Breast Revision Overview
San Antonio plastic surgeon, Dr. Michael Decherd, is skilled to perform breast revision surgery for women who are not pleased with the results of a prior augmentation procedure. There are countless reasons why a woman may need or require a revision surgery. For some, the results may not be aesthetically pleasing, while for others, implant malfunction may be an issue. Some women will make the personal choice to have their implants removed, or may decide later to increase or decrease their size. Dr. Decherd will consult with each patient to determine what the aesthetic goal of surgery is and will work to achieve the results the patient desires.
Breast Revision Reviews
"Professional, Caring, Well Informed! - Where do I begin!!! I had scheduled two consultations in San Antonio, driving in from Corpus Christi. With my initial consult with the first Dr. I felt horrible. The nurse was cold and when I tried to ask her a question, she looked at me like ... you dare ask ME a question? Then the Dr. came in...Ughh. Horrible. Again, like the nurse... cold, unfriendly and within 2 minutes had decided what I needed. By the time he left... once I had recovered a bit from the shock of how I had been treated, I thought to ask about size, revision and exactly what his plan would entail. By the time I came out no one was around except the scheduler and before I knew it, I was scheduled and paying $200 for a surgery in which I was still very uninformed of! Finally had the chance to catch the doctor. When I asked him about the details, he like the nurse answered me like - I dare ask??? WOW.... I left thinking.. I don't know that I want to go through with this. As I slept on my decision, I started thinking of how my care could potentially be like in the event something did not go well. By the next day, Dr. Decherd's office called to confirm my consultation. I said that I would have to cancel because I had committed to this other office.Can I just say, what happened next was such a BLESSING!!!Dr. Decherd's consultant, Courtney called me personally and discussed what exactly to expect from my consultation. This included how they would handle my old implants- and if I chose to deflate the implants, that they could do so- this would allow me the ability to go through sizing and utilizing the Vector imaging to determine how and what and all of the questions I could potentially have prior to surgery answered!!! Not only that but she discussed the procedure and asked me if I had any questions? I immediately felt re-assured, and the anxiety I was having about the other consultation and scheduled procedure left...They gave me my dignity and the respect of knowing what to expect and that I had the ability to make decisions about my body and procedure. Not to mention the fact that I was able to make a well informed decision! Priceless!!!!!Once I came to the consultation, it only proved to be better than I could have hoped! The team that Dr. Decherd has surrounding him are professional and so LOVEABLE!!! There is such a warm and friendly reception beginning with Melissa when coming into the office. Did I mention how INCREDIBLE the Nurse, Heather is? Courtney, the Patient Coordinator I have to say â??THANK YOUâ?, because if it werenâ??t for you and your evident care for the patient, I would have cancelled my consultation and I shudder to think of what could have been! As for Dr. Decherd... He is THE BEST!!!! He is outgoing, extremely knowledgeable and takes the time to explain and actively listens to what you are saying! He wants you to be informed and to make informed decisions about your body and surgery...hmmm... what a great concept! Isn't that how it should be? I had no doubt that I was in good hands! I hope that anyone thinking of having a procedure will consider Dr. Decherd and his team. I know that going forward, he is the ONLY Surgeon that I would trust for any cosmetic procedure and will continue to recommend Him and his Supportive and Caring Team!"- S.H. / Vitals / Aug 29, 2013
"Dr. Decherd's consultant, called me personally to discuss what to expect from my consult -Including how they would handle my old implants- giving me options that would allow me the ability to go through sizing and utilizing the Vector imaging to determine the outcome and answer the questions I could potentially have prior to surgery. I immediately felt re-assured. They gave me dignity and the respect of knowing what to expect. I had the ability to make decisions about my body and procedure. Not to mention the fact that I was able to make a well informed decision! Once I came to the consultation, it only proved to be better than I could have hoped! Dr. Decherd is outgoing, extremely knowledgeable and takes the time to explain and actively listens to what you are saying! He wants you to be informed and to make informed decisions about your body and surgery. What a great concept! Isn't that how it should be?"- Anonymous / RateMDs / Aug 29, 2013
"Removal of Saline (7years Old), Replaced by Silicone - Dr. Decherd... He is THE BEST!!!! He is outgoing, extremely knowledgable and takes the time to explain and actively listens to what you are saying! He wants you to be informed and to make informed decisions about your body and surgery...hmmm... what a great concept! Isn't that how it should be? He and his incredible team have my support and recommendation going forward!"- A. / RealSelf / Aug 28, 2013
"Dr. Decherd is the Best! My experience is unique. I've had a relationship with Dr. Decherd for 10 years. I was diagnosed with breast cancer in March and chose to have a bilateral mastectomy. I understood that Dr. Decherd no longer took this type of case, however, I requested an exception, as I needed the best. Beginning my journey there were many unknowns. The one invaluable comfort was the care, the direction and the confidence that he and his office offered beginning with my initial visit. My health being my first priority, my image was an essential part of my emotional healing. Dr. Decherd is not only the most gifted surgeon..he is truly magical. I had three surgeries in four months with my final phase of reconstruction two months ago and I literally do not appear to have had a mastectomy. I understand that these results are extremely difficult to accomplish and rare, considering the original procedure that had taken place. My new breast are amazing and after only two months my scarring is hairline and barely visible. The emotional confidence that it has given has been crucial. My story is unique, however, if you are considering any type of cosmetic procedure, I would not use anyone else. I highly recommend Dr. Decherd, his nurses as well as his office team. They will guide you through the decision making process, your office visits are seamless and the results are exceptional."- C.M. / Google / Sep 27, 2015
"Mind you this is my 3rd breast surgery. 1st time ten years ago was a lift and implants-gained weight and they turned into basketballs lol-so 2nd surgery was a reduction, remove implants, lift...So after 2.5 years I felt they were deflated (I lost weight) so this time I just got the smallest D implants (I have breast tissue) and they were just right. In fact, he did the best job of all three surgeons. Plastic surgeons have to have an appreciation for what they do and not just think of it as 'what they do'-they also must be visionaries as to what this or that SHOULD look like on a woman. In other words, you must find a surgeon that at least looks like he appreciates a nice rack or you're going to get the 'run of the mill' special. I believe Dr. Decherd knows what he is doing. Nice guy and wonderful staff."- J.G. / Yelp / Aug 28, 2016
Reasons for Revision Surgery
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
“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
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
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 Revision Surgical Technique
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 During/After Surgery
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.
Breast Revision Expected Cost
The cost for a breast revision procedure will vary greatly, but on average, the range is between $5,000-$10,000. The final cost will depend on numerous factors including:
- If the breast implants are being removed or replaced
- If breast replacement is occurring with a silicone or saline breast implant
- If any additional surgical technique will be needed (i.e. a capsulectomy or a breast lift)
- If the implants were covered by a manufacturer warranty
Plan Your Procedure
- Average Cost
- $5,000 - $10,000
- Recovery Time
- 4-6 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 5-9 Days
- Procedure Recovery Location