Revision Breast Procedures
In some instances, changes occur after breast implant augmentation that lead to unfavorable results, possibly even posing health risks. By providing proper consultation, Dr. Samuels corrects problems created from your initial breast augmentation by using a combination of advanced techniques in plastic surgery, and can restore your breast aesthetics to a more youthful, attractive, and beautiful appearance.
Dr. Samuels has been invited by breast implant manufacturers to participate in the use of investigational implants, specifically designed for the revision patient. There are only a limited number of surgeons in the U.S. who can use the investigational "Gummi Bear" implant - better known as a form stable, fully cohesive silicone gel implant - manufactured by Allergan (one of the two brand name companies) and it is perfect in the revision patient. It has a very low risk of capsular contracture, is very soft, is naturally shaped and helps to control the revision implant pocket and new breast shape. Additionally, in the case of a rare rupture, the Gummi Bear silicone gel is fully cohesive to itself, limiting any spillage of silicone into the surrounding breast tissue. Dr. Samuels is one of only 2 plastic surgeons in the state of Kentucky who are authorized to use the "Gummi Bear" or style 410 device.
Dr. Samuels does not believe that there is a single implant which fits all patients. Our office offers saline, silicone, and the new gummibear (410) implants, which can be obtained only through approved surgeons.
Types of Implants
- Saline - Saline implants are made out of sterile saline which is a natural body substance. Rupture is very easily detected with a saline implant; however, the risk is very low for a rupture. These implants are FDA approved and offer an excellent warranty.
- Silicone (Gel) - Silicone implants are made out a semi-cohesive (partially sticks together) gel substance that has been tested and was approved by the FDA in 2006. This is not the same gel as the old liquid gel implants used in the 70's, 80's, and even early 90's. Rupture is a little more difficult to detect with a gel device since its substance sticks to itself. In the event of a rupture, a MRI may be required to confirm implant rupture.
- Gummibear (410) - This implant is only available to 80 surgeons in the country and is only for use in women who are planning to have a current implant device replaced. This implant is not yet approved by the FDA but has been used and studied in Europe for approximately ten years without any difficulties from the device being noted. The implant is fully cohesive, therefore, in the event of a rupture, the gel would stick to itself. A MRI may be required to confirm implant rupture.

