Rebuild Confidence with Revision Breast Reconstruction

Facing breast cancer is an incredibly challenging journey, filled with emotional and physical hardships that can leave lasting impacts. For many women, the initial breast reconstruction may not fully meet their expectations, leading to feelings of disappointment and a desire for further improvement. At Nashville Plastic Surgery Institute (NPSI), we deeply understand the emotional turmoil that accompanies both the battle with breast cancer and the pursuit of optimal reconstruction results. Our compassionate team is dedicated to supporting you through every step of this journey, ensuring that your emotional well-being is as important as your physical restoration. Led by Dr. Jacob Unger, a renowned leader in the field of breast reconstruction, NPSI offers unparalleled expertise and advanced surgical techniques to address and enhance your reconstruction outcomes. Dr. Unger’s extensive training, including his prestigious residency at the University of Texas Southwestern and international fellowship in Paris, equips him with the skills necessary to perform complex revision surgeries with precision and care. By choosing NPSI for your revision breast reconstruction, you are entrusting your care to a surgeon who not only excels in technical proficiency but also prioritizes your comfort and confidence, helping you achieve the relief and satisfaction you deserve.

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What Is Revision Breast Reconstruction?

Revision breast reconstruction is a specialized surgical procedure aimed at improving or correcting the results of a previous breast reconstruction. Whether the initial reconstruction did not achieve the desired symmetry, shape, or natural appearance, or if complications such as implant malposition, capsular contracture, or aesthetic dissatisfaction have arisen, revision breast reconstruction offers a solution to address these issues. This procedure involves refining the existing reconstruction through techniques such as repositioning or replacing implants, adjusting tissue contours, and enhancing the overall symmetry and natural look of the breasts. At Nashville Plastic Surgery Institute (NPSI), Dr. Jacob Unger utilizes his extensive expertise and advanced surgical methods to deliver personalized revision breast reconstruction plans that meet each patient's unique needs and aesthetic goals, ensuring improved comfort and satisfaction with their reconstructed breasts.

The Benefits of Revision Breast Reconstruction

Opting for revision breast reconstruction at Nashville Plastic Surgery Institute provides numerous benefits that can significantly enhance both your physical appearance and emotional well-being. This procedure offers a transformative opportunity to address any shortcomings or complications from previous reconstructions, ensuring that your breasts not only look natural but also feel comfortable. Key benefits of revision breast reconstruction include the following:

  • Enhanced Symmetry and Balance: Revision surgery can correct asymmetries and imbalances from the initial reconstruction, providing a more harmonious and balanced appearance.
  • Improved Aesthetic Outcomes: By refining the shape, size, and position of the reconstructed breasts, revision reconstruction achieves a more natural and pleasing look.
  • Increased Comfort: Addressing issues such as implant malposition or capsular contracture can alleviate discomfort and improve the overall feel of the breasts.
  • Personalized Solutions: Each revision plan is tailored to your specific needs and goals, ensuring that the results align with your personal aesthetic desires.
  • Boosted Self-Confidence: Achieving the desired breast appearance can significantly enhance your self-esteem and overall quality of life.
  • Long-Lasting Results: With meticulous surgical techniques and high-quality implants like Motiva Implants®, revision reconstruction provides durable and enduring improvements.
  • Comprehensive Care: NPSI’s dedicated team supports you throughout the entire revision process, from consultation to recovery, ensuring a smooth and positive experience.
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Is Revision Breast Reconstruction Right for Me?

If you have previously undergone breast reconstruction and are experiencing dissatisfaction with the results, or if complications such as implant displacement, capsular contracture, or asymmetry have arisen, revision breast reconstruction may be the ideal solution for you. Ideal candidates for revision breast reconstruction include individuals who:

  • Experience Aesthetic Dissatisfaction: If your initial reconstruction does not meet your aesthetic expectations in terms of shape, size, or symmetry.
  • Have Implant-Related Complications: Complications can include implant malposition, capsular contracture, or leakage that affects the appearance and comfort of your breasts.
  • Desire Enhanced Symmetry: To correct any asymmetries between your breasts that may have resulted from the initial reconstruction.
  • Seek Improved Comfort: If the current reconstruction causes physical discomfort or pain.
  • Maintain Good Overall Health: Good health ensures your body is well-prepared for another surgical procedure.
  • Have Stable Weight: To ensure the longevity and stability of the revision results.
  • Are Committed to Follow-Up Care: Adhering to post-operative instructions and attending all follow-up appointments is crucial for successful revision outcomes.

If you identify with any of these factors and are seeking to achieve a more natural, symmetrical, and comfortable breast reconstruction, revision breast reconstruction at Nashville Plastic Surgery Institute could be the right choice for you. To determine the best approach for your situation, we invite you to schedule a personalized consultation with Dr. Unger, who will assess your needs and develop a tailored plan to help you achieve the optimal results you desire.

What to Expect: The Revision Breast Reconstruction Process

1. Initial Consultation

  • Personalized Discussion: Discuss your previous reconstruction, current concerns, aesthetic goals, and any challenges you are facing with Dr. Unger.
  • Comprehensive Evaluation: Dr. Unger will perform a thorough examination of your reconstructed breasts, assessing factors such as implant placement, tissue condition, and overall symmetry.
  • Reconstruction Options Overview: Explore the various revision techniques available, including implant replacement, repositioning, tissue adjustments, and the use of Motiva Implants for enhanced results.
  • Customized Treatment Plan: Based on your unique needs and goals, Dr. Unger will develop a tailored surgical plan to address and improve your reconstruction.

2. Pre-Surgical Preparation

  • Medical Clearance: If necessary, you will undergo medical tests or evaluations to ensure you are fit for surgery.
  • Preoperative Instructions: You will receive detailed guidelines on medications to avoid, dietary considerations, smoking cessation, and any necessary lifestyle adjustments to optimize your recovery.
  • Scheduling Surgery: Our team will assist you in scheduling your procedure at a convenient time and coordinate all necessary arrangements for your surgery day.

3. Day of Surgery

  • Admission to Facility: Arrive at our accredited surgical center, where our compassionate staff will ensure you are comfortable and prepared for the procedure.

  • Anesthesia Administration: You'll meet with the anesthesiologist to discuss anesthesia options. Revision reconstruction is typically performed under general anesthesia to ensure you are asleep and comfortable throughout the surgery.

  • Surgical Procedure:

    • Incision Adjustment: Dr. Unger will make necessary adjustments to existing incisions or create new ones based on the planned revision techniques.
    • Implant Refinement: This may involve repositioning existing implants, replacing them with Motiva Implants, or adjusting the implant pocket for improved placement and appearance.
    • Tissue Reshaping: Excess tissue may be removed, and the remaining tissue reshaped to enhance the natural contour and symmetry of the breasts.
    • Closing Incisions: Incisions are meticulously closed with sutures, skin adhesives, or surgical tape to minimize scarring and promote optimal healing.
  • Duration: The surgery typically takes about 3 to 4 hours, depending on the complexity of the revision required.

4. Post-Anesthesia Recovery

  • Monitoring: After surgery, you’ll be moved to a recovery area, where our medical team will monitor you as you wake up from anesthesia.
  • Initial Care Instructions: We will provide comprehensive instructions on how to care for your reconstructed breasts, manage discomfort, and recognize any signs of complications during the initial healing phase.

5. Discharge

  • Going Home: Revision breast reconstruction is usually an outpatient procedure, allowing you to return home the same day. It's essential to have someone accompany you and assist you during the first 24 hours post-surgery.
  • Post-Operative Kit: You'll be provided with necessary supplies and detailed instructions for at-home care, including guidelines specific to your revision reconstruction and recovery needs.

Breast ReconstructionRecovery & Results

Recovering from revision breast reconstruction at Nashville Plastic Surgery Institute involves a combination of rest, careful self-care, and regular follow-up with our medical team to ensure optimal healing and the best possible results. Immediately after surgery, you may experience some swelling, bruising, and discomfort in the chest area, which is normal and can be managed with prescribed pain medication. Wearing a supportive surgical bra is essential during the initial recovery period to minimize swelling and provide necessary support to your reconstructed breasts.

In the first few days post-surgery, it’s important to rest and limit physical activities to promote healing. You should avoid lifting heavy objects, strenuous exercise, and any movements that might strain your chest muscles. Most patients can resume light daily activities within a week, but it’s advisable to take additional time off work if your job involves physical labor or long periods of standing.

Over the next few weeks, swelling and bruising will gradually decrease, and your reconstructed breasts will begin to settle into their new shape. You will notice a significant improvement in both the appearance and comfort of your breasts as the tissues heal and adapt to their new form. Incision lines will fade over time, becoming less noticeable with proper care and adherence to post-operative instructions.

Full recovery from revision breast reconstruction typically occurs within 3 to 6 months, depending on the complexity of the procedure and your body’s healing response. During this period, maintaining a healthy lifestyle, including a balanced diet and regular, gentle exercise, can support the longevity of your reconstruction results. Additionally, following Dr. Unger’s recommendations and wearing appropriate support garments will enhance skin elasticity and the overall appearance of your breasts.

The results of revision breast reconstruction are designed to be long-lasting, providing you with a natural-looking and symmetrical chest that complements your body. Regular follow-up appointments are crucial to monitor the integrity of your reconstruction, especially with the use of Motiva Implants, to ensure that everything is healing as expected and to address any concerns promptly. By adhering to the post-operative care plan and maintaining open communication with our team, you can enjoy the full benefits of your breast reconstruction, experiencing both physical relief and renewed confidence in your appearance.

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Why Choose Nashville Plastic Surgery Institute?

At Nashville Plastic Surgery Institute (NPSI), Dr. Jacob Unger is a highly qualified expert in breast reconstruction, bringing extensive specialized training and a commitment to innovative techniques to every procedure. After graduating from the prestigious University of Texas Southwestern plastic surgery residency program, Dr. Unger further advanced his expertise through an international fellowship in Paris, where he mastered cutting-edge reconstructive breast surgery methods. His dedication to excellence is demonstrated by his role as the inventor of the U.S.-patented Natrelle Fourté expander fill system, a widely adopted innovation that enhances breast reconstruction outcomes for breast cancer patients nationwide.

Dr. Unger’s dedication to research and education underscores his position as a leader in the field. As an associate professor at Vanderbilt University, he is actively involved in training the next generation of plastic surgeons while continuing to innovate through his role as co-founder of a biotech company and his extensive publication record. His numerous peer-reviewed publications and presentations on breast surgery and advanced 3D imaging techniques highlight his commitment to advancing the field of breast reconstruction.

Our practice prioritizes personalized patient care, ensuring that every revision breast reconstruction procedure is meticulously planned and executed to meet your specific desires and medical requirements. From your initial consultation to your recovery, Dr. Unger and our compassionate team provide comprehensive support, addressing your concerns and guiding you through each step of the reconstruction process. By choosing Nashville Plastic Surgery Institute, you are entrusting your transformation to a dedicated team that values your comfort, safety, and satisfaction, helping you achieve a harmonious and confident new you.

Are you ready to rebuild your confidence with revision breast reconstruction? If so, please schedule a consultation with Nashville Plastic Surgery Institute today.

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Frequently Asked Questions Breast Reconstruction

What Is Revision Breast Reconstruction?

Revision breast reconstruction is a surgical procedure aimed at improving or correcting the results of a previous breast reconstruction. This approach may involve adjusting or replacing implants, refining tissue contours, enhancing symmetry, and addressing any complications to achieve a more natural and satisfying breast appearance.

Am I A Good Candidate For Revision Breast Reconstruction?

Ideal candidates are individuals who have previously undergone breast reconstruction and are experiencing dissatisfaction with the results or complications such as implant malposition, capsular contracture, or asymmetry. Being in good overall health, maintaining a stable weight, and having realistic expectations about the outcomes are important factors in determining candidacy for revision breast reconstruction.

What Types Of Revision Breast Reconstruction Are Available?

At Nashville Plastic Surgery Institute, we offer various revision techniques tailored to your specific needs, including Implant repositioning or replacement with Motiva Implants, tissue contouring and reshaping, symmetry enhancement, and corrective procedures for complications such as capsular contracture.

How Long Does Revision Breast Reconstruction Surgery Take?

The duration of revision breast reconstruction surgery typically ranges from 3 to 4 hours, depending on the complexity of the revision required and the specific techniques being employed.

What Is The Recovery Time After Revision Breast Reconstruction?

Most patients can return to light daily activities within 2 to 3 weeks after revision breast reconstruction. However, it is recommended to avoid strenuous exercise, heavy lifting, and activities that strain the chest muscles for at least 6 weeks. Full recovery and final results may take several months as swelling decreases and tissues settle.

Will There Be Visible Scars After Revision Breast Reconstruction?

Yes, revision breast reconstruction involves surgical incisions, which will result in scars. However, Dr. Unger utilizes advanced techniques to place incisions in discreet locations, such as under the breast fold, around the areola, or in the armpit, minimizing their visibility. Over time, scars typically fade and become less noticeable, especially when following proper post-operative care instructions.

How Long Do Motiva Implants Last?

Motiva Implants® are designed to be durable and long-lasting, but they are not guaranteed to last a lifetime. Many implants can last 10 to 15 years or longer without issues. Regular check-ups are important to monitor implant integrity and address any concerns promptly.

Can Revision Breast Reconstruction Be Combined With Other Procedures?

Yes, revision breast reconstruction can be combined with other procedures such as breast lift (mastopexy) or nipple reduction to achieve the desired aesthetic outcome. Combining procedures can enhance symmetry and improve overall breast appearance. Dr. Unger will discuss the best approach based on your individual needs during your consultation.

What Are The Risks Associated With Revision Breast Reconstruction Surgery?

As with any surgical procedure, revision breast reconstruction carries certain risks, including infection, bleeding, adverse reactions to anesthesia, scarring, changes in nipple or breast sensation, and difficulties with breastfeeding. Motiva Implants feature innovative technology designed to reduce some of these risks, such as a reduced incidence of capsular contracture due to their SmoothSilk™ surface. Dr. Unger will discuss all potential risks and how to minimize them during your consultation.

How Much Does Revision Breast Reconstruction Surgery Cost?

The cost of revision breast reconstruction varies based on factors such as the type of revision needed, surgical technique, and facility fees. Motiva Implants may have different pricing compared to traditional implants due to their advanced technology. A detailed quote will be provided during your consultation. Financing options may be available to help make the procedure more affordable.

Will Insurance Cover Revision Breast Reconstruction Surgery?

Revision breast reconstruction surgery is often covered by insurance, especially when performed following a mastectomy due to breast cancer. However, coverage can vary depending on the insurance provider and specific policy details. Our team can assist you in understanding your insurance benefits and options.

How Do I Prepare For Revision Breast Reconstruction Surgery?

Preparation for revision breast reconstruction may include undergoing medical evaluations, adjusting current medications, quitting smoking, and arranging for someone to drive you home after surgery. Dr. Unger will provide detailed preoperative instructions tailored to your situation to ensure the best possible outcome and smooth recovery.

When Can I Return To Work After Revision Breast Reconstruction Surgery?

Most patients can return to work within 3 to 4 weeks after revision breast reconstruction surgery, depending on the nature of their job. If your work involves heavy lifting or strenuous activity, you may need to take additional time off or modify your duties temporarily.

Can I Breastfeed After Revision Breast Reconstruction?

Breastfeeding after revision breast reconstruction may be possible, depending on the type of reconstruction and implant placement. If breastfeeding is a priority, discuss your plans with Dr. Unger during your consultation to choose the surgical approach that best preserves your ability to breastfeed.

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