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Our board-certified plastic surgeons specialize in breast augmentation in Washington, D.C. They have the training and experience needed to help women attain the breast size and shape they want though breast augmentation revision surgery. They can also can exchange or remove implants as a woman’s aesthetic vision and body change over time.


Women visit West End Plastic Surgery in Washington, D.C. for breast augmentation revision surgery for a variety of reasons, including:
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We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do.
If you are in good general health and have realistic expectations regarding the results of your revision surgery, you are an ideal candidate for the procedure.
Your surgeon and our team will work with you to ensure that you know what to expect from your surgery, both physically and psychologically.
During your initial evaluation and consultation we make sure you are a good candidate for breast augmentation revision or implant removal surgery and ensures you understand and are comfortable with the procedure. Your surgeon wants you to have a clear picture of how your breasts will look after the surgery.
During your consultation we will:
You will be asked to provide:
The cost of a Breast Augmentation Revision starts at around $8,500. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit.
We also offer financing options, including CareCredit® and Alphaeon®, to help you with the cost of your cosmetic surgery.
Your breast augmentation revision or breast implant removal procedure will be performed in our state-of-the-art surgical suite or at one of the area hospitals our surgeons operate.
When performed to correct complications or improve previous results, revision procedures are usually more complex and time-consuming than the original procedure. Our team is dedicated to ensuring your complete comfort during and after the procedure. The surgery may be performed under either general anesthesia or local anesthesia with sedation. The procedure can take from 30 minutes to 3 or more hours, depending on the correction required. You will go home shortly after your surgery is completed.
The surgeon makes small incisions on 1 or both breasts using the original incision placement whenever possible. The skin pocket around the implant is cut into, and the implant is carefully removed. If the implant is filled with saline, they may elect to deflate the implant to facilitate removal (the saline solution will be naturally absorbed by your body over time). If the implant is filled with a silicone gel, your surgeon will inspect the implant for any signs of damage or leaking before removal. They then make necessary corrections to one or both breasts. If you suffer from capsular contracture, the doctor removes all or part of the scar tissue that has formed around the implant.
Stitches are used to close the incision; the stitches generally extend around the areola or along the crease of the breast. After your surgery is completed, your breasts are bandaged with gauze, and a special surgical bra is placed over your breasts to hold them in the best position for healing.
Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines:
Activity | When |
|---|---|
| Shower or bath | 1 to 2 Days After Surgery |
| Back to work | 2 to 7 days after surgery |
| Physical contact with breasts | 3 to 4 weeks after surgery |
| Driving | When You Are Pain-Free |
| Strenuous activity | 3 to 4 weeks after surgery |
| Fading of scars | Several months to 1 year after surgery |
In most cases, you will be ready to go home shortly after your surgery. You may be a bit sleepy after the anesthesia, so it is important to have someone drive you home.
During the first 24 to 48 hours after your procedure, you may feel tired from the anesthesia and sore from the surgery. Dr. Ruff and Dr. Arsalan will prescribe pain medication to alleviate most of the discomfort. Your discomfort level will improve rapidly after the first 2 days. Call the staff at West End Plastic Surgery if you have any questions or concerns in the days after your surgery.
You will notice a marked improvement in your discomfort level during the first few weeks after your surgery. Other things to be aware of:
You should sleep on your back for the first week after surgery to help with the healing process. You should wear the special surgical bra placed over your breasts after surgery at all times for the first few days. The softer support bra provided by West End Plastic Surgery should be worn at all times for the first 2 weeks after your surgery. The bra should be worn even while sleeping to help hold your breasts in the correct position. You may take the bra off to shower or bathe but it must be put back on immediately after drying off. If the bra is too tight, call the staff at West End Plastic Surgery immediately – bras that are too tight can cause skin problems.

It is imperative throughout the postoperative process that you follow the directions Dr. Ruff and Dr. Arsalan provides. Things to keep in mind during your recovery include:

Revision surgery provides long-lasting results; however, as your body ages, your breasts may sag or droop due to the natural effects of aging. It is possible to have your implants replaced in the future to maintain as youthful a figure as possible, but this is not a necessity.
As with all surgical procedures, there are risks associated with revision breast augmentation and breast implant removal.
As with any surgery, you can help reduce these risks by closely following the instructions provided to you by the staff of West End Plastic Surgery. We will be with you every step of the way to ensure a safe and pleasing outcome. Possible side effects include:

If you are having your implants exchanged or removed, your surgeon may determine it’s safe to perform additional procedures during the same surgery such as liposuction or a tummy tuck. They will review your options with you in detail during your consultation.
In most cases, breast augmentation revision and breast implant removal are considered cosmetic procedures; therefore, these procedures are typically not covered by insurance.
You are responsible for the full payment for your procedure. Cost and payment options will be discussed fully with you at your initial consultation. In a few cases where significant capsular contracture has caused breast distortion or severe pain, insurance may be provided.

We recommend waiting until you have fully healed from the surgery and your implants have settled, which takes about 6 to 9 months.
If you are experiencing a complication such as bottoming out or capsular contracture, it may make sense to have surgery sooner. As board-certified plastic surgeons experienced in breast revision surgery, we will help you determine what can be accomplished with revision surgery and give you our opinion about the best timing and approach.

If your breast implants have leaked or ruptured, there is no alternative for repairing them outside of removal and possible replacement. Unless other problems are occurring, there is no need to remove the implants. In some cases, revision without removal is possible for hardened implants.

If you’d like to improve your breast augmentation results or you’re interested in changing your implants, request a consultation online or call us at (202) 785-4187. West End Plastic Surgery serves Washington, D.C. and surrounding areas.
