Breast augmentation surgery with the placement of silicone or saline breast implants is one of the most popular cosmetic surgeries. While the majority of women are pleased with their results, some will decide to have the implants replaced. Breast implant exchange surgery (sometimes referred to as breast revision surgery) corrects, removes or replaces an existing implant that is either not functioning properly, or is no longer aesthetically desirable. Some women may choose to exchange their implants for sizing alone, or switch from saline to silicone, while others do it because of complication or age of their current implants. Newport Beach triple board-certified cosmetic surgeon, Dr. Douglas Hendricks performs breast implant exchange surgery and can create gorgeous, natural results with the placement of new implants at Pacifica Cosmetic Surgery Center serving Orange County, Los Angeles, and more.
Reasons for Revision Surgery@headingTag>
There are various circumstances as to why a woman may decide to undergo breast revision surgery. The most common reasons are listed below.
If a saline implant ruptures, the implant device will deflate due to the leakage of saline. This will result in an obvious deflating of the breasts. Silicone implants will not deflate visibly, however a break in the shell may still occur. The only true way to detect a shell break is through an MRI, which is why routine check-ups are recommended throughout the years.
Breast rippling and/or wrinkling can occur along the side of the breast, or underneath it. This occurs within saline implants resulting in an unnatural appearance under the skin. This is most common in women who are extremely thin.
Double Bubble Implants@headingTag>
“Double bubble” is a rare complication with women who have breast implants. This occurs when the implant drops down behind the natural breast crease, or it has risen and now over-drapes (double folds) the breast. When this occurs, an unnatural indention will result in a “double” breast appearance. This is usually caused by improper breast placement from the original surgery, or severe capsular contracture, which shifts the implant from its position.
Breast Implant Removal@headingTag>
Some women may decide later in life they no longer wish to have breast implants in place. Breast implant removal is a procedure that removes the implants and tightens the skin around the breasts to create a natural look.
Some women will be unhappy with their breast size following breast augmentation surgery. They may desire a secondary surgery to replace the implant with one of a different size, texture or shape. Some women may want to go from saline to silicone, or vice versa to achieve the results they desire.
Scar tissue that has formed around the implant may create a capsular contracture. When this occurs, excessive tightening of the capsule will result in a hard feel of the breast. Sometimes, in order to correct this, a capsulectomy must occur. This is the removal of scar tissue from around the implant. In general, silicone implants have a higher incidence of capsular contracture (approximately 10-15% chances) than saline implants (5% chance).
Implant Bottoming Out@headingTag>
This can occur post-surgery when an implant shifts or moves from its original location. This can also occur with aging, gravity, trauma to the chest area, or with excessive scarring.
Some women are not good candidates for breast augmentation surgery. Instead, they should first have a breast lift. Women who have sagging breasts and undergo breast augmentation surgery alone will not have strong results. The breast will continue to sag further due to the increase weight of the implant.
Breast Implant Exchange Reviews
“33yr old mommy with 2 kids, lift and implants, original breasts double d/ to double d – Newport Beach, CA – DR. HENDRICKS is such a kind doctor. He made sure every step of the way about my decision to go with what size and he even called me the night before surgery and after surgery too. His staff are super nice and not like the usual snobby cosmetic staff u get at most high end practices. I felt completely comfortable from the consult to the post check ups, FIVE STARS ALL THE WAY!! – – To go to, Dr. Henricks from Pacifica Cosmetic Surgery, in Newport Beach, CA was the best decision I've ever made. He matched the picture I wanted exactly. I had sagging large breasts from having kids, but after the surgery mine a lifted and perky and so natural looking. We went with the Gel Cohesive tear drop gummy implants. Dr. H, knew exactly how much skin and tissue to take off and added the perfect size implants in so I can get the extra lift I wanted. Now I have no more sagging skin and with implants I can wear dresses and shirts without a bra even!! I'm so happy with the results, he truly is a good surgeon. I don't regret getting the lift, even though there are a little scars, the results are far greater than if I didn't do the lift. Plus the scars are fading more and more. I truly hope this review helps anybody that is thinking of getting work on their breasts. If you want a DR. that can match a picture in ur head. Then Dr. Hendricks is the guys to look for.”– R. / RealSelf / Apr 14, 2015
“I just would like to say thank you so much Dr. Hendricks for making me look and feel amazing. You are wonderful doctor and all my friends who you worked on love the results. From all of us we are saying THANK YOU! Olga King”– O.K. / Office Visit / Sep 08, 2015
“This guy just doesn't quit. No matter how drastic a situation or minor the situation he always has his wit about him and honestly makes me laugh till I can't breath. As I am sure he is just being himself, but always professional. He never lets you down. He is there 100% till you are satisfied. Believe me he is a perfectionist and never changes his tone. He told me from day one that he would help me and that he has. My case being a little difficult he stuck by me and gave supporting words of encouragement when I needed them and wouldn't stop till I was happy with the out come. Most importantly he never made me feel like it was about the $$$. I of all people can appreciate feeling like I have gained a friend outta this and will never go to another doctor. People with anything negative to say obviously didn't speak up, cause he's in it till the end.”– S.S. / Yelp / May 18, 2013
“I just would like to say thank you so much Dr. Hendricks for making me look and feel amazing. You are wonderful doctor and all my friends who you worked on love the results. From all of us we are saying THANK YOU! Olga King”– O.K. / Yelp / Oct 08, 2010
Patients who wish to have their implants replaced will undergo a procedure where an exchange of one or both implants may occur. These revision surgeries are generally straightforward. If scar tissue does exist around the implant, an additional step will be taken to remove this. Some patients may require a breast lift during the revision surgery. In addition, a tissue matrix device known as a strattice may be used if added support is needed. The goal of the revision process is to resolve or overcome issues in a way that satisfies the patient’s aesthetic goals.
Breast revision surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. The ease of recovery will depend on exactly what was being done during the revision process. Most women are able to resume their normal work activities after a full week of rest. Exercise will be a gradual process. It may take up to a full year for the scars to begin to fade and for the newly revised breast or chest area to look and feel natural.
Plan Your Procedure
- Average Procedure Time
- 1.5 Hours
- Post-op Follow-up
- Procedure Recovery Location