Breast Revision

Conveniently located to serve Nashua, NH

I am pleased with my results

Dr. Waldman is the perfectionist, kind, caring and professional. I am pleased with my results. This is an extremely professional and well-organized practice run by an extremely talented surgeon. Dr. Waldman and staff are outstanding. My first and previous surgery was done at Beth Israel and Boston and without a doubt, Dr. Waldman’s attention to details and follow through was amazing. Thank you! Breast Revision Patient

There are many different reasons that women seek secondary or revision breast augmentation surgery. Some have problems and are unhappy with the results of previous surgery while others are just looking to make a change to new implants with a different shape, size, or material.

Patients breasts and body often change over time and breast implants are not meant to last forever. We also regularly see patients who had their initial surgery done by another provider and seek revision to correct numerous issues.

Common problems include:

  1. Patient desires Size Change
  2. Capsular Contracture – Scar tissue can form around one or both breast implants causing the implant to feel hard, change shape, and in some circumstances cause pain.
    Capsular Contracture is graded on a scale based on severity (Baker I-IV)
    Baker I = breast is soft, appears and feels normal
    Baker II = feels firmer but looks normal
    Baker III= feels firm and looks abnormal
    Baker IV= feels firm with pain
  3. Implant Malposition – for numerous reasons, implants may appear to high, to low (bottomed out) or to much to the side.
  4. Synmastia – also called “Uniboob”- this happens when the medial or inner tissues are over dissected, usually in an attempt to create better cleavage. The result is implants that touch in the middle.
  5. Ptosis – breast droopiness is called ptosis and this can happen over time or sometimes is unrecognized at the time of breast augmentation. When that happens the implant appears high that breast starts to hang off of it. This is usually corrected with a breast lift or Mastopexy.
  6. Implant Rupture – Overall, breast implants are very safe devices but they do not last forever. Implant ruptures may be obvious (saline breast implants) or more sublte/silent (silicone breast implants). If you have concern about breast implant rupture, you should schedule an appointment for evaluation.
  7. Rippling – this is when irregularities of the implant surface that can be felt or seen through the skin. This may result from thinning (atrophy) of the tissue covering the implants, a saline implant that is underfilled or leaking, a placement problem such as an implant being placed above the muscle, or some combination of these events.
  8. Asymmetry – anytime that the breast are uneven, we call this asymmetry. Virtually every patient has some degree of asymmetry both before and after surgery. When the differences between the breasts become more noticeable, surgical correction may be required.
Before & After
Before & After
* Individual results may vary.

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View before-and-after pictures of real patients of Jeremy Waldman

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Damage was caused by another surgeon and Dr. Waldman did a great job with what he had. I especially liked the straight forward approach and confidence that Dr. Waldman and everyone showed. He was very professional and I felt like he would really do the best he could and that showed. He was further away but worth it. Always very understanding, compassionate, and informative. I was always made to feel that nothing I asked would be looked at as ‘stupid.’ I have already recommended Dr. Waldman to several people. You are the only plastic surgeon I would go to. Breast Revision Patient

If you have had a previous breast augmentation surgery and desire a size change or correction, a breast revision augmentation surgery is necessary.. Revisional breast surgery attempts to restore breasts that are soft and symmetrical. Dr. Waldman has years of experience with this procedure and it is best to set up a consultation with him by either calling Dr. Waldman or emailing him.

There are many solutions to addressing these common problems. Some patients require one or several procedures to achieve the desired result. Potential revision procedures may include:

  1. Breast Implant Exchange: Removing the current implants and replacing with new implants
  2. Capsulectomy: Removing the scar tissue around the breast implant. This may require removing all of the scar tissue in some cases and only portions of the scar tissue and other cases. When this is done with the implant inside an intact scar capsule it is often referred to as an “en bloc” resection. Is not always possible to remove capsules in this fashion but may be advantageous for some patients. Dr. Waldman has many years of experience in this technique.
  3. Capsulotomy: This means that the scar tissue is cut or released but not removed. This technique may be helpful in addressing some forms of implant malposition.
  4. Pocket change: Implants placed either over or under the muscle may need to be moved to address certain problems. Moving the implant from one location to another is often called a pocket or site change. We also may leave the implant under the muscle but create a new pocket in front of the old one. This is also called a “neo pectoral” pocket.
  5. Mastopexy/breast lift : Implants that are or become droopy require a breast lift procedure to restore shape and/or nipple position. This repositions the nipple and breast tissue on the chest wall, elevating it to a more desirable location/shape.
  6. Dermal matrix placement: Acellular dermal matrix products are essentially internal meshes that are used to support and implant. These can be used to treat capsular contracture or implant malposition.
  7. Fat grafting: Removing fat from one part of the body and relocating it to another is called fat grafting. This can be used to add fullness or tissue thickness to areas of the body that are lacking. This can be a helpful tool and addressing rippling or wrinkling went tissues have thinned.
  8. Breast implant removal: Some patients desire to have her breast implants removed. There are many reasons they may come to this decision. Implant removal sometimes includes removing portions or all of the scar tissue around the implant. Often, the breasts would also benefit from reshaping at the time of implant removal. Some patients do very well with implant removal only.
Before & After
Before & After
* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of Jeremy Waldman

View Before & Afters

In addition to these techniques, there are many others that exist to help address each patient’s specific problem. During your consultation, a comprehensive evaluation will be performed and specific recommendations will be made to address your issues. If possible, bring any information you have about your current breast implants (if previous surgeries have been performed elsewhere) to your consultation. This will help in the planning process for any future surgery.

To contact our office, you can call us at (603) 577-5559 or email us.

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