What is a Plastic Surgery Revision?

Some plastic surgery procedures can culminate in less-than-optimal results, leading to patient dissatisfaction. This may be the product of complications during surgery or of several other circumstances that can arise. In fact, you may have had a great result with which you were completely satisfied, only to see the result change over time because of aging or weight loss. Patients often seek Dr. Roth for corrective plastic surgery with the goal of improving these results.

Dr. Roth will first listen to your concerns and goals. Some patients bring in photos from publications to demonstrate desired look and size. He will then gather a thorough medical history. Past medical events may impact your surgery, anesthesia, and recovery. Current issues such as medications, herbal remedies, allergies, smoking, drug use, bleeding and scarring tendencies, will be reviewed. Chronic issues, (e.g. diabetes, high blood pressure, autoimmune disease), are also important.

Dr. Roth will examine you and will describe not only what he sees, but also how it relates to your appearance or other issues. He will then explain what might be done to improve each area medically or surgically.

You may not wish to take advantage of every treatment that is available, but at least you can know about available options and what each might offer.

Many things can effect the success of the procedure, the subsequent healing process, and final result. Clearly, issues effecting your general health and ability to heal can impact the process, but more subtle issues and practices can also make a significant impact. It is imperative that patients refrain from ingesting any medications or other substances that could potentially cause surgical complications. A list of medications should be reviewed and selected medications discontinued at least two weeks prior to the procedure.

Patients undergo a general physical examination prior to their surgery. This is to ensure that no underlying medical problems exist that may interfere with the safety of their surgery. The Anesthesiologist may have specific criteria to be met. Appropriate consultation, (Cardiology, Pulmonary, etc.) may be requested to address any issues. Any issues, however trivial they may seem, should be reported. For example, a seemingly innocent minor infection can result in a surgical wound infection, and so must be treated prior to surgery. Likewise, hypertension must be under control. Blood pressure medicines are typically taken right up to the time of your procedure. Cigarette smoking has a significant impact on wound healing and needs to be discontinued prior to the operation. Serious wound healing complications can occur in patients who are exposed to smoke, even passively. The risk of wound healing problems decreases after one quits. Appropriate timing of surgery after cessation of tobacco exposure can be discussed.

Preoperative photographs are taken. They assist in the planning of the procedure and in reviewing the improvement afterward. Postoperative photographs are generally taken at 3 and 6 months after your procedure as well. You will be asked to sign a surgical consent, which enumerates the risks of the procedure in detail. Some of these risks have been reviewed here, but are also discussed at the consultation.

Appropriate prescriptions are written, (e.g. pain pills, so that you will be able to take them when you return home).

You will need to arrange for someone to drive you to and from the surgery center. Patients cannot drive after surgery, and for 10 days afterward. Recently sedated patients will not be placed into taxis for transport home. Medical transportation can be arranged in the event that you cannot find someone. It is also mandatory to have someone stay with you for the first few days after the procedure, for your comfort and safety.

After arrival at the surgicenter. The nursing staff will register you and have you change into the appropriate gown.

The choice of anesthetic will be made with input from the Patient, Surgeon and Anesthesiologist. Continuous monitoring of your vital signs is carried out throughout the operation.

After arrival at the surgicenter. The nursing staff will register you and have you change into the appropriate gown.

The choice of anesthetic will be made with input from the Patient, Surgeon, and Anesthesiologist. Continuous monitoring of your vital signs is carried out throughout the operation.

There are different ways to perform revisions. These are determined by the individual's anatomy, tissues, and goals.

The procedure takes a variable amount of time, depending on the extent of your particular anatomy, tissues, and procedure. 

Healing directly following a surgical revision can take a few weeks since there is a chance of discoloration or swelling, and possibly some discomfort.

Healing continues well past that initial stage of recovery into the next several weeks until the body is fully and properly healed.

Everyone responds differently to an operation. It may take some time for the healing process to let you accurately appreciate the operation. With proper peri-operative care, you should be able to maximize the healing process and help to achieve your goals.

Revisions Gallery

As you research your cosmetic surgery procedure, Before and After pictures can help you understand your options and set realistic expectations for your surgical outcome.

These pictures are all from actual patients shown Before and After surgery (your results may vary).

Frequently Asked Questions

Who are Candidates for Revision Plastic Surgery?

Scenarios in which revision plastic surgery may be recommended include the following:

  • Capsular contracture
  • Deflation of implant
  • Migration of implant
  • Soft tissue movement with time
  • Change of appearance of scars

Why Choose Dr. Roth?

Revision surgery cases can be complicated and require a surgeon with vast knowledge and experience with secondary surgeries. Dr. Roth is well versed in revision surgery, as he performs many of these procedures each year. Patients seek him out to revise breast procedures such as augmentations and lifts. He also performs secondary procedures on every part of the body including revisions of tummy tucks and other body contouring procedures.

Can I Get a Revision Procedure Too Soon?

It's generally important to wait an appropriate amount of time after the first surgery before making arrangements for the revision procedure. It can take a while for the final results to reveal themselves.

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