. The solution often includes a breast lift, with or without implant replacement, to restore youthful contours.
5. Synmastia (Uni-Boob)
Synmastia occurs when implants are placed too close together or when oversized implants stretch the breast tissues, erasing the natural cleavage line.4 This condition, also known as “uni-boob,” can be corrected by using smaller implants and performing a capsulorrhaphy alone or capsulorrhaphy reinforced with use of synthetic or biologic mesh (Strattice) Strattice for additional support.
6. Deflated Implants
Deflation is a common issue with saline implants due to underfilling, overfilling, wear and tear, or shell defects. The solution is straightforward: replacing the deflated implants with new ones to restore fullness and symmetry.
Personalized Care for Optimal Results
Breast augmentation revision is a specialized procedure that requires expertise and precision. Dr. Esmailian is a board-certified plastic surgeon with extensive experience addressing complex cases. He is known for:
- Delivering natural-looking results with a focus on proportion and symmetry.
- Using advanced surgical techniques, including Strattice™ mesh reinforcement, to resolve issues like capsular contracture and symmastia.
- Creating personalized surgical plans tailored to each patient’s goals and anatomy.
- Prioritizing patient safety, comfort, and satisfaction throughout the process.
Learn More About Breast Augmentation Revision Surgery
If you’re experiencing issues with your breast implants or are unhappy with the results of a previous augmentation, contact us to schedule a consultation with Dr. Farbod Esmailian. With extensive experience in revision surgery, he is committed to helping you achieve the beautiful and natural-looking results you deserve.
1 American Society of Plastic Surgeons. Breast Implant Revision. https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision. Accessed December 27, 2024.
2 American Society of Plastic Surgeons. What is capsular contracture and how can it be treated? https://www.plasticsurgery.org/news/blog/what-is-capsular-contracture-and-how-can-it-be-treated. Accessed December 27, 2024.
3 Plastic & Reconstructive Surgery. The double-bubble deformity: cause, prevention, and treatment. https://pubmed.ncbi.nlm.nih.gov/24281573/. Accessed December 27, 2024.
4 Plastic & Reconstructive Surgery. Synmastia after breast augmentation. https://pubmed.ncbi.nlm.nih.gov/17099499/. Accessed December 27, 2024.
