Breast reconstruction is a complex process of surgically recreating one or both breasts. The need for breast reconstruction can stem from a variety of issues, including congenital abnormalities, cancer, or trauma to the chest. Unfortunately, even with excellent medical management, not all breast reconstruction procedures bring satisfying results. In some instances, the reconstructed breast may not be symmetrical with the healthy breast, or may simply look unnatural. However, there is hope for these patients at the Naderi Center. With our innovative revision breast reconstruction procedure, men and women have a chance to permanently improve the results from their initial procedure.
|What is the pain level after the surgery?||Mild to moderate|
|Anesthesia type (if applicable)||General anesthesia|
|Duration of Surgery||2-4 hours|
|Where will scaring for this procedure be?||Varied|
|Timeframe to begin showing final results||2-3 weeks|
|When is the patient able to return to regular activities?||1 week|
|When is the patient able to resume exercise?||2-3weeks|
|Cost of surgeon’s fee||Insurance|
Revision Breast Reconstruction with Dr. Erica Anderson
The Naderi Center’s Dr. Erica Anderson is one of the country’s leading experts in breast reconstruction. She is considered the Guru of Revision Breast Reconstruction in the East, including Maryland, Washington D.C., and Virginia. Using the latest techniques for reshaping the breasts and reducing scar tissue, Dr. Anderson helps her patients to improve the size, shape, and symmetry of their chest.
Depending on the patient’s unique situation, Dr. Anderson will create a one-of-a-kind surgical plan to achieve a proportionate, balanced chest, restoring confidence and self-esteem. Benefits of the revision breast reconstruction from Dr. Anderson and the Naderi Center include soft, natural-looking breasts, a shapely nipple/areola, and restored pride in the appearance.
Why consider revision breast reconstruction at the Naderi Center?
There are many reasons why patients may face the choice of revision breast reconstruction The initial surgical process is complicated, and many times requires multiple operations. Ultimately, however, the overall results can be disappointing. The most common reasons for revision breast reconstruction include:
- Asymmetry – When only one breast is reconstructed originally, it is not uncommon for asymmetry to occur, as the natural breast tissue may not match the shape or position of the newly reconstructed breast. Additionally, over time, the natural breast tissue may change, causing the breasts to become uneven.
- Scar tissue – Scarring after a mastectomy and the initial breast reconstruction procedure are to be expected. In some cases, however, severe, unexpected scarring can occur, leaving the breast feeling hard and looking unattractive. Dr. Anderson can reduce the appearance of unwanted scar tissue with her revision breast reconstruction procedure.
- Poor aesthetic appearance can occur after a breast reconstruction. The complex surgical procedure, especially when performed by a less than experienced surgeon, can lead to results that do not look organic, or do not match with a woman’s physical desires.
- Implant exchange – Over time, many women will find they want to change the size of their original breast implants, as they no longer meet their current lifestyle or their aesthetic goals. Complications with implants, such as displacement, capsular contracture, or rupture, can also occur.
The Revision Breast Reconstruction Consultation
Patients who are not satisfied with the results of a primary breast reconstruction should schedule a revision breast reconstruction consultation with Dr. Anderson. At this time, the surgeon will perform a physical exam to evaluate the existing breast tissue. She will listen to the patient’s expectations for revision and review their desired results. After going over the available revision options, Dr. Anderson will show before and photos of her recent breast reconstruction revision patients; this will help in a visualization of the potential results. Once the benefits and the limitations of surgery are explained, it will be determined if a breast reconstruction revision is the right path for the individual’s needs. If so, Dr. Anderson will establish a personalized surgical plan to walk the patient through the procedure, step-by-step.
The Ideal Candidate for Revision Breast Reconstruction
Even with a reputable surgeon, there are times when the primary breast reconstruction does not achieve the best outcome. Most patients who are dissatisfied with the results from a primary procedure can make a candidate for revision surgery. The ideal breast reconstruction revision candidate will be in overall good health and a nonsmoker, as smoking can delay the healing process. Patients should hold a firm understanding of the surgical process and have reasonable expectations for their results. Dr. Anderson recommends patients be at least six months out from their initial breast reconstruction procedure before pursing revision surgery. This gives the breast adequate time to heal, the implants to settle into position, and all swelling to resolve.
The Revision Breast Reconstruction with Dr. Anderson
The technique used for a revision breast reconstruction will vary, depending on the reasons for revision and the patient’s desired results. During the procedure, scar tissue can be removed to achieve softer, more natural looking and feeling breasts. Breast symmetry can also be achieved. Overall, the revision breast reconstruction procedure takes from one to two hours, performed under general anesthesia. During the consultation, Dr. Anderson will determine the exact technique needed to improve the breast and provide the most natural looking results. The most common options include:
The breast fat transfer uses a patient’s own fatty tissue to contour and shape the chest. Liposuction is used to extract unwanted fat from the abdomen, thighs, buttocks, or lower back. This tissue is then purified using a centrifuge, separating impurities from the delicate fat cells. Dr. Anderson will then inject this clean fatty tissue into the breast, sculpting the area until she creates the desired shape and size. Fat transfer can also be used to smooth lumpy breasts, fill divots, and improve contour irregularities.
Exchange breast implants
Dr. Anderson can restore symmetry to the chest by replacing one or both breast implants with a more appropriate size, type, or shape device. Even when only one breast has undergone reconstruction, a breast implant placed on both sides can create a symmetrical chest. Balance and proportion can be established with new breast implants, and when needed, Dr. Anderson will reconstruct or reposition the nipple/areola for a more attractive chest.
The Recovery Following a Revision Breast Reconstruction
Women can expect their revision breast reconstruction recovery to take from one to two weeks. Swelling and tenderness are common. While the technique is normally less painful than the original reconstruction, moderate discomfort is normal. Dr. Anderson will prescribe the needed medications for a smooth recovery period. Most women will feel well enough to return to work in seven to ten days, sometimes less.
As with the initial breast reconstruction procedure, there should be no heavy lifting or strenuous exercise for four to six weeks. A surgical bra will need to be worn for several weeks following the procedure, ensuring the breasts heal quickly and as desired. It will take up to six months for the swelling to completely resolve and the breasts to heal accordingly. At this time, the full benefits of the breast reconstruction revision can be seen.
Risks and Complications from Revision Breast Reconstruction
The risks of the procedure are similar to those from a primary breast implant surgery and can include hematoma, infection, unexpected scarring, loss of nipple sensation, and asymmetry. Breast implants hold the chance for rupture and capsular contracture, as well. However, with an experienced revision breast reconstruction surgeon, complications are rare. Dr. Anderson has performed hundreds of satisfying breast reconstruction revision procedures, over the years. She has developed her own unique techniques for the procedure and Dr. Anderson is considered by her colleges as the Guru of Revision Breast Reconstruction in the Washington D.C., Maryland, and Virginia area.
Schedule your revision breast reconstruction consultation at the Naderi Center
If you are unhappy with the appearance of your chest, place your trust in a respected plastic surgeon, experienced in revision breast reconstruction procedures. Dr. Anderson and her esteemed associates, Dr. Shervin Naderi and Dr. Jessica Kulak, bring decades of combined experienced in aesthetic procedures. The Naderi Center is one of the top providers of plastic and reconstructive surgery on the east coast. Dr. Anderson’s breast reconstruction revision techniques can help women and men to achieve the natural-looking, contoured results they are searching for.
Call the Naderi Center’s Chevy Chase office at 301.222.2020 or the Herndon, Virginia office at 703.481.0002 for more information on the breast reconstruction revision procedure. Consultations with Dr. Anderson are complimentary. For those patients who are not in the Washington D.C., Maryland, or Virginia area, a virtual consultation with Dr. Anderson can be arranged.
Revision Breast Reconstruction FAQs
What is revision breast reconstruction?
Revision breast reconstruction is a surgical procedure designed to create a satisfactory breast size, shape, and contour for patients unhappy with results from their initial surgery. There are many reasons patients will seek a revision procedure, including poor aesthetic results, breast asymmetry, excess scar tissue, or the desire for larger/smaller implants.
How soon after my initial breast reconstruction can I consider a revision procedure?
Patients need to wait at least six months after their initial breast reconstruction before the revision procedure is performed.
How is breast reconstruction revision performed?
The revision breast reconstruction procedure will depend on the type of correction required and the patient’s aesthetic goals. Options for the revision process include a fat transfer or breast implants.
What are the risks of a revision breast reconstruction procedure?
The revision breast reconstruction is considered a safe and satisfying surgery, but as with all surgical procedures, there is the chance for complications to occur. There is a small risk for scarring, infection, hematoma or seroma, loss of nipple sensation, and issues associated with anesthesia. These will be discussed at length during the consultation.
Will insurance cover the cost of my revision breast reconstruction procedure?
In many cases, health insurance will cover the costs of a revision breast reconstruction procedure. The Naderi Center’s experienced patient coordinators are available to assist with your insurance and to determine your coverage. We also offer a variety of payment options, should there be any out-of-pocket expenses.