Andrés Taleisnik, MD

Board-certified Plastic Surgeon | Phone: (714) 464-3399

Breast Revision

Achieve natural looking results and improve your self-esteem.

A surgical procedure designed to correct or replace implants from a previous surgery.

Breast augmentation has a very high success and satisfaction rate, but problems do sometimes arise, given that millions of women have undergone breast augmentation surgery. Fortunately, most problems can be corrected or improved with a breast revision surgery. There are numerous conditions, described below, that might prompt a patient to seek breast revision surgery. Breast implant revision can be more complex than the original procedure. Dr. Taleisnik possesses the training, expertise and experience to guide you through the revision process.

Types of Breast Revision

Anatomical ImplantsTop ↑

Anatomical implants are thicker or fuller at the bottom of the breast, and thinner or more tapered at the top of the breast. These implants can be helpful for some patients with excessive prominence or fullness in the upper pole of the breasts, resulting in a more natural appearance. Whereas anatomical saline implants have long been available in the U.S., anatomical silicone implants are now also available.

Bottoming OutTop ↑

Bottoming out refers to stretching of the skin and tissues in the lower part of the breasts. The breast implants settle too low as a consequence, creating an unnatural appearance with the nipples and areolas seemingly too high, and a loss of upper breast fullness. Correction may require removing stretched skin as part of a lift, or tightening the lower breast tissues (capsulorrhaphy).

Capsular ContractureTop ↑

Capsular contracture refers to excessive thickening and tightening of the tissue capsule that normally forms around all implants. This can make the breasts feel hard or look too round and unnatural. Capsular contracture can also cause implants to shift position, creating deformities and asymmetries, and can occasionally be painful. Surgery for capsular contracture involves a capsulectomy (removal of the thickened, hard tissue), sometimes with replacement of the implant and other measures designed to decrease the likelihood of a recurrent contracture.

Double Bubble DeformityTop ↑

Double bubble deformity can occur for different reasons. Sometimes, the breast tissues sag and hang from the front of the implant, resulting in an upper bulge from the implant and a lower bulge from the hanging breast tissue. Treatment may involve repositioning the implant, combined with a breast lift to address the sagging tissues. In other patients, especially those who begin with a short distance from the areola to the fold beneath the breast, the original fold or crease persists and causes an indentation in the lower breast above the new, surgically lowered fold. Treatment may involve raising the inframammary fold once again with a capsulorrhaphy, possibly converting to slightly smaller implants and placing the implants above the pectoral muscle.

Positioning: ImplantsTop ↑

Implants may be improperly positioned during the original surgery, or may move over time. This may result in one implant being higher than the other, or possibly in an excessively wide distance between the breasts (wide intermammary distance), with poor cleavage. Correction may require modifying the pectoralis muscle or breast implant capsule.

Ruptured ImplantTop ↑

Breast implants are not expected to last forever, and some will eventually leak or rupture. It is best to perform the revision breast augmentation surgery soon after the rupture, before the breast tissues shrink and tighten. For ruptured silicone implants, it may also be necessary to remove silicone gel or perform a capsulectomy to remove scar tissue around the implant. Often, the breast implant replacement procedure is less painful than the initial surgery, with a more rapid recovery.

Size ChangeTop ↑

Some patients are dissatisfied with their implant size from the outset, while others are initially happy but later become dissatisfied as their skin stretches and breast tissues become thinner, making the breasts look too small or empty. An implant size exchange is often a very straightforward procedure. At times, a mastopexy may also be helpful to tighten loose skin and breast tissues as well. Dr. Taleisnik spends considerable time reviewing sizing with patients, and generally confirms the optimal implant size during surgery with trial sizer implants, resulting in an exceptionally low reoperation rate for size change of about 1-2%.

SymmastiaTop ↑

Symmastia occurs when the “pockets” or spaces for the right and left breast implants connect or lack sufficient separation and definition. Some patients refer to this problem as a “uniboob.” It is important to take measures to avoid this complication during the initial surgery. Treatment for symmastia often involves a capsulorrhaphy, or reinforcement of the tissues between the breasts to separate them.

〉〉 click here to view additional before and after photos 〈〈

Patient Reviews

I am so happy and proud to say that I have a wonderful new set of breasts

I am so happy and proud to say that I have a wonderful new set of breasts since having my breast augmentation done by Dr. Andres Taleisnik in April 2013. Over the past six months, I have been doing research online and had two consultations from surgeons recommended by some friends. Neither of those surgeons gave me the reassurance I needed to go forward with surgery. They were either too high-priced or the doctor-patient relationship was lacking. Even though each of them was highly skilled, I did more research and came upon Dr. Taleisnik – my 3rd consultation. His consultation was different than my prior two. He was thorough, professional, down to earth, explained WHY he was recommending one approach over the other options, and took the time to get to know ME as a patient to ensure I got the result I was looking for. My boyfriend and I left the consultation knowing he was the surgeon for me, as he had my best interest and goals in mind. He was genuinely caring, and his pricing very affordable!!

My surgery results are awesome and much better than I ever expected. My boyfriend says my breasts are PERFECT and he wouldn’t change a thing – nor would I! They are perfectly shaped, symmetrical, scars healing well and hidden (I went inframammary/silicone), and I’m having a smooth recovery. I tell everyone I know (and you readers) what a fabulous job he did from beginning to end. I highly recommend Dr. Taleisnik, and if you select him as your surgeon, you will be glad you did. I'm sure you will love the results as I do! Thank you, Dr. Taleisnik, for my beautiful breasts!!!

Additional Information

Price

$3,500 - $10,000

Change of implants or size: $3,500 to $4,800. Correction of other significant problems: $7,000-$10,000

We accept payments by all major Credit Cards, Cash or Check or financing through CareCredit® and Prosper Healthcare Lending™

Current Specials

Contact the office for available specials.

Insurance Coverage

Rarely: Possibly for severe pain, severe capsular contracture, or severe deformity.

Anesthetic

General Anesthesia

General anesthesia makes you unable to feel pain during medical procedures. All surgeries are performed in outpatient surgery centers accredited at the highest levels. All anesthesia is provided by board-certified anesthesiologists.

Recovery Time

In many cases, breast revision surgery can be less painful than the original augmentation, although it depends on the problem addressed. Patients can typically resume most light daily activities within a week, with full activities within 3 weeks.

4-10 Days
Off Work
1-3 Days
Bandage
Removal
1-3 Days
Follow-Up
Visit
2-3 Wks
Stitches
Removed
2-4 Wks
Resume
Exercise
6-8 Wks
Best Results

Our Office

1140 West La Veta Avenue
Suite 860
Orange, CA, 92868

Phone (714) 464-3399
Fax (714) 541-6105

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Contact

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