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Breast Revision

Bay Area Breast Augmentation Revision in San Francisco with Dr. Leonard Gray

Breast Augmentation has long been one of the most popular plastic surgery procedures globally.

Countless patients undergo breast augmentation surgery each year, but many ultimately decide that they need to change their current implants for one reason or another. Fortunately, an expertly trained plastic surgeon knows how to make these corrections to finally provide you with your desired look!

model posing showing chest

Board-certified San Francisco plastic surgeon Dr. Leonard Gray is an expert in all things breast augmentation and revision. He has been a successful and respected plastic surgeon in the Bay Area for many years. Dr. Gray is committed to his patient’s wellbeing, which is why he strives to help any patient that comes to him with an augmentation, revision, or removal request.

If you would like to learn more about breast augmentation revision in San Francisco, CA, please contact Bay Area Plastic Surgery through our online form or call (phone) to get started today.

What is Breast Implant Revision Surgery?

Broadly speaking, breast implant revision surgery refers to the correction of a previous breast enhancement procedure. Dr. Gray utilizes a variety of methods but ultimately strives to reach the same goal with each patient— to gain the patient’s desired look in the safest possible manner.

Why Do Patients Choose Breast Augmentation Revision?

Many patients love their initial breast augmentation and decide that they would like to keep their look long term. However, this is not always the case. Patients undergo breast augmentation revision surgery for various reasons, including:

Aesthetic Preferences:

  • Desire for a smaller or larger size
  • Want more or less projection
  • Want more cleavage
  • Asymmetrical breasts or rib asymmetries

Medical Reasons:

  • Capsular contracture
  • Ruptured implants
  • Breast implant illness or ALCL concerns 

How are Breast Implant Revisions Performed?

You and Dr. Gray will go about planning your breast implant procedure in accordance with your particular needs. Because each person’s situation will be unique, different patients will need different solutions. Dr. Gray typically takes two approaches to breast revision surgery: straightforward revisions and capsular contracture revisions.

If a patient does not have a significant medical issue or capsular contracture, Dr. Gray will review the patient’s options based on what they currently have and what they want. You can take a look at implant options by following this link to our breast augmentation page. Once you and Dr. Gray have decided upon the look you would like to achieve, your next step is surgery.

During your breast revision, Dr. Gray will do his best to use the same incisions as your original breast augmentation surgery. This will prevent any future scarring in new areas. From there, he will then need to adjust the breast pockets. Implants will frequently have drifted down or out to the side, so Dr. Gray will need to correct this by reshaping and inserting permanent stitches into the existing pocket. This allows for the pocket to be the best shape possible.

Dr. Gray also must address the capsule around the existing tissue. Even if there is no contracture, it still almost always needs to be adjusted. Depending on the state of the capsule, Dr. Gray will either:

  • Remove the capsule and start new
  • Manipulate the existing capsule to cover/drape over the new implant adequately

If the existing capsule is not removed, Dr. Gray will position it to make sure the tissues conform to the new implant to form a healthy new capsule.

After fixing the pocket and addressing the capsule, Dr. Gray will then measure the new pocket from the inside. Measuring from the inside allows for the most precise implant width, which in turn will provide you with the best look. After the perfect implant size is determined and inserted into the pocket, Dr. Gray will then review your new breasts’ aesthetic while you sit in both flat and upright positions. Doing this ensures that your breasts will be symmetrical while you stand, sit, or lie down. Lastly, Dr. Gray will close your incisions and bring you to a recovery room once it is determined that everything looks excellent.  

Capsular contracture occurs on a very low percentage of patients. Contracture happens when natural scar tissues that form around the implant begin to thicken, harden and constrict the implant. Patients typically experience:

  • Hardening of the breasts
  • Breasts beginning to “push up” further on the chest
  • Painful, constricting, or uncomfortable sensations in the breasts

Several options can relieve capsular contracture without the need for undergoing revision surgery, including massaging and a specialized medication called Accolate that can soften the capsule. These are successful much of the time; however, they will not always work if the capsule has contracted significantly. If these more conservative approaches do not seem to be working, the next course of action is to plan for surgery.

Unlike straightforward revisions, Dr. Gray will remove the capsule tissue completely and entirely. The next step is to place Acellular Dermal Matrix in the lower part of the breast implant pocket. He most often uses Strattice™ for this. Dr. Gray pioneered the use of Strattice in Capsular Contracture revision surgery.  He performed the first case for this in November 2008.  The idea came from an old patent he had at Stanford which showed that a Collagen Coated breast implant had a lower rate of Capsular Contracture.  He will then similarly replace the implant, as described in the previous section. Using Strattice in Capsular Contracture surgery lowered the recurrence rate from greater than 50% to less than 1%. Dr Gray also uses betadine (an iodine-based antiseptic) and no touch technique to lower the rate of Capsular Contracture.

Dr. Leonard Gray

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Instilling Beauty
Inspiring Confidence

Dr. Gray is a board-certified plastic surgeon with over 20 years of experience conducting surgical procedures of the breast, body, and face. His emphasis on patient education and attention to detail have made him the top choice for plastic surgery in the Bay Area. Dr. Gray invites you to meet with him for a friendly and informative consultation.

What If I Want My Breast Implants Removed Entirely?

Many patients decide to have their breast implants removed altogether. This is most often due to lifestyle changes, aesthetic reasons, or breast implant illness concerns. Dr. Gray does offer breast implant removal, in which he will take out your implants and not place any other materials back into the breast. Your capsule may or may not be removed; although, this depends on your unique circumstances.

Your Breast Augmentation Revision Surgery with Dr. Leonard Gray

If you would like to learn more about breast augmentation revision surgery in the Bay Area from a genuine expert in the field, your next step is to schedule a one-on-one consultation with Dr. Gray. Here, you can ask questions, learn more about your options, and work with Dr. Gray to formulate your surgical plan. Dr. Gray has helped his patients find the look and confidence they desire for many years through excellent care, patient education, and obtaining the best results in the safest manner.

Learn more about the best Bay Area breast augmentation revision with Dr. Leonard Gray  at 415-434-8858 or contacting us online

San Francisco Breast Revision FAQ

Patients are sometimes concerned with their breasts being uneven or unbalanced for several reasons, including rib asymmetries, volume and projection differences, drooping, and other similar issues. Dr. Gray can use multiple techniques to correct these, often by using subtle differences between implants to find the most balanced result. A breast lift procedure may also be recommended for some patients.

Surgical removal of capsular contracture has made considerable strides in terms of recurrence rates. Whereas the rate of having another contracture used to be around 50%, this has drastically dropped to less than 1% in past decade in Dr. Gray’s practice. This is largely due to procedural and material advancements, including Dr. Gray’s own patented development of the collagen-coated breast implant. Developed by Dr. Gray in 1983 while he was at Stanford University, this research implant showed a lower rate of capsular contracture. This finding led Dr. Gray to use Strattice in his Capsular Contracture Breast Augmentation Revision cases.  With the use of Strattice, as mentioned above, Capsular Contracture recurrence rates have decreased in his experience from greater than 50% to less than 1%. Furthermore, new techniques, betadine use, and other improvements have made this concern more unlikely. It should also be noted that each implant company now offers a warranty for contracture patients.

This largely depends on each patient’s unique situation. Sometimes it will be mostly left in place, and sometimes it will need to be removed. Dr. Gray will gladly discuss your breast implant removal concerns and options in consultation.

Your breast augmentation revision surgery cost will depend on many factors that will be unique to your circumstances. We will provide you with an estimate after you have been evaluated by Dr. Gray.