Breast Implant Exchange | Breast Implant Removal | Capsular Contracture

What does secondary mean? It is a surgery done on an area for at least a second time. Another name for it is revisionary surgery. This applies to all of plastic surgery. There are secondary liposuctions, facelifts, rhinoplasty, etc.

Secondary breast implant surgery is more complex than the first surgery. There are many examples of secondary breast surgeries. A breast implant exchange is a secondary surgery. A breast implant removal is also a secondary surgery. Sometimes, the secondary surgery is to improve shape or position. In all of these cases, the first surgery was putting the breast implants in. Dr. Brown likes the challenges of these surgeries. You can see now that ‘secondary’ applies to all surgeries after the first. In extreme cases, he may be the fourth surgeon to do a patient’s seventh surgery.

Secondary breast implants surgery photos

Breast implants exchange

Subglandular Malposition

Subglandular Malposition

Subglandular Malposition

Capsular Contracture

Breast implants exchange

Breast implants exchange

Breast implants exchange

Breast implants exchange

Breast implants exhange with left breast lift

Breast implants exhange

Breast implants removal

Staged breast implants removal

Implants Removal with breast lift

Breast implants deflation repair

Synmastia repair

Secondary Implants after breast reduction

250 photo sets

Breast Implant Exchange – Plastic Surgery

The breast implants exchange is a straight forward case. The old implants are removed and new ones are put in. Sometimes, they can be complex. When the scar tissue pocket needs to be revised, it makes it more involved. Other times, the first implants do not sit on the chest correctly. This will have caused the breasts to look unnatural. This will need to be revised too. The new sized implants and the first result can make these cases quite challenging.

The recovery from a breast implant exchange is fast. This is true when no pocket work needs to be done. They can be back to normal in a day. In complex cases, the pain is much less than the first case. They may need to take it easy for a few days. Again, still much better than the first case. Like any surgery, there are risks of breast implant exchange.

Subglandular Malposition – Plastic Surgery

This sounds like a big phrase and sometimes it is a big problem. This sounds like a big phrase and can be a big problem. Breast implants placed above the muscle are only covered by the natural breast tissue and skin. This position below the breast gland is called ‘sub glandular’. Over time, the breast implant can cause skin stretch. This stretch leads to an increase in breast implant visibility. It also makes them easier to feel. In this position, the implants tend to harden more often. This can distort the breast shape.

These breast implant problems can be very distressing. Some of Dr. Brown’s happiest patients are the ones in whom he has corrected these problems. The best way to correct this is to reposition implants to below the muscle. The old scar tissue will be removed. The old breast implants may be reused. Or she may have a breast implant exchange. She can have larger breast implants put in. The amount of skin stretch is a factor. If there is a lot of skin, she may have to have larger implants. If she does not want to be larger, then she may need a breast lift. These cases have the same types of risks as the breast implant exchange.

Breast Implant Malposition

Subglandular Malposition

Subglandular Malposition

Breast implants exchange

Capsular Contracture

Breast Implant Removal – Plastic Surgery

Some women have their breast implants removed permanently. This surgery will depend upon:

  • how long she’s had implants
  • how much breast and skin tissue she has
  • how much of her breast mound was made up of implant

After a breast implant removal, some women are done. Others may require a breast lift. Some breast lifts will be involved while others will be limited. In thinner women, there is not much breast tissue to work with, so the lift is not going to produce a full mound. The breast lift will leave scars on the breasts. Click to learn about the risks of breast implants removal.

Breast implants removal

Staged breast implants removal

Implants Removal with breast lift

Capsular Contracture – Plastic Surgery

The human body forms scar tissue as a response to heal wounds. A scar tissue layer forms around the breast implant. It is called the breast implant capsule. This capsule can restrict the movement of the implant. This will happen if the pocket is only large enough for the implant to fit. If the pocket is made larger than the implant, then the implant will move. Motion creates a softer, more natural breast look. The size of the breast implant capsule is determined in surgery and the next few weeks after.

Sometimes the breast mound becomes firm with too much scar. This scar tissue may take months to years to occur. Scar tissue is less common when breast implants are under the muscle. When the scar gets worse, the mound can become firm and distorted. This is called a capsular contracture. In the severe cases, it causes pain.

The old scar tissue has to come out. Replacing the old implants is recommended. Moving them to below the muscle will improve breast shape. Hopefully when the new scar pocket forms, it will be away from the implant and remains thin. This surgery can be extensive. It requires drainage tubes to be left in the breast. The drainage tubes will be removed a few days after surgery. These tubes help remove away the fluids which may be causing the thick scar tissue.

These complex cases carry the greatest risk for another surgery. Capsular contracture is the most common cause for recurrent surgery. Sometimes capsular contracture recurs within a few weeks to months. If this happens, the long term outcome is not good. These patients will require another surgery. In severe cases, it is best to remove the implants and scar tissue and allow the body to heal. Then, in a few months, another implant surgery can be attempted. There is no guarantee that scar tissue will not recur in such cases. The cause of capsular contracture is unknown and may occur in one or both breasts.

Specialist in secondary breast implants, breast augmentation, and breast implant exchange for Loudoun, Northern Virginia, West Virginia, Maryland, & Washington DC