Breast augmentation is one of the most popular cosmetic procedures in the United States. Unfortunately, the popularity means that many women choose plastic surgeons that do not provide the best quality results.
Double board certified and fellowship-trained plastic surgeon Dr. Steven J. Rottman offers revision breast surgery to the women of Baltimore, MD, and surrounding communities who are not satisfied with their breast augmentations.
Revision breast surgery is a secondary surgery that most often occurs after breast augmentation.
Some of the cosmetic concerns that can be corrected with revision breast surgery are the following:
Revision breast surgery may be recommended for cosmetic and health reasons. The surgery restores the breast augmentation to a more appropriate appearance while reducing potential health risks.
Dr. Rottman can improve results from a previous breast surgery where a woman may have experienced complications or was dissatisfied with their results. The before and after pictures show you what Dr. Rottman has achieved.View Gallery
Dr. Rottman specializes in the repair and revision of complications resulting from prior breast surgeries.
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.
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 StratticeTM ).
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.
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.
Prior to your revision breast surgery, you will need to follow specific instructions to ensure your surgery is successful. Dr. Rottman provides you with detailed instructions during your consultation. The instructions also include any special aftercare you may need. You should arrange for a family member or friend to help you after surgery.
Recovery from revision breast surgery varies based on the extent of correction needed. Most patients are required to restrict their activities for up to four weeks, including staying home from work. Strenuous activities are typically restricted for six to eight weeks. You will need to keep the surgical site dry. Additionally, healing is fastest if you are able to sleep on your stomach. Dr. Rottman may be able to recommend some special pillows to help you with this. Common symptoms after breast revision surgery are tenderness, swelling, bruising and mild discomfort.
Breast revision surgery is an elective cosmetic procedure. The cost of the surgery varies by patient. We work with CareCredit® to offer you a convenient way to afford your breast revision surgery. To learn more, please visit our financing page.
Breast revision surgery is recommended for women who have undergone breast enhancement and have specific cosmetic and health issues related to their implants. Dr. Rottman is able to determine if revision breast surgery is right for you during your personal consultation.
Revision breast surgery involves the repair and restoration of soft tissues, as well as the repositioning or replacement of your breast implants. The approach is unique to each woman, so you want a plastic surgeon like Dr. Rottman, who is skilled in the most advanced revision breast surgery techniques.
Dr. Rottman asks questions about your breast augmentation surgery, implants, and other related issues. He examines your breasts to determine what steps need to be followed during surgery. He reviews his recommended treatment plan and provides you with pre- and post-surgical instructions.
Dr. Steven J. Rottman is a cosmetic and reconstructive plastic surgery expert who serves the men and women of Baltimore and surrounding areas. Dr. Rottman is recognized for his approach to plastic and reconstructive surgery that gives his patients exceptional natural-looking results.
Because each patient is unique, Dr. Rottman uses both traditional and advanced techniques for his procedures.
Please contact us today to schedule your personal consultation with Dr. Rottman.
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On behalf of the entire team at Rottman Plastic Surgery, we'd like to take this moment to say thank you again for your loyalty and support. We hope you, your family, and friends are safe and well.
The past several months have been unlike anything any of us have ever experienced. We are working hard to adjust to the “new normal” in a meaningful and thoughtful way for the safety and health of you and our staff. This means doing things in new ways, while still providing the same quality of care and service you are accustomed to.
Every decision and action we take is based on this. We are creating an office environment that is safe and comfortable for everyone. We are excited to reopen our newly renovated office on May 18, 2020!
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We will continue to offer Virtual Consultations. Please email photos to firstname.lastname@example.org and call Emily to schedule at 410.321.6868.
The staff and I look forward to seeing all of you again soon!
Steven J Rottman, MD.