Breast Revision for a More Natural Look

Posted on: November 13th, 2017
By: Michael Ciaravino

Woman relaxingIt’s not uncommon for women to want to change their breast size after breast augmentation. A recent trend shows that lately, many women are becoming interested in a more natural look. If you’ve decided it’s time to move on from your breast implants, Dr. Ciaravino can perform breast revision surgery to remove your implants and give you a natural look you desire.

Current Trends

Current trends in plastic surgery show an increasing focus on non-invasive procedures and natural results. As an example, first-time breast augmentation patients are more interested in alternatives to breast implants such as breast augmentation with fat transfer. For women who already have breast implants, some are pursuing implant explant (the removal of breast implants).

Reasons to Have Your Implants Removed

While many women continue to love their augmented breasts, others want to have their implants removed for a variety of reasons. Some women become more active and health-conscious and decide that their implants are no longer compatible with their lifestyle. Women who undergo fitness transformations may feel that their implants give them a “fake” appearance. While some women decide they want a more conservative appearance as they age. Others no longer want to deal with the maintenance, cost, complications, and risk of needing breast revision to replace their implants over time. Women may discover that the weight of disproportionately large breasts can cause shoulder, neck, and back pain that they prefer not to experience. These and other reasons may motivate women to consider implant explant surgery.

Implant Explant Surgery

If you decide that implant explant is right for you, Dr. Ciaravino will perform breast revision surgery to remove your implants. The procedure involves more than simply removing the breast implants. Depending on the size of the implants, the condition of the breasts, and how long it has been since the initial augmentation procedure, the surgeon will adopt a unique strategy for achieving the best cosmetic results. This may include a concurrent breast lift with reshaping to recreate a lifted, round appearance. As you discuss your interest in implant explant with Dr. Ciaravino, he can help you make your final decision and create a personal treatment plan to restore your breasts to a beautiful, natural appearance.

Breast Implant Pocket Revision

Posted on: October 25th, 2017
By: Michael Ciaravino

Ciaravino Case Study 5 Breast Revision Case As one of the top five most popular plastic surgery procedures, breast augmentation has helped countless women enhance the fullness of their breasts. Most women who get breast implants will be able to enjoy their results without any complications. However, a small percentage of patients experience complications that must be corrected through breast revision surgery. One of the most commonly needed surgical approaches is breast implant pocket revision. This breast revision technique adjusts the pockets in which the breast implants are located to reverse complications, correct the results, and enhance the appearance of the breasts after breast augmentation.

The Breast Pocket

To make room for the breast implants, a breast augmentation surgeon must create a pocket within each breast. After making the incisions, the surgeon separates the muscles and tissues within each breast to form a space, or pocket, into which the implant may be inserted. This pocket may be just below the glandular tissue but above the chest muscle, or it may be below the chest muscle. Breast augmentation surgeons use their experience and expertise to anticipate how the breasts will look as they create the breast pockets.

Breast Pocket Complications

Sometimes the pockets made by the breast surgeon can lead to complications. If a pocket is too big, the implant may shift or move. Implants that move around in the breasts can negatively affect the appearance, as they may become laterally displaced, develop an asymmetrical appearance, or bottom out. When the tissue is over-dissected, a loose pocket may cause the implants to slide toward the middle (a condition known as symmastia). Conversely, a pocket that is too small may not accommodate the breast implant and may affect the perceived shape and smoothness of the breast. This appearance can worsen if your body shape changes due to increased pectoral muscle mass or weight gain. Some women may have only one pocket that is too large or too small, leading to an asymmetrical appearance. These issues can only be corrected through revisionary surgery with breast implant pocket revision.

How Breast Implant Pocket Revision Can Help

Breast implant pocket revision may be necessary when one or more of the above complications are observed. This approach surgically modifies the space where the implant is situated. The surgeon will use either surgical dissection to increase the pocket size or repair sutures to tighten and decrease the pocket size. Pocket adjustment allows the implant to sit comfortably and naturally in the most aesthetically pleasing position without being too restricted or allowed to move freely. This technique can improve the shape of the breasts, release the muscle, create more cleavage, or even allow women to upgrade or downgrade the size of their implants.

Breast Revision Surgery

A breast augmentation surgeon must consider the subtle details of a woman’s anatomy, her preferences, her desired implant placement, and other factors to ensure that both pockets are correctly sized. Still, even with the creation of the perfect pocket size, factors such as scar tissue development, aging skin, gravity, and pregnancy can take a toll that leads to a need for breast implant pocket revision. Getting breast revision surgery with an experienced breast surgeon can adjust your breast pockets to correct any issues, improve your results, and restore full, beautiful breasts.

Common Reasons to Get Breast Revision

Posted on: September 14th, 2017
By: Michael Ciaravino

If there is one thing The Breast Doc doesn’t want, it’s for you to be unhappy with your breast augmentation results. One of the most respected and well-known breast surgeons in the nation, Dr. Michael Ciaravino has performed breast revision surgery on countless patients to correct breast augmentation complications and help women achieve their desired results. There are a wide variety of reasons to consider breast revision after breast augmentation, and the most common ones are listed below.

Ciaravino Bilateral Implant Malposition (Double Bubble)  28 year old patient that previously had breast augmentation

Capsular Contracture

In some patients, abnormal scar tissue forms around the breast implant and contracts, causing the breast to become asymmetrical, hard, distorted, and sometimes painful. This is known as capsular contracture.

  • How Breast Revision Can Help: For mild capsular contracture, Dr. Ciaravino can perform a capsulotomy to release the capsule from around the implant. For thicker scar capsules, Dr. Ciaravino will perform a capsulectomy to remove the scar capsule layer. Both treatments can eliminate the problem and restore the appearance of the affected breast.


Sometimes the breast can develop a deformity in which the implant and the breast form two distinct breast mounds. This is called “double-bubble” and can occur in one of two ways. The first is when a crease appears across the lower breast because the implant extends below the breast fold. The second is when the breast tissue looks as though it is falling off the implant because the implant is too high or the breast tissue is sagging.

  • How Breast Revision Can Help: Dr. Ciaravino can revise the breast pocket and cut the breast fold to improve an indented lower breast. Other resolutions for double-bubble include moving the implant to a subglandular position, changing implant size, removing scar tissue, and/or performing a concurrent breast lift.

Bottoming Out

Bottoming out is when an implant shifts downward until it is too low on the chest wall. The upper breast will lack fullness, and the nipple may point upward.

  • How Breast Revision Can Help: Dr. Ciaravino will use permanent sutures to revise the breast pocket and reposition the implant higher on the chest. He may reposition the implants closer together to restore breast shape and prevent future bottoming out.

Implant Rupture, Deflation, or Leakage

Implants are incredibly durable; however, they can still deflate or rupture. In saline implants, this usually causes a noticeably deflated appearance. In silicone implants, there may or may not be a visible change, but implant rupture can be accompanied by capsular contracture.

  • How Breast Revision Can Help: Dr. Ciaravino will remove the damaged implant, cleanse the area, correct any capsular contracture, and replace the implant with a new one. Usually, he will replace both implants to achieve ideal symmetry.

Implant Rippling or Wrinkling

Implants can sometimes develop a wavy, unnatural texture that portrays a rippled appearance through the skin. Implant rippling is more common with thin skin, aging skin, large implants, limited breast tissue, and subglandular implant placement.

  • How Breast Revision Can Help: Dr. Ciaravino will perform breast revision to eliminate implant rippling. The techniques to resolve implant rippling can vary greatly and may include internal sutures, a breast lift, fat grafting, implant exchange, or other approaches.

Size Change

After breast augmentation, some women may decide they want larger or smaller implants. The decision to change implant size may occur at any point after breast augmentation, even decades later. Most often, women get breast revision for implant size change due to changes in preferences, lifestyle, weight, age, or appearance.

  • How Breast Revision Can Help: Dr. Ciaravino will perform breast revision to exchange the implants for the preferred size. To upsize, he may need to modify the pocket to make room for larger implants. To downsize, he may need to create internal sutures and possibly remove excess skin with a breast lift.

Implant Malposition or Shifting

Implant malposition is when the previous breast surgeon used poor technique and did not place the implants in the most ideal locations. Additionally, if the breast pocket is too small, poorly defined, the implants are excessively large, or there is little natural breast tissue, implants can shift from their original place. This often produces an asymmetrical and unnatural appearance.

  • How Breast Revision Can Help: Dr. Ciaravino can improve implant position using a variety of techniques. He may need to adjust the breast pocket, use internal sutures, perform a breast lift, or use other revisionary techniques to restore a balanced appearance.

Breast Asymmetry

Breast asymmetry is when one breast is a different shape, size, or in a different position than the other. Natural asymmetries can be accentuated if the initial breast augmentation surgeon did not account for them. Poor technique, as well as unexpected complications after breast augmentation, can result in some degree of asymmetry.

  • How Breast Revision Can Help: Dr. Ciaravino can correct asymmetrical breasts by augmenting the smaller breast (or reducing the larger breast) to improve size differences. Modification of the breast pocket through breast revision surgery can correct breast shape and position to restore breast symmetry.


If the breasts are too close to each other, one may cross the midline of the chest. This creates symmastia (sometimes known as “uniboob”), and it can be very difficult to treat.

  • How Breast Revision Can Help: Dr. Ciaravino will perform a capsulorrhaphy to modify the pockets and reposition the implants. Reconstruction with an acellular dermal matrix such as STRATTICE™ may be used to provide necessary support. A new implant style and/or size may be recommended to reduce future risk.


Sagging of the breasts may occur naturally, or it may be accelerated by aging, large implants, pregnancy, or weight changes. Breast droop occurs in many women and can be a reason to consider breast revision surgery.

  • How Breast Revision Can Help: Dr. Ciaravino may move the implants beneath the chest muscle and perform a breast lift to remove excess skin. Patients may need internal suturing and may also need to downsize their implants to reduce the rate of future breast droop.

Changes in Breast Tissue

A variety of changes in breast tissue can lead to a need for breast revision. Some of these include aging, thinning skin, weight loss, and pregnancy.

  • How Breast Revision Can Help: Dr. Ciaravino personalizes breast revision for the patient’s needs. Whether the patient needs implants of a different size, a breast lift, a different implant placement or style, or adjustments to the breast pocket, Dr. Ciaravino can provide these changes with breast revision.

“The Breast Doc” Dr. Ciaravino has extensive training and many years of experience restoring female breasts with breast revision surgery. To improve your breast appearance, schedule your personal consultation with Board-Certified Plastic Surgeon Dr. Michael Ciaravino. Call 713.627.1200 or contact us online to book your appointment.

How Does Weight Loss Affect Breast Implants?

Posted on: August 23rd, 2017
By: Michael Ciaravino

breast droop(ptosis) case by Dr. CiaravinoWeight loss can improve a woman’s body contours and help her feel attractive and confident about her figure. However, one aspect can dramatically affect how weight loss results will look. This aspect is breast implants. The effects of weight loss on the breasts after breast augmentation can impact your overall appearance in a variety of ways. If these changes are unwanted, Dr. Ciaravino can perform breast revision surgery to enhance your appearance.

How Weight Loss Affects the Breasts

When a woman loses a moderate or significant amount of weight, it is not uncommon for the breasts to become smaller. Weight loss occurs when the body cannot get enough energy from your caloric intake and must convert fat cells into usable energy. Because the breasts contain a lot of fat, the body may draw from this area as a primary energy source. In some women, the breasts may only shrink a little before the rest of the body catches up, and the result is an overall slimmer body shape. However, in other women, the breasts may shrink significantly and disproportionately. This can lead to some degree of sagging and deflation, as the now excess breast skin lacks sufficient volume to fill it out. Either situation may lead you to consider breast surgery to enhance your breasts.

Weight Loss With Breast Implants

It is best to have a stable body weight before breast augmentation so that weight loss will not affect your results. Nonetheless, some women may lose weight after their procedure. Weight changes will not typically affect the implants directly, as implants are built to be resilient and durable. But when the amount of natural breast tissue is reduced by weight loss, it can affect the appearance of breasts with implants. Implants can slightly increase the risk of sagging, and the position of the nipples/areolas may shift. Reduced breast tissue coverage of the implants may result in increased visibility of the implant and/or noticeable rippling. Additionally, the reduction in breast volume may make you wish you had selected larger implants. On the plus side, having implants protects you from some volume loss because the implants themselves will not shrink. Your weight loss results may look more dramatic than they would have if you had not gotten implants, as your augmented breasts will remain full and perky while your waistline shrinks.

Improving Your Body Contours

While the effects of weight loss on breast implants may present some concerns, there is one point that should not be forgotten: weight loss is often a good thing! If an obese or overweight woman loses weight after breast augmentation, her overall health, well-being, and quality of life will statistically improve. Depending on the amount of weight lost, these benefits could potentially be enormous. Concern over how one’s breasts will look after weight loss should not be a reason to avoid weight loss when your doctor recommends it for your health.

Another reason women need not be too concerned about their breasts after weight loss is the option of revision breast surgery. Many women voluntarily undergo this procedure to improve their breast augmentation results. Breast revision surgery can improve the appearance of the breasts after weight loss. For example, if the support of the implant is weakened due to weight loss, Dr. Ciaravino can revise or reconstruct the pocket and provide increased support with an acellular dermal matrix. If the implants need to be exchanged for a different size, moved behind the muscle, or otherwise modified, Dr. Ciaravino can do so with breast revision. Dr. Ciaravino is prepared to help you highlight your newly improved figure by enhancing the appearance and feel of your breasts through breast revision surgery after weight loss.

As “The Breast Doc,” Dr. Ciaravino is experienced in helping women achieve their ideal body contours with breast augmentation, breast implants, and breast revision. If you have lost weight and would like to improve your breast augmentation results, Dr. Ciaravino can perform breast revision to give you beautiful, full, firm, and youthful breasts. To request your consultation, call (713) 627-1200 or contact us online today.

The C’s of Breast Revision: Capsulectomy, Capsulotomy, and Capsulorrhaphy

Posted on: July 11th, 2017
By: Michael Ciaravino

When patients ask about breast revision surgery, they often hear about very confusing and hard to understand surgical techniques used to repair complications with breast implants. A capsulectomy, capsulotomy, and capsulorrhaphy are three common breast revision techniques that all sound complex in name, but are not difficult to explain. If you don’t understand the differences between these three procedures, here is an explanation of each and when they are used in breast revision.

Implant exchange with Capsulorrhaphy Patient by Dr. CiaravinoThe Breast Implant Scar Capsule

All three of these surgical techniques have to do with the scar capsules that form around breast implants. When a breast implant is inserted, the body creates an encapsulated scar sheet around it. This capsule protects the implant, keeps it from sliding around, and reinforces the breast pocket. In some cases, however, the capsule fails in these tasks. For example, if the capsule is too soft and thin, the implant lacks enough support and may slide downward or to the side. On the other hand, if the capsule is too hard and thick, it compresses the implant and can cause capsular contracture and implant displacement.

In breast revision surgery, a capsulectomy, capsulotomy, or capsulorrhaphy may be performed to correct capsule-related issues and improve the look and feel of the breasts.


A capsulectomy removes the capsule from around the implant. This technique is often used for thick, calcified capsules, especially when capsular contracture is present.

  • Used For: A capsulectomy can correct moderate to severe capsular contracture, asymmetry, and double-bubble deformity. It may also be used with electrocautery to increase the size of the breast pocket so that it can fit larger implants.


A capsulotomy releases the scar capsule instead of removing it. The capsule is scored with minor incisions, and a small portion of the scar tissue may be removed. This technique can ease mild contracture and still allows for implant replacement.

  • Used For: A capsulotomy can correct mild cases of capsular contracture and breast asymmetry.

Capsulectomy vs. Capsulotomy for the Treatment of Capsular Contracture

Capsular contracture may be treated with either a capsulectomy (capsule removal) or capsulotomy (capsule release). The appropriate technique is chosen based on the hardness of the capsule and the degree of asymmetry. In severe situations, the patient will need a capsulectomy; otherwise, a capsulotomy may be appropriate. Dr. Ciaravino will select the best technique for your needs and will ensure that your results look beautiful and natural.


A capsulorrhaphy tightens a soft or loose scar capsule and closes off the breast pocket using tacking sutures. This technique is used when the implant is displaced to the side, middle, or downward. An acellular dermal matrix is often used in conjunction with a capsulorrhaphy to reinforce and thicken the scar capsule.

  • Used For: A capsulorrhaphy can correct implant malposition, implant shifting, breast asymmetry, bottoming out, breast droop (sagging), symmastia, and even sometimes implant rippling. It is also used when downsizing implants to ensure the new capsule fits snugly around the new, smaller implants.

Dr. Michael Ciaravino is “The Breast Doc,” a renowned breast revision specialist who uses these techniques to correct complications after breast augmentation. If you need breast revision for any reason, schedule your personal consultation with Dr. Ciaravino. He will restore your breasts to a natural and beautiful appearance with breast revision surgery. Call (713) 627-1200 or contact us online to book your appointment now.

Breast Revision Recovery

Posted on: June 20th, 2017
By: Michael Ciaravino

Dr. Ciaravino Breast Revision Breast Implant Exchange Patient Before and After photosBefore surgery, it is nice to know what to expect during recovery so that you can feel prepared. Breast revision recovery is typically a lot like breast augmentation recovery. However, if your breast revision surgery is the first surgery you are undergoing with top breast implant surgeon Dr. Michael Ciaravino, you will have the pleasure of experiencing a much easier recovery this time around.

Dr. Ciaravino’s Surgical Technique

Your breast revision surgery may require a capsulectomy, capsulotomy, capsulorrhaphy, pocket revision, or another technique to correct the issue for which you are undergoing breast revision. To resolve your concern and restore your breasts, Dr. Ciaravino will use a gentle surgical technique that makes the recovery period smoother and more comfortable. With specially designed instruments, Dr. Ciaravino will perform a precise procedure using small and well-hidden incisions either in the breast crease or around the areola. The key features of his special technique include tiny incisions, a shorter surgery and recovery time, no sutures to remove, no drainage tubes or wraps, and a long-lasting pain reliever around the implant.

After the Surgery

After the surgery, you can expect little to no bruising. You will be given a stylish surgical bra and medications to minimize discomfort. No stitches will need to be removed, as the sutures are absorbable and buried beneath the skin. You will be instructed to massage your breasts frequently to minimize scar tissue formation. Most patients feel great within a few days after surgery, and it is common to return to your general normal routine (with minor limitations) in only a few days. During the first week, you should rest and minimize upper body motion, but by week two, you will be able to resume most normal activities. By week four, you should be able to return to all normal activities with Dr. Ciaravino’s permission. This healing process varies from patient to patient and can also be affected by your reason for undergoing breast revision. In general, based on your recovery after breast augmentation, you should be able to expect a comparable (if not much easier) recovery after breast revision with Dr. Ciaravino.

If you have any more questions about your breast revision recovery, please schedule your consultation with Dr. Ciaravino. Call (713) 627-1200 or contact us online to book your appointment today.

Bottoming Out vs. Double-Bubble Deformity

Posted on: May 17th, 2017
By: Michael Ciaravino

If you have breast implants and you’ve noticed something “off” about the appearance of your breasts, you could have developed a surgical complication after breast augmentation. There are a handful of complications that can occur with breast implants, but many patients don’t fully understand the differences between them. Two, in particular, are poorly understood: “bottoming out” and “double-bubble deformity.” Both conditions can be correctly identified if you know how to recognize them, and both should be addressed with breast revision surgery.

What Is Bottoming Out?

Bottoming Out Before and After Photos“Bottoming out” is a condition that describes what happens when a breast implant slides downward. If the implant slips below the lower breast fold, the upper breast will lack fullness and the nipple will appear unnaturally high on the breast. This can happen for various reasons. In some women, the lower breast lacks enough support and strength to hold the implant in place, so the implant moves downward. Bottoming out is more likely if the selected implants are too large, wide, and heavy for the patient’s anatomy. Bottoming out is also affected by a weak breast fold, muscle position and strength, skin laxity or tightness, and chest wall structure.

What Is Double-Bubble Deformity?

Double Bubble Breast Sample Photo“Double-bubble deformity” is a condition that describes a distinct appearance of two breast mounds. It can appear as a crease across the lower breast or as though the breast tissue is falling off the implant. This condition often occurs when the original inframammary fold indents the lower breast after breast augmentation. It is most common in patients with tight lower breasts, sharply defined breast creases, and a short distance from the nipple to the breast crease. Double-bubble can also occur when the implant remains high in position but the breast tissue sags.

While the implant can appear to slide downward with both bottoming out and double-bubble deformity, there is one key difference: with double-bubble, the breast crease remains sharply defined and creates the appearance of two bubbles, whereas with bottoming out, the breast crease loses its definition and the implant merely sags.

Correction With Breast Revision Surgery

Breast revision should be used to address both bottoming out and double-bubble deformity. Successful treatment is best achieved with an experienced breast revision surgeon. Dr. Ciaravino, “The Breast Doc,” is a breast augmentation revision specialist with extensive experience correcting these issues and other complications that can occur after breast augmentation. Every breast revision case is individualized to achieve full correction and the best aesthetic results.

For bottoming out, Dr. Ciaravino usually reconstructs the breast fold and uses permanent sutures to revise the breast pocket so that there is better lower pole support. He also repositions the breast implant higher to restore its shape. For double-bubble deformity, the approach depends on whether the implant appears low or high. If it appears low, Dr. Ciaravino may cut the breast fold and revise the breast pocket, whereas if it appears high, a breast lift may be necessary. Dr. Ciaravino may also perform a capsulectomy and breast implant exchange if capsular contracture has occurred.

Bottoming out and double-bubble deformity are among several complications that can occur after breast augmentation. If you observe any signs of either of these two conditions or any other indications that all is not well with your breast implants, contact us right away to request your personal consultation with Dr. Ciaravino. Dr. Ciaravino can perform breast revision to restore your breasts so that they look and feel natural and beautiful. To schedule your consultation, please call (713) 627-1200 or contact us online today.

How Soon Should I Undergo Revision After Breast Augmentation?

Posted on: April 28th, 2017
By: Michael Ciaravino

Breast Revision Before and After PhotosTiming your breast revision isn’t necessarily easy. Even if you and a close friend both get breast implants the same day, your future breast revision surgeries could be years apart from each other. Whether it is better to postpone or go in right away depends on your unique situation. The following timelines should help you determine when to contact “The Breast Doc” about your breast revision procedure.

When to Wait

Many women who undergo breast augmentation surgery are immediately happy with their new, fuller breasts. Others are unhappy because the early results do not meet their expectations. All patients should recognize that the initial results of breast augmentation do not match the final results because it takes six months to one year for the implants to “settle” into position. If you are initially dissatisfied with your results, waiting six months to one year could give your implants time to relax into their final position, which may ultimately reveal your desired results.

Wait 6 Months to 1 Year After Breast Augmentation

It is important to give your breasts and implants time to adjust before making your final assessments about your results. Your body also needs time to recover from your major surgery before undergoing another one. However, if you are still unhappy with your results after one year, Dr. Ciaravino can perform breast revision to exchange your implants and correct your results. Women who still wish to exchange or remove their implants in this time frame often want implants of a different size, material, shape, or style.

Unfortunately, a common reason for early breast revision is because the initial implants were selected based on pressure from others, such as friends, family members, or even your surgeon. If you did not come to your own conclusion about which implants to choose, there is a good chance you could be dissatisfied with your results. Equally as unfortunate is when your surgeon lacks the experience to produce ideal results, and your results are asymmetrical or otherwise demonstrative of poor surgical technique. Dr. Ciaravino is one of the top breast surgeons in the country and can significantly improve your results. He can help you carefully select the best breast implants for your preferences and your body frame.

1+ Years After Breast Augmentation

Some women are initially pleased with their results, but years down the line they desire a change. This change could be motivated by personal preference, breast sagging from large implants, and a number of other reasons. If you desire later breast revision, the timing is mostly up to you. You should pursue breast revision when you are ready, your body is ready, and when the timing feels right.

When to Get Breast Revision Right Away

Sometimes it is not the results that motivate you to seek breast revision, but rather, unwanted surgical complications. If you experience capsular contracture, implant deflation or implant rupture, double bubble deformity, symmastia, asymmetry, bottoming out, and/or any other complication after breast augmentation surgery, you should pursue breast revision right away. These complications can occur within the first year after breast augmentation or decades afterward. As they typically require surgical correction, they should be addressed as soon as possible. With breast revision, Dr. Ciaravino can eliminate your surgical complication(s) and restore your breasts with the best possible results.

If you are considering breast revision and are not sure whether to wait or pursue the procedure now, request your personal consultation with “The Breast Doc” and breast revision specialist Michael Ciaravino, MD. Dr. Ciaravino performs several hundred breast augmentation procedures every year and can advise you on the best course of action for your needs. Call 713.627.1200 or contact Dr. Ciaravino online to schedule your consultation today.

How to Detect Capsular Contracture

Posted on: March 16th, 2017
By: Michael Ciaravino

Most breast augmentation patients have no complications after their surgery. The limited number of patients who do may experience capsular contracture. Dr. Ciaravino can perform breast revision to correct capsular contracture and improve your breast augmentation results.

Capsular Contracture Before and After PhotosWhat Is Capsular Contracture?

Capsular contracture is when the scar tissue around the breast implant becomes tight and hard. This can cause discomfort, firmness of the breast, and even a distorted or asymmetrical appearance. Capsular contracture is one of the most common surgical complications from breast augmentation. An infection, bleeding, an inflammatory reaction, or a ruptured silicone implant make capsular contracture more likely to occur.

Detection With the Baker Scale

You can detect capsular contracture by using the Baker scale, which measures the severity of your condition. The Baker scale for capsular contracture measures it in four grades:

  • Grade I: the breast looks natural and has a normal, soft feel
  • Grade II: the breast looks natural but is a little firmer than normal
  • Grade III: the breast is visibly distorted and is unusually firm
  • Grade IV: the breast is greatly distorted and is hard and painful

Mild cases in which there are no symptoms and no visible deformity may not need revision surgery. When there is noticeable firmness, pain, implant rupture, displacement, or deformity, revision surgery is the only treatment. If you believe you have capsular contracture of grade II or higher, you should consider scheduling your consultation with Dr. Ciaravino for breast revision surgery.

Treatment With Breast Revision

Dr. Ciaravino frequently performs breast revision surgery for women suffering from capsular contracture. Depending on the severity of your condition, he may perform either a capsulotomy to release the scar capsule or a capsulectomy to remove the scar capsule. With breast revision surgery, Dr. Ciaravino can restore your breasts to a healthy, normal appearance and even improve your breast augmentation results.

Dr. Michael Ciaravino (“The Breast Doc”) is a skilled breast revision surgeon who is highly experienced in correcting capsular contracture. Call 713.627.1200 or complete our online contact form to request your personal consultation with Dr. Ciaravino today.

Can I Change My Implant Placement When I Undergo Breast Revision?

Posted on: March 3rd, 2017
By: Michael Ciaravino

Implant Exchange Before and AfterBefore your breast augmentation procedure, you had to decide whether you wanted your implants to be placed over or under the chest muscle. However, what if you change your mind once the implants are already in place? Women who change their preferences or who experience certain complications may change their implant placement with breast revision surgery.

Placing the Implants Under vs. Over the Muscle

Most breast augmentation surgeons offer both under-the-muscle (“subpectoral,” or “submuscular”) and over-the-muscle (“subglandular”) implant placement for the initial breast augmentation. Some surgeons also provide the option of inserting them partially over and partially under the chest muscle (“dual plane”). Your surgeon most likely recommended either subpectoral or subglandular placement for you. Some surgeons recommend subglandular placement because it creates a more lifted appearance and because the recovery is less painful. Other surgeons recommend subpectoral placement because it makes mammography more accurate, it is less likely to cause capsular contracture or show rippling, and it provides greater long-term support.

You Can Change Your Mind

Whichever placement option you chose for your breast augmentation, your reasons for making that choice could change at any point. For instance, if you have visible rippling of the implants through your skin, you may regret having chosen subglandular placement because it had an easier recovery. Or, you may want to exchange your under-the-muscle placement for over-the-muscle placement because you desire the more lifted appearance that subglandular placement can provide. Whatever your reasons for changing your mind, Dr. Ciaravino can exchange your implants and their placement with breast revision surgery.

When Circumstances Require You to Make a Change

Some women may need to change their implant placement for various reasons. For instance, depending on your anatomy, certain types and sizes of implants must be placed under or over the muscle. As an example, a woman who wishes to upsize her implants may discover that she will have to switch to subglandular placement to do so. A change in implant placement is more often necessary for women who experience certain complications. As examples, women with symmastia or recurrent capsular contracture may correct the issue by converting to subpectoral placement. Dr. Ciaravino can advise you about which implant placement is best for you when you come in for your breast revision consultation.

“The Breast Doc” Dr. Michael Ciaravino frequently performs breast revision surgery to help women achieve their cosmetic ideal. To request your consultation, please call 713.627.1200 or complete our online contact form today.