Revision Breast Reconstruction in San Luis Obispo County

Breast reconstruction aims to restore the shape, appearance, and size of the breast after a mastectomy, lumpectomy, or other trauma. Several methods are available for breast reconstruction, and the choice depends on factors such as the type of cancer treatment, your general health, and your personal preferences.

When initial breast reconstruction does not yield the desired results, corrective surgery—known as revision breast reconstruction—may be required or desirable.

What Is Breast Reconstruction Revision?

Revision breast reconstruction surgery is a secondary procedure designed to improve or correct the results of an initial breast reconstruction. This procedure addresses issues such as dissatisfaction with the breast’s appearance, shape, complications from the initial surgery, or changes that have occurred in the reconstructed breast over time.

Board-certified plastic surgeon Dr. Charles Chalekson can perform corrective surgery following the initial procedure. In most cases, both the initial reconstruction and the revision surgery are covered by health insurance, as breast reconstruction is classified as a restorative, not cosmetic, procedure.

Conditions Revision Breast Reconstruction Helps

Revision breast reconstruction can help address several issues or complications that may arise after the initial surgery. For example:

• Implant Positioning: Implants may settle in an incorrect position, leading to misshapen or asymmetrical breasts.
• Implant Rupture or Leakage: This requires medical attention and surgical revision to correct.
• Rippling: Visible folds or edges of the implant may appear, especially in areas where tissue is thinner. This is more likely after significant weight loss.
• Capsular Contracture: Scar tissue that forms around the implant may harden and tighten, causing the breast to feel firm, painful, or misshapen. This condition only occurs with implant-based reconstruction.

Other reasons for revision include an unnatural look or feel of the breast, failed implants, or pain at the site. Revision options depend on the specific issues and may include:

• Conversion to Flap Procedure: Removing the implant and reconstructing the breast using a flap.
• Implant Replacement: Replacing the existing implants with new ones.
• Fat Grafting: Enhancing volume and contour through fat transfer.
• Second Flap Addition: Improving the breast’s appearance with a second flap procedure.

Dr. Chalekson will discuss the most appropriate options for your situation during your consultation.

Who Is a Good Candidate for Revision Breast Reconstruction?

Ideal candidates for revision breast reconstruction generally meet the following criteria:

• Dissatisfaction with Results: Unhappiness with the reconstructed breast’s size, shape, or symmetry, or seeking improvement in scars, nipple, and areola placement.
• Complications: Issues such as capsular contracture, implant rupture, or changes in breast appearance due to weight fluctuations, aging, or other treatments.
• Good Health: Being in good general health without underlying conditions that could increase the risk of complications.
• Realistic Expectations: Understanding the potential risks and benefits, with realistic expectations about the outcome.
• Non-Smoker: Being a non-smoker or willing to quit for six weeks before and after surgery, as smoking significantly increases the risk of complications and infection.

Learn More About Revision Breast Reconstruction in San Luis Obispo County

Breast reconstruction surgery is a major procedure that requires a significant recovery period. When revision surgery is necessary, it can be a stressful experience. We encourage you to call our office and schedule a consultation with Dr. Chalekson, who can answer your questions about revision breast reconstruction in San Luis Obispo County and provide you with the highest quality care and support.