Breast Revision | Implant Removal

Breast Enhancement

Breast Revision | Implant Removal in Montclair, NJ with Dr. Caroline Szpalski

Revision breast surgery refers to a variety of procedures designed to reshape or improve the appearance of breasts that have been previously operated upon. Some breasts may have a less-than-ideal aesthetic outcome or may have symptoms such as tightness or pain. Correction can be for cosmetic purposes or post-reconstruction; all require the experience, judgment, and skill of the surgeon. Dr. Szpalski’s skills and experience in complicated breast reconstruction surgery are directly applied to all types of breast revision, whether reconstructive or cosmetic.

Contact us today at (646) 777-0170 or complete our online form to schedule your breast reduction consultation today!

What Is a New Jersey Breast Revision?

A breast revision is when surgery is done on a breast that was already operated on. It is more common on patients who have had breast implants placed. Indeed, over the lifespan of a breast implant, it can undergo changes that can impact the appearance and feel of the breasts. Cosmetic breast revision or implant removal procedures aim to restore the breast appearance by exchanging breast implants for newer, improved materials.

Breast revision is a customized surgical procedure that aims to remove or exchange older breast implants based on each patient’s needs and goals. It will also adjust the tissue around the breast by removing excess tissue or lifting the breast tissue. The FDA has set some surveillance and screening guidelines to detect ruptured implants early on. For asymptomatic patients, the first ultrasound or magnetic resonance imaging (MRI) should be performed at 5 years postoperatively, then every 2-3 years thereafter. For symptomatic patients or patients with equivocal ultrasound results for rupture at any time postoperatively, an MRI is recommended. Often, patients choose breast revision to upgrade implant style or materials to enhance breast appearance and overall figure, such as updating from saline to silicone implants. Revision surgery is of course mandatory when a ruptured implant is identified.

Why Might I Consider Breast Revision Surgery in New Jersey?

As each plastic surgery for breast revision is unique, each patient will experience their own highly customized procedure. Patients have many personal reasons to consider breast revision or implant removal, including: 

  • Changing the size of breasts and implants 
  • Updating the implant style or shape
  • Repositioning the implant
  • Addressing discomfort or pain from capsular contracture (Capsulectomy)
  • Correcting implant-associated issues, including rippling
  • Resolving uncertainties of implant migration, leak, or rupture
  • Removing implants if they’re no longer desired (women may wish to have their implants removed for individual reasons 
  • Change of the implant pocket (from under the muscle to over the muscle)
  • Adjustment of the breast implant “pocket” ( to create better symmetry or to improve the appearance and position of previously augmented breasts to one that is more natural and aesthetic).

Removal of breast implants is a straightforward procedure, but the shape of the breast may be somewhat flat or deflated after “explantation”.  Therefore, breast revision surgery may also include other breast rejuvenating procedures to improve the overall appearance of the breasts, including:  

What Are The Different Types of Breast Revision Surgeries in NJ?

Good candidates for New Jersey breast augmentation are looking to enhance the shape, size, projection, asymmetry, or fullness of their breasts to become comfortable in their own skin. Candidates interested in a Montclair, NJ breast augmentation should:

More specifically, while breast implant technology has improved greatly, breast implants are not considered a lifelong device. On average, breast implants last for 10 to 20 years before they should be exchanged or removed. Breast revision or implant removal surgery is a customizable procedure that not only ensures the integrity of your implants but also upholds your overall health and wellbeing and can enhance your breast appearance and figure.

Contracture of scar tissue around a breast implant is known as capsular contracture, which can occur in response to infection or hematoma. Capsular contracture can result in a hard feel to the breast, a change in shape or deformity or pain if contracture is extreme. Surgical removal of scar tissue around an implant is known as “capsulectomy” and is often done as part of breast implant revision.

It is possible to re attach the pectoralis major muscles back to their native location on the chest wall and to place new implants on top of the muscle.  This will eliminate the motion deformity and usually rids the patient of her discomfort related to the muscle contracting tightly over the implant. This is called “capsulectomy” since it also removes constricting scar tissue and creates a new pocket for the implant.

Breast implants placed for either cosmetic or reconstructive purposes can be converted from submuscular placement to a position on top of the muscle to improve the breasts’ appearance of the breasts and potentially alleviate symptoms related to submuscular placement.

Even women who have had prior breast surgery (augmentation, reduction or lift) may develop droop to their breasts over time that will be improved by mastopexy.

Revision of Breast Reconstruction Procedures in NJ

Correction of Breast Scars

Scar quality is for the most part genetically determined. Enlarged, stretched or unsightly scars resulting from prior breast surgery may be improved by revision. Revision of unsightly scars can be performed as part of breast revision or may be the primary goal of surgery, with scar therapy recommended after revision.

Revision of Previous Flap Reconstructions

Revision of prior reconstructive flap surgery can involve minor touch-ups to make the reconstruction appear more natural, more symmetric, or to improve the appearance of the flap “donor site”. Flap reshaping or recontouring can involve tissue rearrangement, liposuction or scar revisions.

Contouring of the Breasts After Breast Surgery

Breast revision can additionally entail lifting previously operated on but droopy breasts, a redo of a previous breast reduction, and improvement of unsightly breast scars from previous surgeries.

Additional contouring of the breast and surrounding areas may be recommended using liposuction to debulk areas of fatty excess in the axillary and back “bra roll” regions. The use of liposuction in breast surgery helps to minimize scar length and provides the most aesthetic contour to the breast.

Choosing Dr. Caroline Szpalski as Your NJ Breast Revision Provider

Fellowship trained in microsurgery and the most complex cases in the world at the University of Texas MD Anderson Cancer Center, Dr. Caroline Szpalski is a female plastic surgeon born into a family of medical professionals. She knew from an early age she wanted to become a surgeon. With a distinct multicultural perspective and a unique Ethnic identity, Dr. Szpalski recognizes that there are many standards of beauty, identity, color, and culture, so she doesn’t offer a single approach for all patients.

As a busy surgeon, wife, mother, and New Yorker, Dr. Szpalski understands the diverse challenges many of her patients face. With a less is more philosophy, Dr. Szpalski tailors her approach to each patient’s needs with meticulous detailing to provide natural-looking, long-lasting results for a sense of timeless elegance.

Meet Caroline Szpalski, MD

Female Plastic Surgeon in New Jersey

Rediscover your identity with the help of Dr. Caroline Szpalski, a board-certified and fellowship-trained plastic surgeon in New Jersey. With a unique multicultural upbringing and a European flair, Dr. Szpalski crafts elegant sophistication into every natural-looking patient transformation. Dr. Szpalski takes a less-is-more approach to plastic surgery to help patients maintain and appreciate their unique appearance and cultural beauty. No matter your aesthetic goals, start your journey toward a more confident you by scheduling your consultation with Dr. Szpalski and her expert team today!

Your Breast Revision | Implant Removal Consultation with Dr. Szpalski in NJ

Dr. Szpalski’s goal for all breast rejuvenation consultations is for her patients to feel confident in their decisions regarding their health, their procedure, and their feminine identity. During your consultation, Dr. Szpalski aims to understand your goals and realistic expectations to determine she is the right surgeon for you.

After determining whether breast revision is the right option for you, Dr. Szpalski will work with you to ensure a comfortable process. With a focus on providing patients with exemplary care, Dr. Szpalski has created a warm, welcoming, nonjudgmental environment safe for sharing your concerns, making her one of the best breast revision surgeons in New Jersey.

Dr Szpalski’s skills and experience in complicated breast reconstruction surgery is directly applied to all types of breast revision, whether reconstructive or cosmetic. During your breast revision consultation, Dr. Szpalski will discuss breast revision benefits and breast revision risks. She will also conduct a thorough physical assessment, including:

  • Current breast implant size and shape 
  • Desired breast implant size and shape
  • Quality of breast tissue and skin
  • Allergies or medical conditions
  • Previous surgeries or medical treatments
  • Current medications
  • Current mammogram results
  • Family history of breast cancer

Am I an Ideal Candidate for Breast Revision | Implant Removal in NJ?

Typically, New Jersey breast revision candidates are looking to enhance the appearance of their breast implants, are experiencing breast implant pain, are concerned about breast implant integrity, or no longer want implants.

Good candidates for Montclair breast revision should: 

  • Be in good overall health, living a healthy lifestyle
  • Be at a healthy, stable weight
  • Not be pregnant or breastfeeding
  • Not smoke, or be willing to quit at least six weeks prior to and after surgery
  • Have no conditions that impair healing
  • Have realistic expectations and a positive outlook
  • Understand the surgical risks and benefits

Preparing for NJ Breast Revision | Implant Removal Surgery

It is essential to be in good physical and mental health before your breast revision. While each breast rejuvenation procedure will be unique, here is some general information to help you prepare.

  • Before surgery is not a good time to diet. Maintain a stable weight and avoid crash dieting or weight fluctuations by participating in a consistent exercise regimen and well-rounded diet.
  • Proper nutrition supports a successful recovery. Eat healthy, balanced meals with plenty of proteins to optimize results and recovery.
  • Stay well-hydrated before and after your procedure.
  • If you currently smoke, vape, or use nicotine products, you should quit. As smoking is detrimental to your health, especially during recovery from surgery, patients should stop smoking at least six weeks before and after surgery. Dr. Szpalski orders a nicotine test for all patients who smoke to help avoid complications caused by smoking or the use of nicotine products.
  • See your primary physician for a full examination and appropriate testing, including blood work and mammograms, to ensure you are medically fit for surgery.
  • For two weeks prior to and after surgery, refrain from medications, vitamins, and supplements that increase bleeding or bruising risks.
  • Prepare your home and schedule for recovery. Take time off work, purchase necessary supplies, fill pain medication prescriptions, freeze meals for easy preparation, and arrange a clean, comfortable place to rest.
  • Arrange for a trusted friend or family member to drive you home from your procedure and assist you with household management or childcare.

Breast Revision in New Jersey Procedure Overview

Dr. Szpalski performs breast revision procedures in fully accredited facilities at Freedom Surgical Center, St. Joseph’s Health University Medical Center, or Hudson Regional Hospital. On the day of your procedure, you’ll arrive approximately an hour prior to your scheduled surgery to meet with Dr. Szpalski and your anesthesia provider. Dr. Szpalski will review your surgery details and answer any final questions you have.

Each breast revision procedure is unique. Dr. Szpalski will discuss the appropriate techniques based on your anatomy, implants, and scar tissue during your consultation. Dr. Szpalski will begin your breast revision by creating small, well-concealed incisions along the lower fold of the breast. Sometimes new scars need to be created when you operate on breasts who have had surgery done in the past.

Then, to replace the breast implants, when possible, Dr. Szpalski will use the no-touch Keller Funnel method to insert the implants, allowing for smaller incisions and breast revision scars as well as fewer chances of breast implant contamination. Depending on the extent of the procedure, breast revision surgery may last for two to three hours.

Timeless Elegance

Breast Revision Recovery in Montclair

Following your breast revision, expect to experience swelling, bruising, soreness, and numbness for several weeks to months that will gradually subside. You may experience discomfort or pressure in the area, and you may find it difficult to lift your arms. Dr. Szpalski will prescribe pain medication to minimize discomfort.

You will be fitted with a surgical bra to minimize swelling and support your new breast contours that you will need to wear for four to six weeks. Dr. Szpalski will advise you as to when you may resume wearing regular bras.

Most patients need one to two weeks off work for initial recovery. For at least four to six weeks, you should get plenty of rest and avoid strenuous activities like exercise. Instead, take short walks to promote circulation and healing.

How Soon Will I See My NJ Breast Revision Results?

Recovery and results following breast revision or breast implant removal are uniquely personal and depend greatly on the extent of the procedure. Patients should expect swelling and bruising that may take several weeks to resolve. It may take up to a year for tissues to completely heal and for scars to fade.

Typically, results from breast implant removal or revision depend on: Implant size, Scar tissue, Quality and quantity of remaining breast tissue.

How Much Does Breast Revision Cost in New Jersey?

Due to the unique nature of breast revision or implant removal in Glen Ridge, NJ, costs vary by patient, depending on surgical technique, anatomical needs, and aesthetic goals. During your consultation, Dr. Szpalski will determine the scope of your procedure and estimate your breast revision cost in New Jersey.

Schedule Your Montclair, NJ Breast Revision Consultation

Replacing or removing your breast implants is an important personal decision. Partner with Dr. Caroline Szpalski, one of the best breast revision and implant removal surgeons in New Jersey, to help navigate your choices regarding your body and identity. Learn about breast revision near me options in Glen Ridge, NJ by calling (646) 777-0170 or completing our online form to schedule your consultation today!

Glen Ridge, NJ Breast Revision Surgery FAQs

No, to the contrary. Secondary surgery is always more difficult than primary breast surgery (no matter which surgery) for several reasons. First, the presence of scar tissue makes it more difficult to predict a good result. In addition, the surgeon is dealing with the stretching of tissues or anatomical changes caused by previous implants and procedures. Dr Szpalski has been trained at the largest cancer center in the world. She is used to work with difficult cases and has done some of the most complex cases that can be done. Lastly, the biggest predictor of the success of breast revision surgery is the quality of communication between the doctor and the patient before the surgery.

Theoretically, you can have as many breast implant revisions as necessary to get the look you want. However, we advise waiting at least six months for complete healing to ensure all swelling is gone, then several months to adjust to the new look and feel of your new breasts before considering further surgery

While it is expected for patients to replace their breast implants after 10-20 years, there are several reasons they may need to be replaced sooner. There are seven common signs you need revisionary surgery.

1. Your breast implants are causing pain or discomfort Painful or uncomfortable implants can indicate a number of issues that require a breast implant revision, including capsular contracture, damaged lymph nodes, a developing seroma, pinched nerves, or poor implant placement. If you have silicone implants, pain may be a sign your implant has ruptured or is leaking. Even if there is no serious issue causing pain, some patients find implants are uncomfortable enough to disrupt their daily lives, especially if the implant used is too large or poorly placed. Regardless of the cause, persistent pain or irritation is not a normal result of breast augmentation surgery.
2. Your breast implant has ruptured Implant rupture can be caused by abrupt or intense physical pressure (like in a car accident) or through the aging and weakening of the implant shell. A rupture in a saline implant causes a nearly immediate deflation of the affected breast, making it easy to diagnose. The saline solution inside the implant is the same as the IV solution and is easily absorbed by the body. By contrast, ruptures in silicone implants cannot be diagnosed without an ultrasound or an MRI because the viscous silicone gel inside the implant leaks out slowly. While the rupture of a breast implant is not a life-threatening emergency, it is important to have the damaged implant removed to prevent infection or the development of excessive internal scar tissue.
3. Your breast implant has bottomed out If the skin and tissue cannot adequately support the breast implant, it can gradually fall below the breast crease or “bottom out.” This condition is more common with large or heavy implants, but post-surgery pregnancies or skin laxity due to age can also cause an implant to bottom out. Drooping breasts are not uncommon. But unlike breasts that naturally fall over time, where nipples fall with the breast tissue, bottomed-out implants cause nipples to move upward as the implants fall lower. It is also common for patients to be able to feel and see the outline of a bottomed-out implant.
4. Your breast implant is moving or rotating It is normal for breast implants to settle into a slightly different position over time. It is not normal for implants to move to a dramatically different location on the chest wall. This is called implant displacement, and there are several ways an implant can shift. Lateral displacement of implants (implants moving too far away from the midline of the chest) can occur when the implant pocket is too large. Symmastia, or implants merging in the middle of the chest, is a rare complication caused when too much tissue is removed near the breastbone, which in turn causes the muscle between the breasts to detach. An overly large implant pocket can also result in implant rotation. Patients may not be able to tell if a round implant has rotated, but a rotation of teardrop implants yields a top-heavy, unnatural appearance of the breast.
5. Your breast implant has changed shape The implant shape can change if it ruptures, shifts, rotates, bottoms out, or otherwise becomes displaced. Changes in implant shape usually occur asymmetrically, meaning in one breast or the other. Even if both implants change shape, they may not change in the same way. This asymmetry is not medically risky, but it can cause patients significant emotional distress and make it very difficult to find bras and clothing that fit properly.
6. Your breast implant is causing capsular contracture Scar tissue formation is a normal part of the healing process after placing any kind of medical or plastic surgery implant. Usually, this process is a good thing because the capsule of scar tissue helps support the implant, keeping it from slipping. In some cases, however, the body mistakes the implant for a dangerous foreign object and creates excessive amounts of scar tissue to isolate it. Known as capsular contracture, this overproduction of dense, hard tissue around the breast implant can affect the success of the augmentation procedure. There are four grades of capsular contracture, ranging from normal to severe. Grade one is asymptomatic and doesn’t interfere with the implant results. Grade two capsular contracture has only minor cosmetic symptoms, leaving the breast normal in shape but firmer to the touch. Capsular contracture of grades three and four causes hard, misshapen, and overly round breasts that look and feel unnatural. Grade four contracture also often results in breast pain. Patients with either grade three or four capsular contracture usually require a breast implant revision.
7. You are unhappy with your breast size While most patients are happy with the results of their breast augmentation, some patients find they wish they had gotten a different size of implant – larger or smaller. If you want to change the size of your implants, most doctors will recommend waiting about a year after your initial surgery before proceeding. Not only will this waiting period allow your body to fully heal, but it will also give your implants time to settle into their final position before you make this major decision.

If implants are removed without replacement, there is often a breast volume and skin mismatch, causing breast droopiness or “ptosis.” Due to this fact, for those interested in breast implant removal without replacement, their breasts may not look the same as they did before undergoing breast augmentation.

Breast implant illness (BII) is a collection of symptoms that may be related to breast implants. Though the exact cause isn’t known, BII may be related to autoimmune or inflammatory responses. As researchers are just starting to study BII, it isn’t yet recognized as an official medical diagnosis, but this may change. Other names for breast implant illness include Breast implant disease, Autoimmune/inflammatory syndrome induced by adjuvants (ASIA), and Silicone implant illness. People with BII have symptoms, whether they have saline-filled or silicone-filled implants. Symptoms can start soon after breast implant surgery or not for many years. Many people report that their BII symptoms go away after a surgeon removes their implants, but others don’t.

Common musculoskeletal symptoms include:

  • Joint pain.
  • Muscle pain.
  • Muscle weakness (myopathy).

Common cognitive symptoms include:

  • Anxiety and depression.
  • Brain fog.
  • Fatigue.
  • Memory loss.
  • Trouble concentrating.

Common systemic symptoms include:

  • Autoimmune condition symptoms or diagnosis.
  • Chronic pain
  • Dry eyes or low vision.
  • Hair loss.
  • Skin problems such as rashes.

Currently, there aren’t any commonly used tests to diagnose breast implant illness. Healthcare providers diagnose BII by ruling out other conditions. Treatment involves implant removal. Many surgeons will offer to remove the scar tissue around your breast implants at the same time. They call this a capsulectomy. When the breast implant and capsule are removed as a unit, it’s called an en bloc capsulotomy.

As of 2020, the FDA recommends screening breast implants with MRI or ultrasound beginning five to six years after silicone implant placement and every two to three years thereafter. Even if you do not have concerns about the condition of your implants, it is important to go for your routine screenings, based on the FDA-recommended timeline. Routine screenings can verify your implant is intact and identify complications such as implant rupture or silicone leakage. Although implant rupture can cause various symptoms, some women with ruptured implants experience no symptoms, which is why routine screenings are critical.

Unfortunately, yes, breast revision surgery is common. Even with a comprehensive breast augmentation consultation and an experienced surgeon, there are many factors that could cause your breast implants to deviate from your original expectations or appearance. Implants might need to be changed; you might develop capsular contracture, or your weight fluctuates. Breast implant revision surgery is not a standardized procedure and needs to be tailored specifically to the patient’s goals and desires.

Because a breast implant revision surgery is not a standardized procedure and needs to be tailored specifically to the patient’s goals and desires, it is hard to put a number. Every patient is different, and so is their body and tissue. The cost of the revision will vary, but it is usually more expensive due to the complexity of revision surgery.

Overall, breast revision surgery does tend to cost more than initial breast augmentation surgery. However, the overall cost ultimately depends on the patient’s unique circumstances.

If implants are removed without replacement, there is often a breast volume and skin mismatch, causing breast droopiness or “ptosis.” Due to this fact, for those interested in breast implant removal without replacement, their breasts may not look the same as they did before undergoing breast augmentation. Many people choose to have implant removal with a breast lift (mastopexy). During a breast lift, your surgeon removes excess skin and reshapes your breast tissue. If needed, the surgeon can also reposition the nipple and areola. The result is firmer, more elevated breasts.

Revisions, surgeries, and recoveries are usually easier than those with your initial breast procedure.

Breast implants don’t last a lifetime. Even if you have no symptoms, you should have your first ultrasound or MRI 5-6 years after your initial implant surgery, as recommended by the FDA, and then every 2-3 years thereafter. If you have symptoms at any time or uncertain ultrasound results for breast implant rupture, an MRI is recommended. The American Society of Plastic Surgeons recommends that people with breast implants have them removed or replaced every 10 to 15 years. However, your plastic surgeon may not recommend that you have them removed if you haven’t had any complications.

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