Breast Implants

Dr. Salzman’s Latest Article is Published in the World’s Most Authoritative Plastic Surgery Journal

Written on December 27, 2021, Dr. Salzman’s latest article is published in the world’s most authoritative Plastic Surgery Journal. It received the Editors Choice for the January issue.

Study Confirms High Prevalence of Rupture of Silicone Gel Breast Implants

Study Findings: More Than One in 10 Women Have a “Silent Rupture”

Clinical data from a study of 584 women with current types of silicone gel breast implants in place for 3 to 20 years showed that 10.6% had an implant rupture they were unaware of. Also, this first-ever survey report of women’s feelings and attitudes about silent rupture of their silicone gel implants showed they have significant concerns and anxiety about rupture.

The surveys showed that 99.5 percent of women would like to know whether their silicone gel implant is ruptured, and that 95.2 percent want the ruptured implant removed.

The 584 women who had high-resolution ultrasound (HRUS) scans of their silicone gel breast implants said they have a variety of concerns and feel anxious about having a silent rupture. While silent ruptures are out of sight to surgeons and women, ruptures are not out of mind to women, based on their survey responses.

Silicone gel tends to remain within the capsular scar tissue if the implant shell ruptures, which maintains the volume of the breast. This is why patients are not aware that an implant has ruptured, and why it is called a “silent rupture.” A ruptured implant may remain undiscovered for years and only found through an abnormal mammogram, lump, pain or capsular contracture.

This study showed a 10.6% incidence of silent rupture among women with silicone gel implants implanted for 3 to 20 years, and the rate of prevalence directly correlated to the length of time implanted. This is consistent with FDA clinical trial findings of a 7%-24% risk of silicone gel implant rupture over 10 years. Publicly-available statistics compiled by plastic surgery organizations show that over 3 million women in the U.S. have silicone gel implants, so this study data indicates that over 300,000 women in the U.S. may have silent ruptures that they are unaware of.

The research and survey data are published in an article by Marc J. Salzman, M.D. in the January 2022 issue of Plastic and Reconstructive Surgery.

Until September 2020, the U.S. Food and Drug Administration recommended magnetic resonance imaging (MRI) scans of silicone gel implants every 2 years to screen for silent rupture. The high cost and inconvenience of MRI scans meant that less than five percent of women complied. FDA now recommends either MRI or HRUS scans every 5-6 years then every 2-3 years thereafter to screen for silent rupture. Ultrasound scans are low cost and convenient, so compliance is expected to be higher. Over 86% of the women in this study indicated that they would get HRUS scans to screen for silent rupture every 1-2 years, which is more frequent than the FDA recommendation and indicates their concern about having an undetected rupture of their silicone gel implants.

Women can avoid the risk of silent rupture and the need for ultrasound scans to monitor for rupture by choosing a saline-filled implant, so they can detect a rupture by simply looking in the mirror. One type of saline-filled implant had a lower risk of rupture than silicone gel implants over 10 years in FDA clinical trials. If a ruptured silicone gel implant were removed, 34.2% of the women in this study indicated that they would consider replacing it with a saline-filled implant.

A Video Discussion by Amy Colwell, M.D., accompanies the article in Plastic and Reconstructive Surgery. Go to and click on “Video Discussions” in the “Digital Media” tab.

About Marc J. Salzman, M.D. – Dr. Salzman is a Board Certified plastic surgeon practicing in Louisville, Kentucky, Assistant Clinical Professor of Plastic Surgery at the University of Louisville, and past-president of the Kentucky Society of Plastic Surgeons. He was one of the first U.S. plastic surgeons to use ultrasound scans to evaluate breast implants and has scanned thousands of breast implants since 2012. Dr. Salzman has been a lecturer and instructor at numerous courses teaching plastic surgeons how to use ultrasound scans to evaluate breast implants.

Ideal implant Incorporated provided financial support for this study.

How the Breasts Change after Augmentation Surgery

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Breast augmentation is a popular plastic surgery that is performed to enhance the size and shape of the breasts. The entire purpose of the procedure is to change the breasts, but patients may be a bit surprised when they discover just how this all takes place. While enlargement is the expected outcome of breast augmentation, patients may be taken aback at their first follow-up when they see their surgical results for the first time. At this visit, the breasts often look very firm and very high, making them then look larger than anticipated. This is a normal occurrence, so we will discuss here how the breasts settle over time. 

How Breast Implants Settle

High-sitting breasts after breast augmentation are very normal, even more so when implants are inserted sub-muscularly. The high-seated position is a result of tightness around the implants. Natural fatty tissue and skin can cause this to some degree, but we see it more frequently with under-the-muscle placement primarily because muscle tissue is denser and more inflexible than fat and skin. Until the muscle can acclimate to the shape of the implants, it is relatively tight around them, pressing them upward and creating a somewhat unrealistically voluminous upper pole.

Over time, the muscle gradually relaxes its tightness around the implants. As this happens, the breast implants can drop into a more natural position. We call this settling or “dropping and fluffing.” The second term, dropping and fluffing, describes the descent of breast implants into their natural pocket and the slight spreading that happens across the lower region of the breast. The result of breast implant settling is a beautifully natural appearance. 

How and When Does Settling Occur?

Something that breast augmentation patients should be aware of is that settling doesn’t happen the same way for everyone. So, if you are scheduled for breast augmentation and you have a friend who has had the same procedure, don’t expect your recovery to be exactly the same. Often, patients notice that one breast settles more quickly than the other. Asymmetry is very common and will resolve as the breasts shift into their natural shape. In the meantime, patients must be, well, patient. 

Breast augmentation is one of Dr. Salzman’s most frequently-performed procedures. To schedule your consultation, call our Louisville office at 502-425-5200.

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Breast Augmentation and Pregnancy: How Does One Affect the Other?

istock 1063837974 Breast augmentation has been in the Top 5 plastic surgery procedures for many years. In fact, the American Society of Plastic Surgeon’s 2019 statistics place breast augmentation in the #1 position of most performed procedures. Because we consult with a lot of patients about breast augmentation, we get a lot of the same questions over and over again. Many of them relate to pregnancy after breast implants. Here, we discuss how one may affect the other.

Is it Better to Get breast Implants Before or After Pregnancy?

Getting breast implants is a personal decision that can be made at any time after age 18. Many women do undergo breast augmentation in early adulthood, before deciding to have children. It is not dangerous to do so. However, it is a choice to consider with care because the breasts naturally swell and shift during pregnancy. One cannot predict the degree to which this will happen, neither with breast implant nor without. For this reason, women who are planning to become pregnant within a few years of their proposed breast augmentation may decide that waiting is a better option.

Will Pregnancy Affect the Appearance of My Implants?

Every pregnancy is unique. Some women may experience very little shift in the appearance of their implants and others may see a significant change. This may relate to the extent of growth that occurs naturally due to hormones, to the elasticity of the skin, and the effects of breastfeeding. Breast implants themselves are not affected by pregnancy. They do not get displaced or run a higher risk of leaks or rupture. The primary concern is that the breasts may become heavy, leading to drooping and that they may deflate after hormones regulate. If you were to get breast implants before pregnancy and your breasts changed significantly, you could have a revision procedure to lift the breasts and replace implants.

Can I Breastfeed with Implants?

Breast augmentation repositions some of the breast mound and muscle, in some cases. Incisions may also disrupt nerves and milk ducts. They may, but they usually do not. Most women who become pregnant after undergoing breast augmentation have no difficulty breastfeeding. The issue may be discussed during the consultation, as well, to explore incision techniques that may avoid affecting vital breast structure if possible.

Breast surgery is popular because it has a history of achieving beautiful results. To see what breast augmentation has to offer, call 502-425-5200 and schedule a consultation at our Louisville office.

What You Need To Know About Silent Rupture In Silicone Breast Implants

If you are planning a breast augmentation, you have likely seen the term “silent rupture”. All breast implant has the possibility of rupturing, however a silent rupture only happens to silicone breast implants. But what does “silent rupture” mean, and should you be worried about it? Read our guide below to find out more about silent rupture before you visit Dr. Salzman for a breast augmentation consultation.

Silent Rupture Explained

When a hole forms in the outer shell of a breast implant it is referred to as a rupture. Silicone gel breast implants are unique in that the silicone inside tends to stay close to the shell rather than flowing out like the saline inside saline and structured implants. According to the FDA, “a silent rupture doesn’t change the way an implant looks or feels, and your health care provider may not be able to detect a silent rupture by a physical examination alone.” Thus, if you have a silent rupture, you will not know without more extensive testing. 

How To Detect A Silent Rupture In Silicone Implants

Even though a silent rupture doesn’t cause physical symptoms the FDA still recommends removal if they rupture. The most effective method for detecting silent rupture is by MRI. However, MRI scans are expensive and time consuming. Recently, High Resolution Ultrasound (HRUS) has been used to monitor breast implants, providing a simpler option for women. Dr. Salzman is one of the exclusive surgeons in the nation to offer HRUS for monitoring silicone gel breast implants. According to Dr. Salzman, “with ultrasound the positive predictive value is as close to 100% as you can get.”

What You Need To Know About Ruptured Breast Implants

Should you be concerned about silent rupture? With new monitoring techniques, it is easier than ever to check the status of your breast implants. The FDA does not yet have recommendations for HRUS, however they do recommend periodic MRI scans for silent rupture detection. Women with silicone breast implants should get MRI scans three years after a primary breast augmentation, then every two years for the life of the implants. Saline and structured breast implants do not require additional monitoring because rupture detection is as simple as looking in a mirror. 

If you are considering a breast augmentation, schedule a consultation at Salzman Cosmetic Surgery and Spa. Dr. Salzman offers a wide variety of breast implant options including the latest implant technology, the IDEAL IMPLANT® Structured Breast Implant. Call 502-425-5200 today to get started.

How Dr. Salzman Offers Easier Louisville, KY Silent Rupture Detection

Women with silicone gel breast implants are often told MRI is the only option for silent rupture detection. According to FDA recommendations, women should get an MRI three years after receiving silicone gel breast implants, then every two years for the life of the implants. MRIs are expensive and time-consuming, causing many women to put them off or skip them altogether. Dr. Marc Salzman now offers a new option for Louisville, KY silent rupture detection. We spoke with Dr. Salzman to learn more about how he uses high resolution ultrasound to check silicone gel breast implants for rupture at his cosmetic surgery practice.

What Is High Resolution Ultrasound?

High resolution ultrasounds give patients a picture of what is happening inside their bodies, and can be used to check the status of a silicone gel breast implant. At Salzman Cosmetic Surgery and Spa, Dr. Salzman explains, “I use a Clarius device, which is one of the better images that really shows pretty much everything. It’s a wireless device, so we have the patient in the chair where we do a normal exam. I do my physical exam, I look for symmetry and then we lay them back and we type their name on to an iPad and turn the ultrasound on. Within about 45 seconds, you’re ultra sounding. and then I’ll usually do four images left and right, and if there’s anything that’s suspicious, we may do a cine or a movie file. The whole thing, even with talking and presenting it to one of my fellows, takes less than 10 minutes and then you can go back and review later. If you want to annotate the images, we can add it to the patient’s chart just with a click. It’s really been revolutionary.”

How Accurate Is Ultrasound For Louisville, KY Silent Rupture Detection?

Dr. Salzman tells us “I found in my experience with ultrasound that the positive predictive value is as close to 100% as you can get. I haven’t ordered an MRI in seven years. The only scenario that I would ever order an MRI is if the patient says ‘I want to know 100% if my implants are broken. Otherwise, I am not going to the operating room to have them removed.’ And I will look point blank at them and say, ‘There is no 100%, there’s going to be some false positives and false negatives with even MRI.’” 

What Benefits Do Patients Gain From High Resolution Ultrasound?

Dr. Salzman describes several benefits he has seen since introducing high resolution ultrasound to his practice. The first benefits he mentions are reduced costs and ease of scheduling. “MRIs are not inexpensive. And in our town, on the low end, they’re $1,500. On the high end, they’re $2,500. Their insurance usually does not cover it. And it’s not a short thing. It’s a 45 minute to an hour and a half ordeal. You’ve got to go to a center, a physician’s offices like ours don’t usually have MRI machines in the office. 

“If you see a patient that comes in with an Allergan implant and she says, ‘Well, what do I do with this?’ I can say, ‘Well let’s send you for an MRI.’ That’s not as effective as saying, ‘Well, let’s look at it with ultrasound. You have grade one capsules. There’s nothing wrong with your breasts. You’re happy with the way they look. Let’s see if they’re broken. Well, they’re not broken. What do you want to do?’ She can say, ‘Oh, nothing.’ and go on with her life.” 

What if this method of Louisville, KY silent rupture detection does detect a broken implant? In this case Dr. Salzman says, “Well, the right one is broken.” If the right one’s broken, let’s put two new ones in. We’ll put a round, smooth implant. Do you want to go larger? Do you want to lift? All that takes place in one consultation. We don’t have to send somebody away to somebody else, to then read this MRI, and then have the patient come back. That is too long of a waiting period.”

Dr. Salzman says the other major benefit for patients is that he can discover more information with ultrasound than just Louisville, KY silent rupture detection. Recently, the FDA has raised concerns about BIA-ALCL in certain textured surface silicone gel breast implants. Patients who worried about BIA-ALCL, or are unsure if their breast implants are smooth or textured, can get a simple ultrasound to check them. Dr. Salzman tells us, “you can usually tell if an implant is textured or smooth. So if you see a smooth implant on ultrasound, you’re not really as worried about ALCL. If there’s no seroma on ultrasound, the vast majority of patients with ALCL present with a seroma. If there’s no thickening at all, the capsule looks very, very, very thin, it would be super rare for it to be positive for ALCL. So there’s been a vast number of patients that we’ve done exams with ultrasound just in the last couple of months because of this whole Allergan ALCL news that patients have been now sent letters about.”

Visit Dr. Marc Salzman For More Cosmetic Surgery Options

Dr. Salzman has almost 30 years of experience in cosmetic surgery, with his primary focus in breast surgery. In addition to offering high resolution ultrasound, Dr. Salzman offers a wide variety of breast implant options. To explore your options for aesthetic enhancement, visit Dr. Salzman today.

Considering breast implants in Louisville? Contact Dr. Marc Salzman today to discuss your options. Simply call 502-425-5200, or visit Dr. Salzman’s office is located at 4702 Chamberlain Lane Louisville, KY, 40241.

Dr. Marc Salzman Explains Louisville, KY Plastic Surgery Trends

Plastic surgery is an evolving science, with newer and safer methods for enhancement being developed yearly. At Salzman Cosmetic Surgery and Spa in Louisville, KY, plastic surgery trends follow the latest safe and effective technologies. Dr. Marc Salzman dedicates his time to staying up to date with medical research so his patients have access to the latest technological advances. We spoke with Dr. Salzman about the latest developments in plastic surgery, breast implants, and how his patients benefit from access to more options for enhancement.

Why Choices Are Important In Plastic Surgery

We asked Dr. Salzman why he offers a wide variety of plastic surgery options, including the newest breast implant, the IDEAL IMPLANT® Structured Breast Implant. Dr. Salzman is one of the exclusive surgeons in the Louisville, KY area to offer IDEAL IMPLANT among other new technologies. 

Dr. Salzman explains, “I’m always surprised when I read online or patients tell me they’ve been to other places and physicians are giving them one choice or is telling them, ‘Don’t worry, honey, I’ll pick your size, you’re going to look fine,’  And I’m aghast when they tell us, ‘Well, doctor so-and-so didn’t say anything about that.’ You can still do a tummy tuck like they did in 1975, that’s fine, but there have been some advances. There are some newer ways of doing it. The same thing with the IDEAL IMPLANT. If you’re not willing to accept the fact that something’s new and present that as an option just because you think it’s no good or you don’t want to do it, that’s probably not a great thing. You can say, ‘I choose not to’ for whatever reason, but I really don’t like when the physician poo-poos something that they don’t have because it either costs money to do or it takes time to learn. They say, ‘Oh, that you don’t need. That’s an advancement that doesn’t matter.’ And that’s not really true because some of these things do matter.”

Louisville, KY Plastic Surgery Trends And Breast Implant Options

Since Dr. Salzman does not approach cosmetic surgery as “one size fits all” we asked him how he helps women pick the best breast implants for their bodies. Every woman is different, so Dr. Salzman takes his time with each patient to find out exactly which breast implant will give her the results she wants.

According to Dr. Salzman, “We’ll start out the conversation saying there’s a right implant for you, but there’s also probably a few right implants for you. We’re going to show you on a three-dimensional image of yourself, so that really there’s no guesswork. This is exactly what it’s going to look like. 3D imaging has been around for eight years or so. We had it when it first came out. The primary thing that we do is to try and get a feel for what the patient wants. And I think it’s helpful if the patient brings in a photo. Almost every patient will bring a few photos of what their goal is, what they want to look like, and then that kind of starts the ball rolling.”

After learning about his patient’s cosmetic goals, Dr. Salzman provides information about breast implant options, Louisville, KY plastic surgery trends, and the new technologies he offers. He explains the process of looking at these options, “What kind of implant are we looking at? High profile, extra high profile, more of a modest, rather than just say, “this is what you need.” We have all the implants lying on the table. And I say, there is a reason to use every single one of these.

“I present the option of the IDEAL IMPLANT. It’s the most expensive one, it’s the most modern one, it’s really the only new type of implant that’s been introduced in years. And we show them the implant underneath the little cloth. It feels just like a silicone gel implant. Yet it has some sizing interoperability that you don’t have with a fixed volume silicone gel. The incision is a little bit smaller, the warranty is really as good or better than anything else that’s out there. My patients ask, ‘well, what’s the negative?’ It costs more, and my patients say, ‘you get what you pay for.’ And a lot of times the patients will select the IDEAL IMPLANT, never having heard of it before they come in.”

When talking to his patients about Louisville, KY plastic surgery trends and the benefits and compromises of the IDEAL IMPLANT, Dr. Salzman says “I think the only downside that I’ve seen is it takes longer to put the thing in. You have to pump all the saline, both lumens, where for me it takes me 15 seconds to put in a silicone gel implant. But, I think patients like the fact that this is the newest, latest, and greatest state-of-the-art implant. There really hasn’t been any big changes in silicone gel implants in a long time, other than the consistency of the gel. So this is revolutionary. I think the patients understand that you have something that feels like a silicone gel implant, which is why we like the silicone gel implants. That doesn’t wrinkle like a silicone gel gel implant, which this does not. That has the longevity that’s as good or better than most of the silicone gel implants. That has a warranty that’s as good or better than all of the silicone gel implants. And it has a smaller incision because you roll it up like a cigar and stuff it in a smaller hole. What are the negatives? Well it costs more. So my patients understand that and say, ‘well that’s why it costs more.’”

Breast Augmentations And Louisville, KY Plastic Surgery Trends

In addition to offering the latest breast implant options Dr. Salzman approaches breast augmentation surgery in a new way. His methods typically lead to less downtime and reduced pain during recovery. Dr. Salzman explains, “I’ve been doing pectoralis muscle blocks for two and a half years now. That’s under high-resolution ultrasound, putting a long-acting numbing medicine. We use ropivacaine, and we put that in between the pectoralis major and pectoralis minor muscle, where the nerves that supply the muscles come out of the underarm, and that’s the spasm that you get when you create this pocket. Three years ago when I would go back to the patient in the recovery room and say, ‘How are you feeling?’ the thinner patient with bigger implants would say, ‘I feel like an elephant is on my chest and I can’t breathe.’ That’s the response of the muscle tightening and having this implant underneath it. Well, when you paralyze it, so to speak, by using the long-acting numbing medicine, we don’t get that rapid tension and the patients don’t feel like an elephant sitting on their chest. I’ve also noticed that because of that block, we don’t see implants way up in the underarm. All these massage things and special bras and all that, we don’t have any of those things. Patients can pretty much do what they want the next day.”

Salzman Cosmetic Surgery And Spa

We asked Dr. Salzman how his practice, Salzman Cosmetic Surgery and Spa, compares to other practices around Louisville, KY. Plastic surgery trends are just one aspect of a cosmetic surgery practice. Safety, efficiency, and personalized care are also needed to give patients lasting results and the best experience possible.

Dr. Salzman tells us, “I think our office is a little bit unique in most parts of the country. We have a AAAASF, nationally certified operating room. We use board certified anesthesiologists and certified registered nurse anesthetists. We practice under the guidelines of the American Society of Plastic Surgeons and American Aesthetic Society. So it’s a state of the art operating room. We have ultrasound, we’ve got up to date things for liposuction. We’re doing BBLs, Brazilian butt lifts, under ultrasound. We’re doing tummy tucks with no drains, a painless, drainless tummy tuck. I do my own tap blocks, putting in numbing medicine in between the muscles of the abdominal wall, which really has helped for patients because it lasts for three days, it revolutionized their post-op care. We’re doing some state of the art things that not everybody’s doing and we have a beautiful facility and fantastic staff that is there to cater to our patients. And we have nurse practitioners taking care of our patients. It’s just a different type of practice.”

Considering breast implants in Louisville? Contact Dr. Marc Salzman today to discuss your options. Simply call 502-425-5200, or visit Dr. Salzman’s office is located at 4702 Chamberlain Lane Louisville, KY, 40241. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Saline Breast Implants are Becoming More IDEAL

Women interested in breast augmentation have a choice between saline and silicone. This may sound like an easy decision, but there are aspects of each type of implant that can create confusion. Silicone breast implants have been popular due to the natural looking and feeling results they achieve. On the other hand, silicone does create a minor health concern should an implant leak. Many women like the idea of saline breast implants because the substance that fills this type is nothing more than sterile salt water. However, saline breast implants are not known for their natural look and feel. At least, not until now.

Dr. Salzman has been at the forefront of plastic surgery for more than two decades. His experience includes frequent revisional and cosmetic breast procedures, which has positioned him as an excellent resource for information regarding breast implant types. His use of IDEAL breast implants enables patients to feel more confident in their consideration of the saline option.

Advantages of IDEAL breast implants include:

  • Structured design. This implant is made to fit ideally into the natural contour of the chest wall. Sitting within this curve, the implant looks much more natural than many standard saline implants.
  • Multiple layers. A traditional saline implant is a single-shelled structure that is inflated with saline. The IDEAL implant has multiple shells. Saline is inserted in between each layer so the fluid can move more freely and naturally. An additional advantage of multiple shells is that there is less of a risk that the implant will wrinkle or fold, a common problem with traditional saline implants.
  • Because saline is inserted at varying depths within the overall implant structure, the risk of deflation or rupture is less than traditional models in which saline is contained in a single shell. Rupture and deflation are relatively uncommon. If this were to occur, the saline that leaks into the body is harmless. However, the damaged implant would need to be removed or replaced. Decreasing the risk of damage adds value to this implant option.

Breast augmentation is intended to give you a shape that is ideal for your overall proportions. To learn how the IDEAL breast implant can help achieve this, schedule a consultation in our Louisville office.

How is Breast Revision Performed?

When a woman undergoes a breast augmentation surgery, most of the time, she does not plan on getting a second surgery for some time. However, it is good to be aware that breast implants are not lifetime devices. Breast implants can last for 10 years or longer, but eventually, a revision may be required.

Most of the time, a breast implant revision requires getting rid of the breast implants and placing new implants. Usually, the goal is to improve or change the appearance of your breasts while updating the material of the implants. The changes sought by a breast revision surgery include:

  • A concurrent reduction or breast lift
  • Reshaping of the breast implant pocket in order to reposition the implants in the chest
  • Decreasing and increasing the style, shape, and size of breast implant

The Desire to Undergo a Breast Revision Procedure May Stem from:

  • Desire of changing the breast size
  • The pain caused by capsular contracture
  • Concern of migration or rupture of the implants
  • Desire for a different implant type

Breast implant revision must be tailored according to the desires and goals of the patient. The surgery should also always be performed by a board-certified plastic surgeon with experience and training in different types of breast surgery procedures. Your surgeon should start by listening to your desires and goals and then developing a surgical plan to address the issues arising from the first surgery.

What to Expect from a Revision Surgery

A revision breast augmentation can offer certain challenges due to the scar tissue present from the initial procedure. The surgeon will be dealing with tissue stretching and an anatomical change that took place because of the old implants. A skilled surgeon like Dr. Salzman has the experience necessary to deliver safe and satisfying results from your revision procedure.

Are you interested in learning more about breast revision surgery? Contact our office today to schedule your consultation appointment!

Why Choose Breast Revision?

Despite yours and your plastic surgeon’s best efforts, sometimes complications still happen. This can happen after a breast augmentation procedure, even though breast augmentations are some of the most popular and often-performed plastic surgeries. Although the chances of breast implant surgery going wrong are very low, in very sparse percentages it does go wrong. During a breast revision surgery, a new or different type or size of implant is surgically-placed with correction to the breasts if needed.

Why Choose Breast Revision Surgery?

Dr. Salzman is an expert consultant for breast revision candidates and has plenty of experience in improving the results of an already-completed breast augmentation surgery. A few of the reasons for which people often go for breast revision include:


Although your plastic surgeon may be an expert breast surgeon, the chance of complication is never zero. Your body may respond in unpredictable ways and cause capsular contracture, which is the most common form of complication from implant surgery. This occurs when scar tissue forms around the implant and results in a hard shell encapsulating the breast implant. This can cause it to shift out of place or migrate around the breast. Rotation of the implant or rupture are also common reasons for undergoing breast revision.

Unfavorable Results

Technology has come a long way, but it can still be difficult to judge how your final results will look. This can change over time, with the implants eventually becoming unfavorable due to the way your body changes. You may even realize that your implants are too small or too large as your results become apparent, or that you prefer a different shape. In any case, Dr. Salzman can help you select a better-suited implant or treatment plan during a breast revision consultation.

New Technology

Because breast implants are so popular, the technology is constantly developing, meaning new implants may be available at any point in the future. Sometimes, new and better implants come along that may be better suited for your goals and anatomy, in which case they can be swapped out during a breast revision.

Scheduling A Consultation

Whatever your reason for opting for breast revision, you can achieve a second chance at your cosmetic goals. Dr. Salzman can help you plan your ideal procedure during a consultation at our Louisville office. To schedule a consultation, contact our office by calling or filling out our online form.

Moms, It’s Time for Your Makeover

Spring is the time of year for flowers, rain showers, and celebrating what makes mommies great. the Moms make a lot of sacrifices, but feeling great in their body shouldn’t be one of them. Many women experience pregnancy and childbirth but feel resigned to the toll that it can take on their body. A mommy makeover is a set of procedures that can restore and rejuvenate the body to its pre-pregnancy state. Here are some of the things that can be included in your customized treatment.


The breasts play an important part in pregnancy and nursing, but they can, unfortunately, change permanently in shape, size, and position during the process. Many women find their breasts have grown to an uncomfortable size or become stretched out and saggy. A mommy makeover can include a breast procedure to lift, reduce, or augment the breasts to restore them to their natural shape. It can sometimes even be performed with a combination of two techniques, like a reduction and lift. Dr. Salzman can help you plan your treatment techniques to ensure you get the breasts you want.


Perhaps the most affected area during pregnancy and childbirth is the stomach, which can be left with excess skin or pockets of fat due to the way the female body stores fat during pregnancy. Diet and exercise sometimes aren’t enough, so a tummy tuck can restore a slim, contoured abdomen. Many women also struggle with loss of muscle tone in the abdomen, which can be corrected by tightening and suturing the abdominal muscles, which is commonly practiced during the procedure. These can become stretched and ineffective during childbirth and are unable to be restored through exercise.


Although the breasts and stomach are the two most commonly treated areas, many women opt for additional procedures to add the finishing touches to their new body. Whether it’s additional liposuction, fat transfer, vaginal rejuvenation, facial procedures, or non-surgical rejuvenation techniques, it can be a great way to feel like a new, better you.

To begin your mommy makeover journey and discuss any questions you may have, contact our office and schedule a consultation with Dr. Salzman.

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