Breast Augmentation Revision
Revisional breast augmentation is a specialty of Dr. Gray. With nearly 300,000 (American Society of Plastic Surgeons statistics) breast augmentations performed a year, Dr. Gray sees a number of these cases where patients have problems that they have been unable to remedy. Dr. Gray welcomes discussion of difficult cases with his peers, and offers his recommendations and advice when other surgeons consult him.
Most often, revisional breast augmentation is performed for one of these reasons:
To change from Saline to Silicone
To change from subglandular to submuscular
To correct an asymmetry in shape or volume or both
To change size
To treat capsular contracture
To improve rippling and palpability
Saline to Silicone:
It is common in Dr. Gray’s practice to change from saline to silicone implants when patients have revisional breast augmentation. Most often this decrease rippling and palpability associated with saline implants, and to obtain a softer and more natural result possible with the silicone implants.
Subglandular to Submuscular:
Patients will often ask to change from the subglandular position to the submuscular position. The advantage for them is that the breasts look less round, have less rippling and palpability, and a lower rate of capsular contracture when they are under the muscle.
To Change Size:
Sometimes patients want to change size over time. Some want to go larger and some want to go smaller. Dr. Gray has found that the presizing in his office using the real implants is very helpful in getting patients what they want and showing them what result to expect. With secondary patients, the new size needs to be calculated based on what the patient currently has and what the patient is now looking for.