Breast Revision Surgery for Problem Implants in New Jersey

Breast augmentation surgery is a process that begins with patient education. Many surgeons skip this part of the process and make decisions concerning the size, fill, and location of the breast implant, without educating the patient as to the long-term consequences of their decisions. In Dr. Glicksman’s Sea Girt, New Jersey plastic surgery office, education is the first, and most important step, for all breast augmentation patients. It should also be the cornerstone of your revision breast augmentation. The most frequent breast implant problems are caused by improper implant selection, as well as old-fashioned surgical techniques. Over sized breast implants can produce local problems, including stretch deformities, wrinkling, asymmetries, and even pain. Problems with the planning and execution of the surgical procedure, may lead to malposition problems, and implant visibility, which becomes cause for a revision surgery.






Any surgical procedure should be considered carefully, and a breast augmentation revision procedure, no matter how simple, is still surgery. As a breast augmentation surgeon, Dr. Glicksman wants to help her patients make better decisions to help reduce further complications. Revision breast augmentation should only be performed when the long-term benefits and risks associated with revision surgery have been fully discussed. Sometimes, breast implant removal, without replacement, is one of the choices that will be discussed.

Patients interested in revising their breast implants should attempt to obtain their previous surgical records, if possible, including the size, style, and manufacturer of the breast implant.  This information helps Dr. Glicksman understanding why certain problems may have occurred, while also providing information about any possible manufacturer warranties. Any patient over 35 will also require an up-to-date mammography.

The final surgical procedure will depend on the complexity of the problem. Multiple problems may require the use of various surgical techniques to restore a more natural appearing breast. Dr. Glicksman spends a great deal of time with her revision patients, many of whom may never have had the opportunity to learn about their full range of implant choices.  The revision procedure may include changing the breast implants, changing the location of the implants, (subglandular or partial submuscular), and addressing the stretched skin, if necessary. The  goal in breast implant revision surgery is to restore a woman’s soft, natural appearing breasts, as well as to give her stable, long-lasting results.

Breast implant choices now include both round and shaped silicone breast implants for revisions in New Jersey. With over 8 years of experience using shaped highly cohesive gel implants, Dr. Glicksman is uniquely qualified to offer all available implants. If you are interested in a breast augmentation revision, please either call the office at 732-974-2424, or contact us at info4glicksman@aol.com.

 

Revision Saline Breast Implants to Silicone Gel Breast Implants

Many patients underwent saline breast augmentation either because saline was all that was offered to them, or they lacked complete information about other breast implant options for breast augmentation or reconstruction surgery. Dr. Caroline Glicksman, a board certified plastic surgeon, with an office in Sea Girt, New Jersey, has been performing breast implant surgery with round and shaped implants for both breast augmentation and reconstruction since 1989. She is also one of only a handful of plastic surgeons in the US who has been using shaped highly cohesive breast implants since 2005.

Many patients present with either a deflated saline implant, or are unhappy with their saline implants because of their feel or look. Saline implants may feel firmer than silicone breast implants when over-filled, or there is a capsular contracture. They also may have higher failure (deflation) rates than some of the newer silicone breast implants. Deflation of the saline implant, or thinning of overlying skin and breast tissue, may produce visible and palpable wrinkling. In addition, many surgeons routinely either oversize or overfill saline implants. This may lead to other local complications, such as stretched skin, asymmetry, or malposition problems.

Patients who are considering breast implant revision should learn as much as possible about the currently available breast implant options in New Jersey. Silicone breast implants are available as both round and shaped implants. The newest generation of highly cohesive silicone gel breast implants, sometimes nicknamed, ” Gummy Bear” are now FDA approved. Dr. Glicksman has extensive experience with these implants, and they may be a very good option for more safety concious women. Any surgical procedure should be considered carefully. Replacement of saline implants to silicone breast implants should only be performed when the long-term benefits and risks associated with revision surgery have been fully discussed. Sometimes, implant removal without replacement may be discussed as one possible option.

Patients interested in replacement surgery should try to obtain their previous surgical records if possible, including the size, style, and manufacturer of the implant. Any patient over 35 may require an up-to-date mammography.

The final surgical procedure will depend on the complexity of the problem. Multiple problems may require the use of various surgical techniques to restore a more natural appearing breast. Dr. Glicksman spends a great deal of time with her revision patients, many of whom may never have had the opportunity to learn about the full range of implant choices, as well as the long-term consequences of their decisions. The goal of revision breast surgery should be soft, natural appearing breasts and long-lasting results.

If you are considering a breast implant revision procedure in New Jersey, please contact the office at info4glicksman@aol.com or call to schedule an appointment at 732-974-2424

 

Revision Surgery to Replace Old Silicone Gel Breast Implants

Approximately four million American women have undergone breast augmentation in the last 40 years. Many women were either discharged shortly after surgery, or have lost contact with their primary surgeon. Other women with older generation breast implants were never informed that their breast implants would not last a lifetime, and may have lived for years with hard, aging devices.

Although the safety and efficacy of silicone gel implants has now been well established, local breast complications can still occur when older generation breast implants have been neglected, especially beyond 10 years. These local complications can include capsular contracture (a hardening of the scar tissue around the breast implant), rupture of the gel implant, either within this capsule or beyond into the local breast tissue, or the inability to obtain clear and accurate mammograms due to a thick calcified capsule, and the firmness that this can produce.

Any surgical procedure should be considered carefully. Replacement of older generation silicone gel implants should only be performed when the long-term benefits and risks associated with revision surgery have been fully discussed. Options should include complete removal without replacement, as well as replacement with newer state–of-the-art devices.

Patients interested in replacement surgery should obtain their previous surgical records, if possible, including the size, style, and manufacturer of the implant. Often, medical records older than 10 years are no longer available, but patients should make every effort to track down their own records prior to their consultation. Any patient over 35 will require an up-to-date mammography. Other radiological studies may be indicated to determine if the implant has ruptured, and if the gel has traveled beyond the capsule. An MRI is presently the best test to evaluate an aging breast implant, but newer ultrasound procedures are on the horizon.

The final surgical procedure will depend on the complexity of the problem. Multiple problems may require the use of various surgical techniques to restore a more natural appearing breast. I spend a great deal of time with my revision patients, many of whom may never have had the opportunity to learn about the full range of implant choices, as well as the long-term consequences of their decisions. The revision procedure may include replacement of the device or removal without replacement, changing the location of the implant, (subglandular or partial submuscular) and addressing the stretched skin, if necessary. My goal is to restore a woman’s soft, natural appearing breasts, as well as to give her stable, long-term results. In addition, the removal of aging silicone breast implants may help provide better future breast imaging in screening for breast cancer. Implant options include both round and shaped breast implants. Dr. Glicksman has been using the shaped highly cohesive gels since 2005 and is one of the most experienced breast augmentation surgeons in the United States.

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