Breast Revision Surgery

Yes. Patients who had their original procedure elsewhere are welcome, as this is common in revision surgery. Dr. Beck will request your operative records when possible, as information about implants, positioning, and technique helps him plan the revision. Even without complete records, a thorough examination and imaging can provide the needed information. It's common to seek revision from a different surgeon, so there's no need to hesitate.

Saline implant deflation is usually obvious, as the affected breast becomes smaller and softer when the sterile saltwater is absorbed. In contrast, silicone implant ruptures can be silent, as modern cohesive silicone gel often remains intact when the shell is compromised. Research shows that 38% of silicone ruptures have no symptoms and are only detected through imaging. The FDA recommends that patients with silicone implants have an ultrasound or MRI five to six years after placement, and then every two to three years. If you have concerns about your implants before your screening, please contact our office for an evaluation.

It varies based on the specific warranty plan for your implants. Major manufacturers like Mentor, Allergan, Sientra, and Motiva typically offer lifetime replacement policies for confirmed ruptures. At the same time, some extended plans may assist with operating room and anesthesia costs for certain complications. However, surgeon fees are usually not covered, and coverage for conditions such as capsular contracture varies by brand and plan. Notably, Sientra's warranty is comprehensive, covering multiple complications for 20 years—more than other major brands offer. Dr. Beck and our team will help you understand your warranty during your consultation.

Insurance coverage for breast revision is possible but not guaranteed. Generally, breast augmentation and its complications are considered elective and not covered. However, some conditions, such as implant rupture, severe capsular contracture, documented infection, and BIA-ALCL, may qualify for partial coverage. Cosmetic revisions for size or aesthetic changes are usually out of pocket. If you think you might qualify, contact your insurance provider for pre-authorization, and our team can assist with documentation. Financing options are also available.

Because revision surgery is often more complex than primary augmentation, the risk profile can be somewhat broader. Risks include:

• Bleeding (hematoma), which is a collection of blood in the surgical site, which may require drainage
• Research suggests an infection prevalence of less than 1% in implant-based breast procedures, and is typically managed with antibiotics or, in rare cases, implant removal
• Seroma, which is accumulation of fluid around the implant, usually resolving on its own
• Capsular contracture recurrence can occur after revision, though surgical technique, implant selection, and meticulous pocket management are all used to reduce this risk
• Changes in sensation, such as temporary or, rarely, longer-lasting changes in nipple or breast sensitivity
• BIA-ALCL, a rare T-cell lymphoma that has been associated primarily with aggressively textured implant surfaces; smooth-surface implants carry a significantly lower risk, and all four brands offered by Dr. Beck use smooth or nano-surface technology

Dr. Beck will discuss all relevant risks as they apply to your specific anatomy and procedure during your consultation.

Breast implants, whether revised or original, are not permanent, and their longevity varies based on the type of implants, your anatomy, and your body’s response. While many patients have lasting results for over a decade, it’s essential to attend follow-up appointments, have periodic imaging, and contact us if any changes occur. Dr. Beck and our team are here to monitor your results and guide you as needed.