Breast implants can produce beautiful results when first installed, but over time, due to numerous factors, they can lose their appeal and appearance. Seattle area plastic surgeon, Dr. Marosan, has extensive experience in breast revision surgery, where he can replace, repair or remove defective or unwanted implants. Since implants can rupture, lose their shape or volume or shift in position, Dr. Marosan can decide the best option to improve a woman’s breasts. If implants are unwanted or beyond repair, Dr. Marosan can remove them and suggest other options such as a fat graft augmentation, breast lift or allow your natural breasts to rebound and tighten naturally. Another option for women in our practice is to use the THERMI breast minimally invasive with no visible scar skin tightening procedure. Dr. Marosan can evaluate you to see if you are a good candidate for this.
For women who have undergone multiple, previous breast augmentation surgeries, the breast tissue can become thin, which Dr. Marosan can address. He will use a tissue matrix (Alloderm, Strattice) as added protection to ensure that implants are adequately and securely covered. Dr. Marosan will work closely with a patient to use his advanced knowledge to restore a woman’s look.
"Top level care! - Very professional and thorough. I had several consults and Dr. Marosan was by far my favorite. From the first phone call, help at the front desk, scheduling and every aspect of the appointment, the staff is the best. I will for sure be scheduling my procedure here. I have had other procedures done at another place in Seattle but felt much more cared for at Bellevue Plastic Surgeon. Excited for..."- M. / RealSelf / Oct 05, 2018
"Great Experience, Took His Time with Me! - I am considering a face lift and have been to see several doctors, I was so impressed with Dr. Marosan I have cancelled my other consultations. Very kind and very thorough. Loved the fact that he actually spent time talking to me, I did not feel rushed. all the other consultations were like 5 minutes in and out, this is the price, good bye. I will definitely use Dr. Marosan"- R. / RealSelf / Aug 09, 2018
"Beyond ecstatic with my results!!! - Doctor Marosan is a true Master of his craft! VASER Hi-Def Lipo has been something I have wanted to do for quite some time. After thoroughly researching doctors up and down the West Coast (including many in Beverly Hills) I decided that Doctor Marosan was the best doctor for the job! Two months post-op and I am so thankful I trusted him and his team. For the first time since kids I am..."- N. / RealSelf / Jul 17, 2018
"37 Yr Old Fit Mom of 3. Bellevue, WA - Dr. Marosan is the best of the best. My results are over-the-top amazing."- F. / RealSelf / Feb 13, 2016
"First off I want to say that Yelp is so ridiculous because half of the REAL customer reviews I give go into some sort of undesirable reviews and I ask WHY. So it is very likely they will throw this REAL customer review in the same place. But here I go. I had been to 2 other plastic surgeons in Bellevue until I had a consultation with DR. MAROSAN. I knew after my consultation he would be my doctor to complete my entire body makeover after loosing 90 pounds. He and his ENTIRE staff made me feel like family. I like his simple NO NONSENSE approach and non judgemental way he explains things. Other surgeons I saw before him made me feel not worthy of what I wanted to have done. After loosing 90 pounds I had skin and fat hanging everywhere I didn't want it. So I had vazer lipo on my entire torso and fat transfer to my buttocks. At 60 years old I never thought I could feel and look better than I did when I was 40. I can hardly wait until He does my breast and tummy tuck in 6 months to complete my look. I did my research to find him and I'm extremely confident in his work. He's a genius in my eyes. He gave me an hourglass figure that I've always wanted. Research means: understanding the difference between VAZER and Lazer liposuction is HUGE. Learn the difference and the qualifications that goes with that. I love the fact that you have to ring the doorbell to get into his office makes me feel secure and SAFE. So the same day I booked my surgery without any hesitation. So glad I did. This picture is only 1 week post op and I couldn't be happier. Yes...this is my new buttocks and I am 60 years old. I believe 60 is the new 40. Thank you so very much Dr. Marosan and I'll see you soon for one of my many post ops that are so important to him and myself."- B.G. / Yelp / Jul 15, 2018
Reasons for Revision Surgery
Breast revision corrects circumstances in regard to breast implants. The surgery focuses on removal, replacement, or making a switch from saline to silicone-based implants. Listed below are the most common cases where a patient may be a candidate for this treatment. Sometimes previous breast lifts or reductions need to be revised to improve scars, shape and size of the breasts.
Breast Implant Removal
Individuals who wish to undergo breast augmentation do so to increase breast size primarily for aesthetics. However, after breast augmentation, some women may be dissatisfied with their results and opt to revert back to their normal breast size. Others may want to remove their implants because of health concerns or other personal reasons. Breast revision surgery is a process where the implant is removed and the skin over the breast is tightened to make sure the breast sits in a natural position and looks normal. If the breast tissues are overly thinned out, Dr. Marosan will delay a breast lift to minimize the potential risk of nipple loss.
Some women develop health issues related to their implants and want them removed en bloc. This means that the implants are removed with the surrounding tissue capsule around the implants. This can be a difficult operation, since I use the same small incision the augmentation was done through, the breast tissue can be densely adherent to the capsule and some women have very thin natural breast tissue. It is meticulous surgery, I often delay any associated procedures to minimize the risk of nipple/areola necrosis or loss.
Patients often ask if I send the implants and capsules for analysis. I do not do that routinely, I'm not associated with any labs. If the patient requests this, I can send them to the pathologist, but they will incur the cost for that. I routinely return implants (the patients already bought them, I have no use for them).
Despite the guarantee that implants are safe and leakages are rare, there are cases when a shell breaks down. If it is filled with saline, the solution will be absorbed by the body, and there will be a noticeable deflation of the breast. In the case of silicone implants, the gel will settle where it is originally placed and the only way to verify it ruptured is with an MRI because the gel doesn’t deflate. This is also the reason why a patient with silicone implants must undergo routine MRI scans.
The tissues scar surrounding the implant may thicken over time, which creates a capsular contracture. The scar tissue tightens around the implant, which causes the implant to be displaced. The patient will feel severe hardening of the breast, which can be a discomfort. This is corrected by a capsulectomy in which the scar tissue is surgically removed. Based on statistics, there are more occurrences of contracture with saline implants compared to silicone-based ones.
A noticeable rippling can sometimes be seen underneath or on the side of the breast. This is generally more common among patients who have very low tissue volume and who are thin. Although not really a complication, the unnatural wrinkling may cause discomfort and an unsightly appearance. Rippling is most common with saline implants.
Double Bubble Implants
When an implant moves out of the intended pocket, it may cause the appearance of a double breast where a significant crease is noticeable. Implants not properly placed may drop and extend past the breast’s crease or rise, forming an odd volume on top of the breast. Sometimes implants are displaced by severe capsular contracture or a tightening scar tissue. Patients who experience this will go ahead with a revision surgery as this condition is usually noticeable when wearing tight-fitting clothes.
Breast implants vary in size, texture, shape and base. Some patients may be unhappy with how the breast looks and may consider a revision surgery to improve the appearance according to preference. It may be another size increase or a switch from a rounded implant to a more natural looking teardrop shape. Some patients also later realize that they’d rather have silicone instead of saline. All preferences will be considered to modify the augmented breast.
Revision surgery is tailored according to the cosmetic issue the patient is addressing. With this treatment, a major correction is done to the augmented breast in conjunction to scar tissue removal, if applicable, or a breast lift if there is sagging. There are instances when a Strattice (tissue matrix) will be needed to act as an internal tissue scafold if additional support is required. Ultimately, the correction aims to fix the issue that’s the source of the patient’s dissatisfaction.
Breast revision surgery is performed with IV sedation at our AAAASF accredited surgical facility. Patients will need to be driven home. Patients can resume their normal routine on the second week. It could take a few weeks to months for the breast to develop a natural feel and look.
Plan Your Procedure
- Average Cost
- $4,500 - $12,000
- Recovery Time
- Average Procedure Time
- 3-4 Hours
- Post-op Follow-up
- Next Day
- Procedure Recovery Location