Plastic & Cosmetic Surgery in Santa Monica

Breast Implant Revision & Removal

While breast enhancement is routinely performed with wonderful results, there are patients who have unfortunately experienced complications following the surgery. These complications may be caused by a number of factors, such as a subpar surgeon or the body’s abnormal reaction to implants. Whatever the case may be, Dr. Karamanoukian focuses on revision of previously done breast surgeries. With his total expertise in breast reconstruction, his skills and artistry have earned him a reputation for delivering excellent results in breast revision surgery. If you’ve received breast enhancement and are unhappy with the results, please call our office today.

Types of Implants

There are two primary types of implants, each one interacting with the body slightly differently:

Saline Implants

These are made of silicone shells and are filled with sterile salt water.

Silicone Implants

These implants have a silicone shell and are filled with a soft silicone gel.

The type of implant you get during your primary breast augmentation could determine whether revision surgery is needed in the future. Each type of implant will have different levels of biocompatibility with each patient’s body. If you have not yet gotten your first breast augmentation, this is something to thoroughly review with your surgeon before undergoing the procedure.

Reasons for Breast Revision

With Dr. Karamanoukian’s attention to detail and technical skill, he not only delivers among the best breast revision in Los Angeles and Santa Monica, he also delivers incredible primary breast augmentation. If you are considering breast augmentation for the first time, you can rest assured that Dr. Karamanoukian is well aware of how the below complications occur, and his patients experience a stunningly low rate of revision—less than 1%. The most common reasons for breast revision include:

Capsular Contracture

This occurs when tissue around the implants hardens, causing the breasts to look solid and deformed.

Excessive Scarring

In some cases, the incision site may turn into a raised, unsightly scar, requiring correctional surgery.

Implant Rippling

Usually occurring in saline implants, implant rippling is visible on the front or side of the breasts.

Ruptured Implants

When implants rupture, it creates a deflated, asymmetrical appearance in the breasts.

Bottoming Out

In certain instances, the implant may drop below its original placement, creating a separate lump.


Also known as uniboob, symmastia occurs when the breasts appear to be connected at the sternum.

There are several additional conditions that may prompt breast revision surgery. Whatever the case, Dr. Karamanoukian’s sharp eye and technical proficiency will help any patient find relief from complications following breast enhancement.

Breast Implant Removal

In some cases, patients are no longer content with implants and would simply like them to be removed. In such a case, Dr. Karamanoukian strives to provide among the best implant removal available. He does this by not only removing the implant, but also by reconstructing the breast tissue within. With this approach, patients are left with round, perky breasts rather than sagging, flat breasts. If you are interested in breast implant removal, please call us today with any further questions or to set an appointment.

Breast Revision Procedures

When it comes to revising a previous breast augmentation, Dr. Karamanoukian will choose one of several types of revision procedures. One of his primary goals is to keep surgery as minimally invasive as possible. For this reason, if he can perform your breast revision with pinhole endoscopic incisions, that’s exactly what he will do. In some cases, a larger incision is unavoidable, but his precise technique and attention to detail creates a minimal recovery period.

Similarly, Dr. Karamanoukian prefers to perform his work under local anesthetic, allowing the patient to be wide-awake during the entire procedure. There are several advantages to using local anesthetic, including a drastically reduced recovery period. The type of anesthetic used also depends upon patient preference, and your desires will be fully considered.

Breast Revision

Expert Los Angeles Breast Revision Surgeon

Meet Dr. Karamanoukian

For Los Angeles patients considering breast revision, there are few surgeons more qualified than Dr. Raffy Karamanoukian. He is double board certified in both cosmetic surgery and vein surgery. This means that when it comes to correcting a previously done breast enhancement, Dr. Karamanoukian can uphold every surgical standard to keep you looking and feeling your very best. Additionally, he is both scientifically and artistically trained. This is crucial for cosmetic surgery because it allows him to fully grasp the artistic aspect of what you’re looking for and give you high quality breast revision with excellent results.

Each breast revision takes place in a surgical suite that is fully accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). Whether your particular procedure requires general anesthesia or simply conscious sedation, Dr. Karamanoukian has hand picked a board-certified anesthesiologist to look after this aspect of your breast revision. In this way, he delivers among the safest breast revision surgery available.