Parker Center for Plastic Surgery:
Paul M Parker MD
122 East Ridgewood Ave
Paramus, NJ 07652
Call Us: (201) 967-1212
Text us: (201) 231-8662
Office Hours
Monday - Tuesday: 9 a.m. – 5 p.m.
Wednesday: 9 a.m. – 7 p.m.
Thursday - Friday: 9 a.m. – 5 p.m.
Saturday: 9 a.m. – 2 p.m. (Med Spa only)
Change is beautiful
The reasons for undergoing breast implant revision surgery in New Jersey vary—from wanting to alter the size of your implants to correcting complications following a prior augmentation surgery. If you’ve decided to replace or remove your breast implants and are looking for a breast implant revision specialist in Bergen County, it’s important to choose an experienced, board-certified plastic surgeon such as Dr. Paul M. Parker. He performs revision breast surgery at his Paramus, NJ, practice for women who travel from Ridgewood, Hackensack, Mahwah, Somerset, North New Jersey, and New York.
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Dr. Parker explains your options during the consultation and ensures you understand how he performs the procedure and what to expect during recovery. If you’re getting new implants, he’ll review the options for:
We also provide the same thorough sizing and shaping program offered to our first-time breast augmentation patients. This program includes the chance to try on sizers (if you’re increasing the size of your implants) and 3D computer imaging to simulate the size and shape of your breasts after revision surgery.
Other doctors and patients frequently refer breast implant revision patients to Dr. Parker for his extensive experience in breast surgery. In addition, the Parker Center for Plastic Surgery is the only provider in our region licensed to use the revolutionary Aspen Ultrasound System for the nonsurgical treatment of capsular contracture.
Our Experienced surgeon
Board-certified plastic surgeon Dr. Paul M. Parker combines an unwavering dedication to patient satisfaction with surgical expertise to create aesthetically pleasing, natural-looking results.
Meet Dr. ParkerCredentials You Can Trust
Even though the overall satisfaction rate among breast augmentation patients is very high, you’ll probably need breast implant revision surgery at some point because implants aren’t designed to last forever. There are multiple reasons women decide to either replace or remove their implants.
These include:
The desire to change the size of the implants—either larger or smaller—is the most common reason for revision surgery. Fewer patients at our practice have second thoughts about their implants because we offer a sizing program that helps women feel confident in their choices. Some women also decide to exchange saline implants for implants filled with cohesive silicone gel. If you want larger implants, Dr. Parker surgically enlarges the implant pocket to accommodate the larger implant.
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Once inserted into the body, breast implants stimulate the formation of a lining around the implants, referred to as a breast capsule. If the capsule hardens—which occurs in a relatively small percentage of patients—it can distort the shape of the breast. In more severe cases, capsular contracture can be painful.
Traditionally, treatment has involved surgical removal of these capsules and implants, followed by replacement with new implants. During your consultation with Dr. Parker, he can discuss his extensive experience in the treatment of capsular contracture as well as options available. Dr. Parker can also make other improvements at the same time, such as inserting a different implant type or size or using a different pocket location.
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Breast implant edges can sometimes be visible and palpable (able to be seen and felt). This is more likely in thin patients with little breast tissue who have saline implants placed in a subglandular location (above the muscle). Implant palpability does not pose a health risk, but patients are often bothered by what they see and feel.
To treat this, Dr. Parker typically creates a partial submuscular breast pocket and inserts silicone gel implants, which are less palpable and demonstrate less rippling than saline implants.
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There is no definitive answer to the question of how long implants last. Some plastic surgeons recommend replacing breast implants after 10 to 15 years. Dr. Parker tells his patients that there is no reason to replace implants if they still like how they look and feel and there are no complications.
Leaking saline-filled implants deflate quickly, and it’s easy to see. The body absorbs the saline solution and doesn’t pose a health risk.
The gel inside silicone implants is inert and not absorbed by the body if the outer shell breaks. You probably won’t notice a difference in the look and feel of a ruptured silicone gel implant. Imaging tests such as an ultrasound, mammogram, and/or MRI can detect implant ruptures. While there is no evidence that the silicone gel in FDA-approved implants is harmful in the event of a rupture, the FDA recommends periodic MRI or ultrasound scans to minimize the chance of undetected leaks. The agency recommends replacing implants if a test detects a rupture.
There is less chance of a leak with the latest generation of silicone gel implants, and researchers are conducting long-term studies to quantify their leak rate compared to older silicone implants.
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During breast augmentation, plastic surgeons create a pocket for the breast implant by making an incision above the inframammary fold—the crease at the base of the breast. In some cases, an implant may sink below the fold. This typically occurs when the tissue isn’t strong enough or a surgeon makes the dissection too low. As a result, a crease develops across the lower part of the augmented breast, creating two distinct breast mounds, and therefore the name, “double bubble”.
Dr. Parker corrects a double bubble complication by temporarily removing the implant through the same incision used to insert it, reconstructing the inframammary fold with several layers of sutures and an absorbable scaffold or mesh, and reinserting the implant.
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Malpositioned implants result when one or both implants are too high, too low, too lateral (too far apart from one another), or too close to each other (called “symmastia”). Treatment involves surgically adjusting the pockets. Dr. Parker revises one or both implant pockets and repositions the implants. He performs a capsulorrhaphy, which involves modifying the implant pocket’s size, shape, and strength. Dr. Parker creates an “internal bra” using an absorbable scaffold or mesh to strengthen the reconstructed soft tissue.
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Breast augmentation revision is often more complex than initial breast augmentation surgery, which is why it’s essential to choose a plastic surgeon with Dr. Parker’s skill and experience. Whenever possible, Dr. Parker performs revision breast surgery using the incisions made during the initial breast augmentation procedure.
During the surgery, patients are either under a general anesthetic or intravenous sedation, monitored by one of our board-certified anesthesiologists. Dr. Parker closes all incisions with dissolving sutures. The surgery can take from 45 minutes to 2 hours or more, depending on the amount of scar tissue surrounding the implant, the complexity of the procedure, and whether a breast lift procedure is necessary.
Consultations at the Parker Center are special. Dr. Parker will spend extra time with you, ensuring that he understands your goals and that you are fully educated about each potential solution. Additionally, our imaging expert will help you see the possibilities with digital photo imaging to show you what you will look like after surgery. Patients who are comparing providers often tell us our consults are the most thorough and informative they’ve ever experienced!
One to two weeks before your scheduled breast revision surgery, you will undergo a one-hour, in-office, face-to-face education session with one of Dr. Parker’s Nurse Educators. During this session, the nurse educator thoroughly reviews a detailed information packet to further educate you about your breast revision. This includes a discussion of what to do to prepare for surgery, what occurs on the day of surgery, and what to expect after surgery during your recovery. It’s a detailed session that really educates our patients about the entire surgical process at the Parker Center. Patients tell us they love it because they feel so well-prepared for their surgery. Learn more about what to expect during your pre-op education session.
Our Signature
Our surgical procedures, anesthesia, medications, and aftercare are tailored to minimize post-operative discomfort and accelerate recuperation.
Learn MoreThe Parker Center’s Rapid Recovery techniques used during and after breast implant revision help you heal more rapidly and comfortably than what you might experience at another practice. This means less time off from work and a sooner return to your normal activities.
Dr. Parker’s Rapid Recovery protocol includes:
The day after your breast implant revision surgery, you can shower and resume light activities. We encourage you to move around briefly starting the first day to boost circulation.
Most patients experience minimal discomfort, and the dissolvable sutures don’t need removal. If you have a desk job, plan to take several days off. You can usually start light exercise within 2 weeks and upper body exercises within 3 to 4 weeks. You should be back to unrestricted activity in 4 to 6 weeks.
We encourage you to move around briefly starting the first day to boost circulation.
If you’re considering breast implant revision surgery and want to discuss your options with an experienced plastic surgeon, request a consultation with Dr. Parker using the online form. He will listen to your concerns, answer your questions, and explain the procedure with no pressure to make an immediate decision. You can also call us at (201) 967-1212 to schedule an appointment.
Below are the most common reasons women seek breast implant revision and replacement. Click on a link to see details about treatment for a particular reason for breast implant revision: Desire for size change, either larger or smaller Following breast augmentation, patients will sometimes decide to change their implants to…
Read MoreWhich implant type should you choose? It’s really not a question of whether silicone gel, newer form-stable silicone, or saline is the “better” one. Whether you choose saline or silicone implants for your is a personal decision; while most of our patients choose silicone gel, thousands of women are perfectly happy…
Read MoreThe popularity of silicone gel implants has increased significantly over the past several years. For our breast augmentation patients here in Paramus, NJ, inserts silicone gel implants in well over 90% of his breast augmentation patients due to their soft, natural feel and high degree of patient satisfaction. However, placing implants…
Read More5 Reasons to Choose
We believe plastic surgery should be accessible to as many people as possible. That's why we offer financing through lenders that specialize in setting up payment plans for elective cosmetic surgery. We can discuss financing during your consultation.
Results: Dr. Parker is known for remarkable results that may surpass your expectations
Your ResultsSafety: Our state-of-the-art, fully licensed, Medicare-accredited surgical center meets the highest standards of safety
Your SafetyEducation: We give you all the information, empowering you to make informed decisions
Your EducationRapid Recovery: Our protocol includes massage, medications, and advanced surgical techniques for reduced downtime
Your Rapid RecoveryPatient Experience: We create a positive, supportive environment in our beautiful, private facility
Your Atmosphere
