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Breast Implant Revision

Whether you are unhappy with the size, type, look or feel of your breast implants or experienced complications during your original breast augmentation, Dr. Wendel may recommend breast implant revision surgery. This procedure typically involves either the removal and/or replacement of breast implants to help improve your silhouette and restore the natural appearance of your breasts.


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Breast Implant Revision & Replacement

Breast implants are a medical device. Just like other medical devices, breast implants do not last forever. At some point in a woman’s life, it is statistically likely that she will need to have one or both implants changed. Sometimes, women want to change from saline to silicone breast implants.

It is important to save the warranty information after breast augmentation because the manufacturers offer a warranty on both saline and silicone breast implants. Check your implant card or company web site for specific information regarding your implant warranty.

Breast implant replacement often takes place through the same incision that the implants were first placed. Size change, capsulotomy, and/or breast lift can be performed at the same time as implant replacement.

Capsular Contracture

Normally, the body forms a thin layer of scar around breast implants of all kinds. This layer of scar is called a capsule and is completely normal. However, in certain instances this scar may become tight, hardened or thick. This is called a capsular contracture, which is an abnormal scar response. If capsular contracture becomes painful or severe, surgical release or scar removal may be necessary. Capsulotomy is surgical release of the capsule; capsulectomy is complete surgical removal of the capsule, usually reserved for more severe capsular contractures.

Do you have a capsular contracture?

Are you worried about the development of a capsular contracture from breast implants?

Sientra, a world-wide maker of breast implants, is the first breast implant company to offer a warranty against capsular contracture. This one-of-a-kind program is called CAPCON CARE. Visit Sientra.com to learn more about the CapCon Care program, Sientra breast implant safety and warranty.

Breast Implant Removal

For various reasons, there sometimes comes a time in woman’s life when she no longer wishes to have breast implants. Breast implant removal can be performed often through the same incision that the implants were placed. The surgery is often a simple and straightforward procedure. However, breast lift or fat transfer may be needed or desired at the time of breast implant removal.

A low cost option for removal of saline breast implants is deflation and removal of the implant shells in the office under local anesthesia.

Capsulotomy or Capsulectomy Surgery

Following breast implant surgery, some patients develop a thick capsule of scar tissue that forms around the implant, leading to disfiguration and discomfort. This is called a capsular contracture. Dr. J. J. Wendel offers en bloc total capsulectomy to remove both the scar capsule and the breast implant material together as one unit. This method helps remove all of the scar and any remaining foreign material from the chest wall. Dr. Wendel may pair en bloc total capsulectomy with a breast lift to restore your breasts to a natural shape and appearance.

Dr. Wendel will perform your surgery in Nashville, TN using anesthesia in a fully accredited surgical facility. This surgery is an outpatient procedure. Capsulectomy or capsulotomy may be performed with implant replacement or removal. Any remaining breast asymmetry can be corrected at the same time. Drains may or may not be used.

After the Capsulotomy | Caplulectomy Surgery, Dr. Wendel will go over recovery instructions, in order to minimize any discomfort.
Note: Dr. Wendel does not perform closed capsulotomy. This is an outdated technique that can be harmful to your breast tissue and damaging to your implant(s).

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