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Breast · The Journal

Breast Implant Revision for El Reno Patients

El Reno is about 21 miles from our Oklahoma City practice — a drive. If your implants need attention, here is what revision surgery actually involves and how to start the conversation.

By the surgical team of Oklahoma Surgical Arts ·

Why revision is its own category of surgery

Revision surgery replaces, corrects, or removes breast implants. The reasons vary: a size change, a firm scar shell called capsular contracture, a leak, implant position problems, or simply being done with implants altogether. Each of those starting points leads to a different surgical plan.

Revision is harder than the first operation. Scar tissue, thinner tissue, and an existing pocket all constrain what the surgeon can do. It deserves a surgeon who does this work regularly — and an honest conversation about what is achievable. The exam and your written quote come first, always.

The drive from El Reno to the practice

El Reno is about 21 miles from our Oklahoma City office at 12400 Saint Andrew's Drive. Parking is free and on-site. On surgery day, your driver pulls directly to the entrance for drop-off and pick-up. The team confirms your specific arrival time — not a general clinic opening.

Consultations are available in person at the Oklahoma City office or virtual from anywhere. A virtual consult lets you have a thorough initial conversation without making the drive. When surgery is scheduled, a single in-person pre-operative visit confirms the plan. You leave with a written plan and a written, all-in number — both yours to keep, to decide on your own time.

You choose your surgeon and your city. The six cosmetic surgeons of the Tulsa Surgical Arts roster all serve Oklahoma City, and Dr. Trent Fogleman practices here full-time. Surgery happens in Oklahoma City or Tulsa, in our AAAHC-accredited surgery center.

What happens in the operating room

You receive anesthesia — medicine that makes you sleep. The surgeon usually re-opens the original scar, most often in the fold under the breast. The old implant comes out. Scar-shell tissue — the capsule — is released or removed as your plan requires. The pocket is repaired or reshaped when implants have shifted.

A new implant is placed, or the pocket is closed if you are done with implants, sometimes with a lift. The plan might be an exchange, capsule release or removal, pocket repair, lift-with-exchange, or removal without replacement. Revision plans vary widely. The cuts are closed in layers with dissolving stitches. You go home the same day in most plans.

Recovery, honestly

The first few days are usually easier than your first surgery — soreness, tightness, back-sleeping. By one week, most desk workers return. No lifting over ten pounds. By two weeks, soreness fades and light lower-body exercise is usually fine. At six weeks, full exercise including chest work is typically cleared.

New implants settle over months. The final shape declares itself as swelling clears and tissue relaxes. Recovery is not a single moment — it is an arc, and we walk through it with you at every follow-up visit.

The risks you should know before your consult

Every surgery has risks. The problems that brought you in can come back — capsular contracture recurs in some patients. Changes in nipple feeling may occur: sensation may decrease, increase, or go away. Thinner tissue after prior surgery shows rippling more easily. An implant can leak or break over time. Uneven results are possible because the two breasts are never a perfect match, and revision starts from an uneven baseline.

Bleeding can sometimes require another trip to the operating room. Infection signs include spreading redness, warmth, pus, or fever. Blood clots in the legs can travel to the lungs — that is an emergency. In any emergency, call 911 first. Otherwise call 405-751-0042, day or night. We go over every risk with you in person before you decide anything.

Start with a conversation

If you are considering breast implant revision, the next step is a consultation — not a commitment. You meet the surgeon. You are examined. You describe what bothers you in your own words. You leave with a plan and a number, both yours to keep. There is no pressure in the room and none after you leave it. Book a consultation online or call 405-751-0042. Ask for a specific surgeon when you book, or share your goals and the team will match you.

Individual results vary. This article is general education, not medical advice.

Questions

Asked in real consults.

How far is El Reno from Oklahoma Surgical Arts?
El Reno is about 21 miles from our Oklahoma City practice at 12400 Saint Andrew's Drive — a drive. Parking is free and on-site. Virtual consultations are also available so you can have an initial conversation without making the trip.
Is breast implant revision harder than the first surgery?
Yes. Scar tissue, thinner tissue, and an existing pocket all constrain the plan. Recovery in the first few days is often easier than the original surgery, but the operation itself demands more precision. Consult a qualified surgeon to understand your specific situation.
Can I have my implants removed without replacement?
Yes. Removal without replacement is one of several revision plans. A lift can help address deflation of the result. The right approach depends on your tissue, your goals, and an honest exam. Your surgeon will explain what is achievable.
What should I do if I have an emergency after revision surgery?
Call 911 or go to the nearest emergency department for chest pain, shortness of breath, fainting, sudden leg swelling, or bleeding that does not slow with gentle pressure. For other concerns, call 405-751-0042 day or night.

Related

Related reading.

  • Oklahoma Surgical Arts — the practice's own procedure page and published record, linked below.

The next step

One conversation. Zero pressure.

An examination, a plan built for your anatomy, and one written, all-in number.

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