Breast Augmentation Revision

A breast augmentation can be great. But sometimes, its not what you were hoping for. And other times it started off great, but things changed with time. The good news is that revision surgery is often possible and can lead to improved results.

• Women unhappy with the size of their breasts after breast augmentation
• Women whose breast implants have “bottomed out” or lateralized into the armpit
• Women who have developed capsular contracture after breast augmentation
• Women that have concerns about lack of symmetry after breast augmentation

Our team will:
• Ask about your goals and expectations for breast augmentation revision
• Ask about your overall health, including other medical conditions, prior surgeries, medications and drug allergies.
• Ask specifically about your prior breast surgery, including current size of implant. If you still have your breast implant card, usually given at time or surgery, please bring it!
• Ask about any Personal or Family history of breast cancer. We will discuss prior results of any mammograms or breast biopsies
• Examine and measure your breasts, including detailed measurements of their size and shape, skin quality and placement of your nipples and areolas
• Take photographs

• You will have a detailed discussion with Dr. Elkins-Williams to determine your goals and realistic outcome of the surgery. Dr. Elkins-Williams will discuss all of your options and recommend a course of treatment
• Every woman has unique breasts and unique goals. Dr. Elkins-Williams is broadly trained in a wide variety of surgical techniques that he can adapt to each individual patient to deliver the very best results. During your consultation, Dr Elkins-Williams will help you determine the right technique and right implant for your unique circumstances.

• The time needed to perform a Breast Augmentation Revision varies widely. It ranged from about 60 minutes for a simple implant size exchange, to multiple hours for more complex revisions. A breast augmentation revision is usually performed under general anesthesia. All sutures are underneath the skin and are absorbable.
• You will be put into a soft post-operative bra after surgery. There are no dressings to change or drains to bother with.
• You will have some pain and swelling immediately after surgery. Most patients don’t require pain medication for more than a couple of days. We encourage our patients to resume normal activities of daily living as soon as possible. You will need to hold off on aerobic exercise for 2 weeks after surgery, and refrain from weight training for 4 weeks.
• Swelling will gradually improve over a period of around 3 months.

You will receive a surgical quote and any clearance forms required at your consultation. Should you decide to proceed, we will connect you with our patient care coordinator, Shannon Jones. At this time, you will select a procedure date and pay a $500.00 non-refundable booking fee to reserve this date. Once the surgery date is set, we schedule a pre-operative appointment two weeks prior to surgery.

At your pre-op, you will have ample time to discuss your upcoming procedure in great detail and have all your questions answered. We will review all pre- and post-operative care, prescribed medications, and any provisions we may give you for use pre- and post-surgery. You will review and sign the consent for surgery, and the balance will be due at the conclusion of this appointment.

Avoid blood thinning medications/supplements for two weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). Generally, you may take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E, multi vitamins, and omega 3 fatty acids (fish oil and flax seed oil.) You will be given a complete list of medications/supplements to avoid at your pre-op. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.

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