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    Revisionary Breast Procedures

    Conveniently located to serve St. Louis

    On occasion, even careful planning and excellent technique can produce disappointing surgical results or unmet expectations, prompting the need for breast revision surgery in St. Louis. Breast revision surgery experts Dr. Paul Rottler and Dr. Angela Hulsey are highly experienced in this treatment, enabling women to be proud of their appearances once more.

    Paul Rottler

    Before &Amp; After Breast Revision Photos
    Before
    After
    Before &Amp; After Breast Revision Photos
    Before
    After

     Before and Afters Photos

     

    Common Reasons For Breast Revision

    Breast revision surgery is most often pursued to address shifting breast creases that can distort the natural contour, correct uneven volume or shape between the two breasts, or reposition nipples that have drifted off-center. It’s also commonly needed when implants move out of place, develop scar contractures, leak or rupture, or simply no longer match the patient’s size or feel preferences. As well, some women choose revision to change implant type or size, switch pocket placement for improved comfort, or refine results in line with evolving aesthetic goals. 

    Revisions concerning implants often involve one of the following symptoms:

    Bottoming Out

    Lengthened distance between the nipple and the bottom of the breast due to skin stretching, resulting in the implant dropping lower than desired.

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    Fold Malposition

    The inframammary fold or lateral fold has moved, allowing implants to move inferiorly or laterally.

    Feature-Fold-Malposition-Small

    Symmastia

    Medial malposition presenting with implants too close together or even touching.

    Feature-Symmastia-Small

    Wrinkling and Rippling

    Appearance of implant wrinkles, ripples, or irregular contours on the skin surface.

    Feature-Wrinkling-Small

    During breast revision surgery, Dr. Rottler or Dr. Hulsey may consider reducing the implant pocket size and using Strattice™ Reconstructive Tissue Matrix (TM) to provide additional support for maintaining the breast implant in the proper position. It is placed at the bottom of the breast to be used as an “internal bra,” helping to maintain the implant in a position that will increase the breasts’ fullness at the top. This may result in reduced wrinkling and rippling of the breast implants.

    Why Do These Symptoms Occur?

    The skin quality that envelops the breast tissue significantly influences the shape of the breasts. Even though breast skin contains special elastic fibers, there is natural and hereditary variation in the amount of elasticity and thickness of each person’s breast skin. Thin tissue may not be adequate to mask wrinkling or rippling of a breast implant.

    A rippled appearance may also be apparent when the pocket created to contain the implant is larger than the size of the implant. If the pocket is too large, a breast implant will not be able to maintain a stable position, and volume can shift too much to the bottom. The implant should be able to maintain a stable position within the pocket to provide a natural and smooth appearance.

    Who Is a Good Candidate for Breast Revision Surgery?

    Patients experiencing cosmetic and/or health issues following a breast procedure are ideal candidates for revisionary breast surgery. You must be in good overall health to undergo this treatment. Smokers will need to quit several weeks beforehand and must avoid smoking during recovery.

    Your Consultation

    Before patients can get a revisionary breast procedure, they’ll first need to schedule a consultation. Dr. Rottler or Dr. Hulsey will examine the patient’s breasts and ask them about the issues they are experiencing. They will also look over the patient’s medical history.

    Dr. Rottler or Dr. Hulsey will discuss the details of the revision procedure with the patient, including cost, preparation, and recovery. Patients will be able to ask questions and have any concerns addressed.

    The Procedure

    Dr. Rottler and Dr. Hulsey perform breast revision surgery with the aid of anesthesia and at their fully accredited, state-of-the-art operating facility: Seven Oaks Surgery Center, LLC. Using precise tissue sculpting and/or implant adjustment techniques, your surgeon will restore symmetry, optimize implant placement (if applicable), and sculpt the breast envelope to achieve a balanced, natural contour.

    Breast Revision Aftercare

    Following breast revision surgery, patients will need to rest and recover. Strenuous activities should be avoided during recovery. Some bruising and swelling are expected. Patients can return to work after one to two weeks, as long as no demanding physical activities are involved. The swelling and bruising should disappear completely after three weeks.

    Benefits of Corrective Breast Surgery

    • Fixes implant-related issues such as tightening scars and malfunctions
    • Harmonizes size and position to eliminate unevenness and displacement
    • Allows exchange of implants for a different size, shape, or material
    • Enhances comfort by relocating implants to a more suitable pocket
    • Personalizes the final look to suit your evolving aesthetic preferences

    How Much Do Breast Revision Procedures Cost?

    The total price of breast revision surgery varies according to the complexity of the procedure, implant modifications (if needed), anesthesia services, and other factors. Our team will walk you through a detailed and transparent cost estimate.

    FAQs

    Yes, we are proud to offer financing for qualifying patients to help them manage the cost of care. We currently accept financing through CareCredit® and Alphaeon™.
    We recommend postponing any corrective procedure until about 12 months after your initial operation, which allows scars to mature and implant positioning to stabilize. Rushing into revision before your results have fully settled can obscure the true breast contours and increase the likelihood of needing additional surgeries.

    Contact Us For More Details

    Contact our office to learn more about breast revision surgery in St. Louis, Missouri. Dr. Paul Rottler and Dr. Angela Hulsey will be happy to help you get the breast surgery results you deserve.