K. Charles Kim, M.D.

Plastic & Reconstructive Surgery
Diplomate, The American Board of Plastic Surgery
866.955.5530
Serving L.A. & Orange County
Complimentary Consultation

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Breast Implants Revision Plastic Surgeon: Beverly Hills, Orange County

Board Certified Plastic Surgeon Dr. K. Charles Kim is a specialist in plastic and cosmetic surgical procedures involving the face, breasts, and body.  As a Beverly Hills/ Orange County Plastic Surgeon, Dr. Kim is Board-Certified in both Plastic & Reconstructive surgeries. He is particularly sought after as a Los Angeles Plastic Surgeon for his skill with Breast Implant Revisions (the process of correcting breast implant surgeries that have been incorrectly performed by previous plastic surgeons).

Please review the greater LA area Plastic Surgeon's Before & After Breast Revision Plastic Surgery Gallery:  Breast Revision

Among the most likely reasons for breast implant revision that have been noticed by the LA/ Orange County  Plastic Surgeon:

  1. The need for the patient's breast implants to be altered in their size (larger or smaller)
  2. The repair of Capsular contracture, the hardening of the lining surrounding the breast implant
  3. Repair of 'Bottoming Out'
  4. Removal of Breast Implants
  5. Asymmetry Revision (lack of symmetry)
  6. Leakage from the implants, whether they are saline or silicone
  7. Revision of Breast Implant Scarring
  8. Displacement of the Implants
  9. Rippling or palpability (perceptibility), which is seen more with saline breast implants
  10. Conversion of the implants from saline to silicone (There are times when conversion from silicone to saline is seen, but this is less common)

 

Breast Implants Augmentation : In the opinion of Orange County Plastic Surgeon Dr. Kim, the revision of breast implants (the type and/or the size) is among the largest reasons that most candidates wish to undergo a breast revision procedure. As time passes, the breasts alter, with there being times when the patient might desire more full, or even different or slightly reduced sized breast implants. Most of the women considering revision decide to implement fuller larger breasts, but there are certainly a number of women who elect to have reduced-sized implants performed.

The surgical procedure to change the sizing of breast implants is quite a simple procedure. It is also a significantly easier recovery than even the first breast implant surgical procedure. This is primarily due to the "pocket" for the breast implant already existing.

When having a revision for bigger implants, the "pocket" may require some expansion by the Beverly Hills Plastic Surgeon Dr. K. Charles Kim. While unusual, there are cases where when getting small implants, the remaining area may require some partial closing. Regardless of the sizing, it is almost always less painful as well as are easier for recovery.

Breast Implant Deflation:  Breast implants utilizing saline have an unfortunate tendency to leak. When this does occur, saline may escape and the breast implant begins to deflate. Saline is found naturally in the body, so thankfully this leakage doesn't pose any health risk. The affected breast implant will, however, unfortunately reduce in size as the saline fluid escapes. The best method for treating this leakage is to completely replace the breast implant.

The treatment for deflation primarily involves taking out the leaking breast implant then swapping it out with a completely new implant. The other breast doesn't need any work unless the patient has had their breast implants in for a long time. In this situation, it can be a good idea to change out that breast implant, particularly when the patient desires to alter the size of the implants.

Breast Implant Rupture:  Breast implants that utilize silicone are different from saline implants in that when they rupture the human body doesn't have any way to deal with the silicone in the way that saline can be absorbed. Instead, the silicone basically remains in the area. Some patients feel that the leakage contributes to difficulties including capsular-contracture. The generally accepted viewpoint is when there is known to be, or suspected to be, a gel/silicone breast implant leakage, the primary method of treatment means removing the leaking breast implant, replacing it with a new implant. These newer breast implants will be either saline or silicone.

Capsular Contracture:  The difficulty known as capsular contracture will lead to a hardening, primarily post-breast augmentation. There is a "capsule" which generally comes into existence around a breast implant.  For the most part, this is how a patient's body will respond naturally to the implant. While the "capsule" often stays soft, it can also contract, which causes the patient's breast to feel overly firm or hard to the touch. Upon occurance, it can result in one or even both of the breasts becoming a bit too firm, or even very hard and extremely visually distorted. When a patient's breast becomes very hard as described above, a revision should strongly be considered. Capsular contracture can be an extremely frustrating difficulty for both the patient as well as the plastic surgeon who performed the initial procedure. Unfortunately, there isn't any complete knowledge of how or why contracture happens, and it cannot currently be properly predicted as to which patients it might happen to.

Malposition:  As time passes, a patient's breast will inevitably undergo changes. Even the location of the implants may change over periods of time. These changes might progress to such an extent that the breast implants appear completely out of relation to the actual breast.  This is known as malposition. The implants may position themselves on the side or even too low on the breast.  This lowered position is known as bottoming of the breast.  When a patient's breast implants begin to bottom, the usual method of correction is breast surgery.  This procedure requires altering the surrounding tissue in order to fashion what is refered to as an "internal bra".  This method builds support to the breast implants and returns them to their correct position.  There is another similar implant prcedure that is sometimes performed by Beverly Hills Plastic Surgeon Dr. Kim, for breast implants that may have migrated a bit too far sideways.