Introduction: Reconstruction Is a Journey, Not a One-Time Event
Breast reconstruction is a deeply personal process. While many women are satisfied with their initial results, others develop problems years or even decades later. These problems may include:
- Capsular contracture (hard, painful implants)
- Implant malposition (too high, low, or displaced implants)
- Visible rippling
- Asymmetry between breasts
- Unnatural results or poor cosmetic outcomes from prior surgery
The good news? Revisions and delayed reconstructions are always covered by insurance, no matter how long it’s been since your mastectomy or lumpectomy.
At Jandali Plastic Surgery in Trumbull, CT, we help women across Fairfield County and Southern Connecticut restore comfort, balance, and confidence with expert revision surgery.
Why Delayed Reconstruction or Revision May Be Needed
1. Capsular Contracture
- Scar tissue around an implant becomes tight and painful
- Breasts may feel hard or distorted
- Common after radiation or older implant techniques
2. Implant Malposition
- Implants can sit too high, too low, or drift to the side
- Leads to asymmetry and discomfort
- Often requires pocket revision and fat grafting
3. Asymmetry
- Natural breasts and reconstructed breasts may look uneven
- Both size and shape differences can occur
- Corrected with implant exchange, fat grafting, or symmetry procedures on the opposite breast
4. Poor Cosmetic Result
- Some women were unhappy from the start with unnatural results
- Others had complications like rippling or visible implant edges
- Modern techniques like prepectoral implants, fat grafting, Renuva, or DIEP flaps can restore natural appearance
The Solution: Revision Surgery
Revision surgery is tailored to each patient’s unique needs. Options include:
- Capsulectomy or capsulotomy to release scar tissue
- Implant exchange to modern, smooth implants
- Conversion to prepectoral placement to avoid muscle-related spasm problems and animation deformities
- Fat grafting to improve softness and hide rippling
- Renuva adipose matrix when fat grafting isn’t possible
- Switching to DIEP flap for a permanent, natural result with no implant required
Insurance Coverage
All delayed reconstruction and revision surgeries are fully covered by insurance.
This includes:
- Surgery for pain, asymmetry, or poor outcomes
- Reconstruction years or decades after mastectomy or lumpectomy
- Revisions to improve results, symmetry, or comfort
This is protected by the Women’s Health and Cancer Rights Act (WHCRA), which guarantees coverage for reconstruction and revisions.
My Experience with Revisions
I’m Dr. Shareef Jandali, a board-certified plastic surgeon with 15 years of experience. The majority of my practice is breast reconstruction and revision surgery.
I have performed hundreds of revision cases for women who thought they had no options left — helping them achieve results they never thought possible.
Common Questions About Delayed Reconstruction
How long after my mastectomy can I have revision surgery?
Anytime — even decades later.
Will insurance cover it if my implants are old?
Yes — coverage applies regardless of age of implants.
Can I switch to DIEP flap instead of another implant?
Yes — many women convert to natural tissue reconstruction.
Is revision surgery more complicated?
It can be, but with modern techniques like fat grafting and Renuva, results are excellent.
What if my implants are recalled Allergan implants?
Exchange is covered and can be combined with revision for better results.
Can I have symmetry procedures on my natural breast?
Yes — lifts, reductions, or augmentations for symmetry are all covered.
Patient Testimonials
From Milford, CT:
“I had hard, painful implants from radiation. Dr. Jandali revised my reconstruction and now I finally feel comfortable again. Insurance covered everything.” — T.L., Milford, CT
From Shelton, CT:
“I was never happy with my reconstruction from another surgeon. Dr. Jandali redid my implants with fat grafting, and the results are so much more natural. I wish I had done this years ago.” — K.R., Shelton, CT
Serving Southern Connecticut
We see patients for revision and delayed reconstruction from:
Trumbull, Fairfield, Bridgeport, Stratford, Milford, Shelton, Norwalk, Westport, Weston, Wilton, Easton, Monroe, Oxford, Derby, Ansonia, Seymour, Newtown, Bethel, and Southbury.
Why Choose Jandali Plastic Surgery
- Board-certified plastic surgeon with 15 years of experience and over 150 breast reconstructions performed yearly
- Majority of practice focused on breast reconstruction & revisions
- Expertise in both implant-based and DIEP flap reconstruction
- Insurance navigation support for approvals and coverage
- Proven track record of natural results and improved comfort
Related Articles in the Breast Reconstruction Blog Series
- Prepectoral Tissue Expander and Implant Reconstruction
- Implant Exchange for Recalled Allergan Textured Implants
- Implant Exchange for Animation Deformity
- Delayed Reconstruction & Revision for Capsular Contracture, Asymmetry, or Poor Results
- Delayed Reconstruction After Lumpectomy & Radiation
- Oncoplastic Reconstruction at Time of Lumpectomy
- Free Nipple Grafts in Implant Reconstruction
- Goldilocks Breast Reconstruction with Free Nipple Grafts
- DIEP Flap Breast Reconstruction
- Renuva Adipose Matrix for Reconstruction
Call to Action
If you’re living with capsular contracture, asymmetry, or unsatisfactory reconstruction results, you don’t have to settle. Revision and delayed reconstruction are always covered by insurance.
Jandali Plastic Surgery
5520 Park Ave, Suite WP-2-300, Trumbull, CT 06611
203-374-0310
