Revisions & Enhancements

Breast reconstruction often requires more than one procedure to achieve optimal results. A number of revisions and enhancements are available to improve the outcome of your breast reconstruction.

The Friedman Center offers a wide range of solutions for women who want to improve the
appearance of their breast(s). Whether you’ve had breast reconstruction many years ago
or are current going through the reconstruction process, there are many
procedures that can help you achieve optimal cosmetic results.

Stage 2 Procedures

Surgical adjustments are often necessary to achieve optimal symmetry and are a planned part of the breast reconstruction process. These adjustments are known as “stage 2” breast reconstruction procedures. Stage 2 surgeries include nipple and areola procedures, fat grafting, liposuction, and scar revision. Breast lifts, reductions, and augmentations may be performed at the same time as the initial breast reconstruction surgery or as stage 2 procedures. Stage 2 reconstruction procedures are usually covered by insurance under the Women’s Health and Cancer Rights Act.

Common reasons to consider additional procedures:

You are dissatisfied with your results from a previous breast reconstruction and are interested in revision surgery.
You are going through breast reconstruction and are interested in further “stage 2” enhancements to achieve the best aesthetic outcome.
You would like to replace your existing implant.
You would like to have better symmetry between your breasts.

These procedures can take place anywhere from a few months to several years after your initial breast reconstruction. Most are outpatient, same-day surgeries.

Implant Replacement

Breast implants need to be replaced eventually. Many women exchange their old implants for new ones; others opt for natural tissue reconstruction instead of new implants.

Nipple & Areola Procedures

Your plastic surgeon will use additional skin and tissue to recreate a nipple and/or areola for your reconstructed breast. Nipple and areola reconstruction is completely optional and is not necessary if you have a nipple-sparing mastectomy.

Fat Grafting, Liposuction & Scar Revision

Fat grafting can give the reconstructed breast a softer, more natural feel. Liposuction is used for contouring at donor tissue sites or for creating symmetry between the breasts. Scar revision can improve the appearance of scars on the reconstructed breast and at donor tissue sites.

Lifts, Reductions & Augmentation

Revision Surgery

Revision surgery is corrective surgery for women who are unhappy with their breast reconstruction. Revision surgery includes implant replacement and redoing older breast reconstructions with updated methods and technology.

Contraindications and Alternatives

Your surgeon may recommend one or more revision and enhancement procedures to give you the best possible results for your breast reconstruction. Your personal preferences play an important role in decision-making about the final aesthetic outcome.

DIEP Flap Procedure:
Advanced Natural Tissue Reconstruction

Revisions & Enhancements

Breast reconstruction often requires more than one procedure to achieve optimal results. A number of revisions and enhancements are available to improve the outcome of your breast reconstruction.