Creating Long-Lasting, Sustainable Results That Are a Joy to Wake Up to Each Day

While ideally, a surgical breast augmentation procedure will go right the first time and be performed by a skilled and experienced board-certified plastic surgeon, this isn’t always the case. Some clients may be dissatisfied with the results from a primary breast enlargement surgery, which either didn’t go far enough or went too far, and they may seek out a revision that can achieve their original goals.

Other times, a woman may simply change her mind about the size of her breasts and wish to undergo revision surgery to establish a new, improved aesthetic. Some patients seek out revision surgery to help reverse a negative complication such as capsular contracture, rippling, bottoming out, or “uni-boob.”

Whatever the reason for your dissatisfaction, Dr. Gabriel can provide a customized, strategic solution that will restore a youthful appearance along with peace of mind.

Dr. Gabriel is highly compassionate and knows how stressful it can be to undergo an additional procedure when one has already sunk so much time and money into breast surgery the first time.

Rest assured, Dr. Gabriel is a seasoned veteran of revision techniques and can navigate the most delicate situations with consummate skill and nuance. He is known as one of the best breast revision surgeons in the Portland, OR, area.

Breast Revision with ADM and Mesh

What is a Breast Revision with ADM?

Acellular Dermal Matrix, or ADM is used to correct a variety of issues that are common with breast augmentation surgeries. Breast implants can shift or move outside the breast area, causing them to sit too low or too far apart, or even too close together. When breast implants are not in their optimal position, ADM can be used to revise the breast within the existing space.

How Does ADM Work?

For almost two decades, ADM has been used safely and effectively. Derived from the collagen produced by your body’s dermal layer of skin, ADM is a natural solution that gives skin its volume and strength. During the revision surgery, ADM is sewn to the pectoralis muscle and alongside the breast. The specific location will depend on what is required in your individual case.

Will I Feel the ADM After Revision Surgery?

Patients will not feel the Acellular Dermal Matrix after surgery. The ADM is collagen, and when placed alongside your breast, it will be absorbed and incorporate itself into the body’s tissue over time. Think of it as a bridge or support structure that corrects the positioning of your implants naturally, restoring the look that was intended.

What is a Breast Revision with Mesh?

Many patients, as a result of age or pregnancy, will lose the natural strength and elasticity of the breast tissue. That strength is needed to hold the breast in position. Patients who have had implants are finding that their breasts are no longer looking aesthetically pleasing and are drooping lower. Mesh is a surgical option that can be likened to having a sling or hammock to add extra support to your breasts that the tissue surrounding them is unable to provide.

How Does Mesh Work with a Breast Revision Surgery?

Mesh provides an internal bra to support your breasts that may be sagging, uneven, or have bottomed out from a complication of breast augmentation. The mesh adds strength to your body’s stretched tissue. The sheet of mesh will be placed to support your breasts, lightening the weight stress so that your skin is less likely to pull and stretch as time passes.

Will My Breasts Remain Where They Should Be?

The mesh itself comes in a variety of shapes and sizes to ensure comfort and a proper fit. You will not feel the mesh. The internal mesh bra is made of absorbable materials that will fully dissolve over time. During the first year after surgery, your mesh bra will remain present in the breast. Over time, your body will replace the mesh with natural tissue. As the mesh fully dissolves over 24 months, the breasts will continue to be fully supported.

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Common Reasons for Revision Breast Surgery Include…

  • Implant exchange – This occurs when a woman wishes to replace her implants with those of a different size, shape, or material, such as switching from silicone to saline or from a C cup to a D cup.
  • Capsular contracture – This occurs when the capsule around the implant hardens into scar tissue. It can range from mildly uncomfortable to very painful and can distort the appearance of the breasts.
  • Breast asymmetry – If one breast is larger than the other, revision surgery can help to correct this imbalance.
  • Rupture – If an implant ruptures for any reason, revision surgery can replace the damaged implant with a new one, the cost of which is often covered by the implant manufacturer.
  • Malposition – Malposition is a general term for cases in which the breast implants shift from their normal position into one that is visually and functionally inferior. They may shift outwards, inwards, downwards, or upwards. Common names for these conditions include bottoming out, double bubble, and symmastia.
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Where Will My Breast Revision Surgery Take Place?

Dr. Gabriel is proud to offer his clients access to our state-of-the-art accredited outpatient medical center located conveniently in Vancouver, WA. Our facility offers access to cutting-edge technology and equipment, as well as a world-class staff on hand to assist you around the clock.
We adhere to the highest standards of cleanliness and safety while providing an environment of the utmost discretion, comfort, and personalized attention.

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Why Choose Dr. Allen Gabriel for Breast Revision in Portland

Choosing the right surgeon for breast revision is crucial for achieving safe, natural, and lasting results. Dr. Allen Gabriel is a board-certified plastic surgeon with extensive training and a reputation for excellence in breast and aesthetic surgery. His advanced skill set and patient-centered approach make him a trusted choice for complex revision procedures.

  • Artistry Meets Precision: Dr. Gabriel is known for delivering natural, balanced outcomes that are tailored to each patient’s anatomy and goals.
  • Highly Recognized Expertise: He has published extensively in peer-reviewed journals and is a member of leading plastic surgery societies, reflecting his dedication to advancing the field.
  • Patient-First Philosophy: Dr. Gabriel emphasizes honest communication and individualized treatment plans, ensuring patients feel informed and supported every step of the way.
  • Comprehensive, Trusted Care: With hospital privileges in the Portland and Vancouver area, he provides the highest standards of safety and surgical excellence.

When you choose Dr. Gabriel for your breast revision, you’re choosing a surgeon who combines advanced technical skill, artistic vision, and compassionate care to help you look and feel your best.

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Breast Revision FAQ

What is breast revision surgery?

Breast revision surgery is a procedure performed to correct or improve the results of a previous breast augmentation or reconstruction. It can address implant complications, changes in size preference, aesthetic concerns, or natural changes to the breasts over time.

How do I know if I need breast revision surgery?

You may be a candidate if you’re experiencing implant rippling, shifting, capsular contracture, rupture, asymmetry, or if you simply want to change the size or type of your implants. A consultation with Dr. Gabriel can help determine the best approach for your goals.

What types of breast revision procedures are available?

Breast revision can involve implant replacement, implant removal with or without a breast lift, correction of capsular contracture, or reshaping for improved symmetry and contour. Each plan is customized to the patient’s unique needs.

How long is recovery after breast revision surgery?

Recovery time varies depending on the complexity of the procedure. Most patients return to light activity within 1–2 weeks and resume normal routines within 4–6 weeks. Dr. Gabriel provides detailed aftercare instructions to support a smooth recovery.

Will breast revision leave additional scars?

In many cases, Dr. Gabriel can use existing incision lines to minimize scarring. If new incisions are required, they are placed carefully to keep them as discreet as possible.

How much does breast revision surgery cost in Portland?

Pricing depends on the complexity of the procedure, the type of implants, anesthesia, and surgical fees. A personalized cost estimate is provided during your consultation, and financing options are available.

Why should I choose Dr. Gabriel for breast revision surgery?

Dr. Allen Gabriel is a board-certified plastic surgeon with extensive training and recognized expertise in complex breast procedures. His precision, artistry, and patient-first approach make him a trusted choice for revision surgery in the Portland area.

How Can I Learn More About the Breast Revision Procedure?

If you are frustrated with your primary breast augmentation results and are looking for a solution, please contact Dr. Gabriel today to schedule your confidential consultation. Dr. Gabriel sees clients from Portland, OR, Vancouver, WA, the surrounding areas, and indeed, from all over the United States and the globe.

During your initial session, Dr. Gabriel will perform a physical exam and thoroughly review your medical and surgical history. He will then answer all your questions in greater detail, including those on pricing, financing, and insurance coverage, risks and benefits, recovery and downtime, and what you can realistically expect from your final breast revision outcome.

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