Refining Results at Montilla Plastic Surgery

Our breast revision in Boston is a surgical procedure that typically involves replacement or removal of breast implants. According to WebMD, a change in implant size is the number one reason women have breast revision surgery. Patients may choose to have their implants replaced or removed for a variety of aesthetic and medical reasons.

Dr. Montilla – Excellence in Breast Revision

At Montilla Plastic Surgery, board-certified plastic surgeon Dr. Richard Montilla performs breast revision surgery with precision and skill. Our medical practices are at the forefront of service, technology, and results. We serve Boston, Worcester and surrounding areas with cosmetic procedures, both surgical and non-surgical.

Reasons to Have Breast Revision Surgery

Patients may elect to have our breast revision in Worcester to change the size or type of their implants because of cosmetic preferences. This surgery may also be performed to correct a variety of breast implant complications, including:

Capsular contracture

When implants are placed for breast augmentation, the body forms a capsule of scar tissue around the implant. Problems can develop if the capsule becomes thicker and begins to contract around the implant, causing it to become hard and misshapen. Dr. Montilla can treat capsular contracture with excellent results by placing new implants in a different position relative to the chest muscle.

Bottoming out

When breast implants have dropped considerably, it can make the nipples appear too high and the implants appear too low on the chest. There are several different surgical approaches to correct this problem. Dr. Montilla will choose the most appropriate surgical technique to correct this issue.

Rippling

This problem occurs more frequently among thinner women when breast implant ripples are visible on the surface of the skin. Rippling may be corrected by placing biologic fabric over the implants, changing the placement of the implants, or by camouflaging the ripples with natural fat grafting using the patient’s own body fat.

Symmastia

In this fairly rare complication, also called “kissing implants,” the breast implants meet in the middle of the chest with no separation in between. This can cause pain, discomfort, and a distorted appearance of the breasts. Symmastia can be corrected by changing the placement of the implant or by repairing the cleavage area and anchoring the implants with soft tissue grafts.

Implant rupture

Breast implants today are designed to be durable, but leaks and ruptures can occur. If it happens to you, Dr. Montilla can perform breast revision to replace the ruptured implant with a new implant.

Breast Revision Options: Removal or Replacement?

When breast revision is performed to correct complications, you may have the option of either replacing or removing your breast implants entirely. In many cases, Dr. Montilla may recommend replacement, as implant removal is a more complicated procedure with a higher risk of complications. However, in some cases, removal is a better option—for example, when an autoimmune disease makes the patient sensitive to certain substances found in breast implants.

Results with Breast Revision Surgery

If you are replacing your implants with a different type or size, you can expect full, shapely breasts after breast revision in Boston or Worcester. If you are removing larger implants, you may need a breast lift in combination with revision surgery to correct the sagging that can occur when breast tissue has been stretched by implants. Dr. Richard Montilla performs breast revision with artistry and skill to help ensure that your breasts are as attractive after removal as they were before the implants were originally placed.

Breast Revision from a Surgeon Whose Focus is Others

In everything he does, Dr. Richard Montilla is focused on the betterment of others. While he applies himself entirely to the patients in his own practice, he is also a member of several non-profit organizations. Primary among these is Surgicorps International, which sends medical missions abroad to help those who do not have access to medical care. Dr. Montilla’s philosophy is total care of human beings, and that comes across both in his practice and in his missions abroad.

Breast Revision FAQs

How long should I wait before considering breast revision surgery?

Most surgeons recommend waiting at least 6 to 12 months after your initial augmentation to allow full healing before pursuing revision, unless a complication requires earlier intervention.

Can I switch from implants to fat transfer during revision?

Some patients may be candidates for fat transfer as an alternative, depending on available donor fat and desired volume.

Are there non-surgical options for correcting implant issues?

Minor concerns may sometimes be addressed without surgery, but most structural or aesthetic implant issues require revision surgery.

How complex is breast revision compared to augmentation?

Breast revision is typically more complex due to scar tissue, previous changes, and the need for corrective techniques.

Can breast revision address discomfort or pain?

Yes, revision surgery can help relieve discomfort caused by complications such as capsular contracture or implant malposition.

Will my recovery be different from my first surgery?

Recovery can vary depending on the extent of correction, but many patients find it similar or slightly different based on the procedures performed.

Can I change implant type during breast revision?

Yes, patients can switch between saline, silicone, or other implant types as part of their revision plan.

How do I know if my implants need to be replaced?

Signs such as changes in shape, firmness, discomfort, or age of the implants may indicate the need for evaluation and possible replacement.

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Breast Revision in Boston