Breast Implant Revision
A significant part of my practice includes fixing unfortunate outcomes from previous breast surgery done elsewhere by others. This includes outcomes from previous implant augmentation alone, implant and lifting combinations, and attempts at correction of breast asymmetry. Resultant breast asymmetry, implant malposition, capsular contracture, shape problems, nipple areola mismatch, rippling, symmastia, and persistent sag are just some of the challenges I am asked to address. I have treated patients who have had one previous surgery and those who have has seven previous breast surgeries!
Common denominator in patients who have had multiple previous breast surgeries are that 1) the previous surgeon either failed to properly diagnose the actual problem and hence had no chance to fix it or 2) failed to perform extensive enough of a procedure in the revision to actually fix the problem or 3) just simply that the initial surgery was unfortunately improperly executed.
Additionally, implants don’t last forever and may require replacement. With time and body aging, the breast may change around an implant and require a reshaping procedure (i.e. A patient who has pregnancies and breast fed after a previous breast augmentation)
Implant malposition, asymmetry of volume, shape, and position of implants and tissue and nipple malposition and asymmetry and sag can all be corrected.
This takes ingenuity, creativity, skill, and a commitment on the part of both patient and surgeon to “see” and accept the problems (diagnosis), develop a treatment solution, and then execute it surgically.
The use of tissue grafts (acellular dermal matrix) are frequently required to correct malposition issues as well as capsular contracture.
In 23 years, there hasn’t been a single case that hasn’t been able to be fixed! There is a solution for everyone, so please don’t feel as if you have to give up. Although repeat surgery is discouraging, it is one of my specialties, and we are here to offer experience, guidance, and help.
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I finally went for a consultation with Dr. Spiro after several other consultations and never looked back. First, Dr. Spiro’s office is meticulously clean and organized. He is running a tight ship, and it made me feel very good. Second, he showed me his past examples of before and after procedures and answered all my questions. Finally, when I decided to move ahead with the procedure, he and his team prepared me ahead of time with the instructions, encouragement and support. The surgery went great and the “before and after” is unbelievable! I am very happy with the results – the best decision I made! Dr Spiro is an amazing surgeon, a professional and an artist in his own right. He gave me so much confidence and I feel that I got my body back – even better than what I had before kids. I would recommend this doctor without any hesitation and also this procedure – it has changed my life.
Dr. Spiro and his staff explained all details of the surgery beforehand; he has a very comforting and kind attitude. I was pleasantly surprised that despite descriptions that I had read on the internet about patients’ experiences in other practices (you should never do this!) i did not experience any true pain once I left the hospital 24 hours or so after surgery. There was more what I would describe as discomfort, and only really for the first week. Dr. Spiro’s staff was available and attentive throughout the process and explained to me exactly what I should and should not do each week. Following all of Dr. Spiro’s advice, I was able to return to work about ten days after the operation, and was able to resume my daily activities, little by little, over the next six week. After six weeks I was running, swimming, hiking, and biking, without any discomfort. My stomach is amazingly flat and finally seems to fit with the rest of my body!
Dr. Spiro is an exceptional plastic surgeon and I am very grateful that he was recommended to me. I had two separate surgeries with him. I think this in itself speaks to the level of confidence I have for both him and his staff. The first surgery was in 2014 — an abdominoplasty (full tummy tuck). Dr. Spiro and his staff were extremely thorough in preparing me for this surgery as I had to first have a hysterectomy performed by my gynecologist with the tummy tuck immediately following. Since I am anemic, Dr. Spiro and his nurses made sure they monitored me very carefully before the surgery and worked directly with my blood management doctors at St. Barnabas.
I needed the hysterectomy due to my anemia, I was so happy with Dr. Spiro that I decided to have a second surgery in 2015, an auto-augmentation with breast lift. I had very large breasts for my body frame which prevented me from feeling comfortable and confident in my clothing. It has always been difficult buying clothes, especially exercise bras and bathing suits. Being the gifted surgeon that he is, Dr. Spiro explained that he had a wonderful surgical trick for women like me who have very full breasts: Without even using an implant, he was able to achieve a beautifully shaped new breast by using my existing breast tissue, with a lift. To say the least, I am absolutely thrilled with the results! I can’t say enough about Dr. Spiro and his entire staff. They are professional, compassionate, and I felt the level of care both pre and post-surgery was exceptional. Thank you,
Dear Dr Spiro & Team: It’s amazing to look back on this journey and admire the results of my recent tummy tuck. I feel like I am 29 all over again ! For me, this decision came after several years of losing 45 lbs post two children and recognizing that my 5-6/day wk workout and nutrition regimen was not going to show the hard work and results of my efforts. I also wanted a strong core to take me to my next level of fitness. After 4 consults, I finally confided in a friend that led me to Dr. Spiro. She raved about her own friends and family results, the attention to detail and level of personal care Dr Spiro brought to every case. What sets Dr Spiro apart are a few factors: the artistry plus medical expertise he offers, the time & effort he patiently explains with all options, and the concern about the overall patients health vs the cosmetic outcome. It was paramount to me that if I undertook a cosmetic procedure, that the scar would be minimized and that my health would not be compromised.
I could tell from the amount of pictures, testimonials and hands on experience, Dr Spiro was the right surgeon to accomplish the objective. Throughout the surgery preparation and recovery, my decision was further confirmed. The admissions facility unsolicitedly confirmed Dr Spiro was a perfectionist and I was in the right hands for a beautiful outcome. Additionally Dr Spiro and his staff personally checked up on me several times daily in the recovery and ensured I was actively following the nutrition and post op procedures for a fast, but safe recovery. At a week post op, I looked in the mirror and knew I had made the right decision. My c-section “tire” of loose skin was gone & I had a core tighter than 29. Within weeks, I was back to a size 4 dress I wore 20 yrs ago. At 6 week’s post op, I started cardio again. At 8 wks, I skied for 4 days straight. At 12 wks, I ran a 5k & finished in the top 10%. Cleared at 12wks to start weight training again, I am now looking forward to a summer of wearing bikinis on the beach with pride in my personal transformation. Thanks, Dr. Spiro & Team for your surgical skill, perfection and artistry you bring to the profession.