Revision Breast Surgery
Dr. Rottman specializes in the repair and revision of complications resulting from prior breast surgeries, including:
Revision Breast Augmentation
Although breast implants are medical devices designed to last for many years, patients can expect to undergo some form of revision surgery within their lifetime. In revision breast augmentation, Dr. Rottman can resolve complications, exchange breast implants for a different type or size, or reshape the breast for a more youthful appearance. Depending on the reason for revision, procedures can range from simple adjustments to complex surgical procedures.
Symmastia is a serious, but rare complication that can occur after breast augmentation. The problem occurs when the breast implant crosses the midline between the breasts, essentially joining the breasts together. Symmastia can be obvious or it may be subtle, becoming visible only when the patient is lying down. The basic causes of symmastia are oversized breast implants and over-dissection of the breast pocket. Symmastia is often seen when one patient chooses progressively larger implants in multiple breast augmentation procedures.
Correction of Capsular Contracture
After breast augmentation (or reconstruction with implants), the body can form scar tissue that surrounds the implant. This reaction, known as capsular contracture, places pressure on the implant and causes hardness, displacement and distortion of the breast implant, requiring breast revision. Surgical procedures to correct the complication include traditional capsulectomy, capsulotomy and placement of an acellular tissue matrix (AlloDerm or Strattice).
Correction of Implant Rippling
Rippling of the breast implant can become visible in some patients, particularly when a saline implant is not filled to the proper volume. Correction of implant rippling or wrinkling may require adjustment of the implant volume, replacement with silicone gel implants, or insertion of an acellular tissue matrix such as Strattice. To prevent rippling, plastic surgeons often recommend placement of the implant below the chest muscle.
Correction of Malposition
Breast implant displacement (or malposition) occurs when the implant moves beyond the margins of the breast pocket. The cause may be poor surgical technique (over-dissection of the tissue) or scar formation that gradually pushes the implant from its optimal location. Such complications are often called “bottoming out,” “double-bubble,” “symmastia” or “high-riding” of breast implants.
Your Consultation with Dr. Rottman
During your consultation, Dr. Rottman will talk with you about whether you are a good candidate for revision breast surgery, your expectations, and what to expect during and after surgery. Please contact us to schedule your appointment at either of our convenient Baltimore locations.