Breast Revision in Delafield
Correcting the result you were promised.
Breast revision surgery follows a prior breast augmentation or reconstruction, and is performed to correct, improve, or update that earlier result. Common reasons include capsular contracture, implant malposition, asymmetry, implant rupture, a wish to change size, rippling, and changes in breast tissue over time. Revision surgery is typically more complex than primary augmentation and may involve implant exchange, capsulectomy, pocket modification, or concurrent breast lift.
At a Glance
- FDA postapproval studies of nearly 100,000 patients found a 7-year reoperation rate of approximately 12% for primary augmentation[5]
- Capsular contracture is the most common reason for reoperation following breast augmentation[4]
- Revision breast augmentation rates in published studies reach as high as 36%, reflecting the long-term nature of implant management[4]
- Use of a no-touch insertion technique with a Keller Funnel has been associated with a reduction in capsular contracture rates[4]
Overview
Breast revision surgery addresses a complication or dissatisfaction after breast augmentation or reconstruction. It is generally more complex than primary augmentation because the existing scar tissue, implant position, and capsule condition all have to be assessed. The operation is planned around the patient’s concern and the anatomy found on examination.
Reasons for revision include capsular contracture, which is hardening of the tissue around the implant; implant malposition, rupture, or deflation; a wish to change implant size or style; and visible rippling or wrinkling. Changes in breast tissue related to aging, pregnancy, or weight fluctuation may also lead someone to consider revision.
The operation may involve exchanging the implant with or without changing its size or type, removing or releasing the capsule, modifying the implant pocket, or adding a mastopexy to address ptosis. The American Society of Plastic Surgeons notes that breast implant revision is not a standard or routine operation. Each case requires its own surgical plan, and selecting a board-certified plastic surgeon who routinely performs revision procedures may contribute to achieving the desired outcome.
Dr. Boehm is certified by the American Board of Plastic Surgery. Implant exchange, implant removal with capsulectomy, breast lift, and breast augmentation are each available as named procedures with their own consultation. A revision usually combines some of that work, but the exact combination is settled after Dr. Boehm examines the implants, capsule, breast tissue, and skin.
What to expect
- A comprehensive preoperative consultation covers your surgical history, implant records, current concerns, and desired outcome. Physical examination assesses capsule firmness, implant position, breast tissue quality, and skin elasticity.
- Imaging studies such as MRI or ultrasound may be obtained to evaluate implant integrity, particularly when rupture is suspected. The FDA recommends MRI or ultrasound screening 5 to 6 years after placement, then every 2 to 3 years thereafter.
- A personalized surgical plan is developed, addressing the specific findings and goals. The surgeon discusses implant options, incision approach, and whether additional procedures (such as mastopexy or capsulectomy) are indicated.
- General anesthesia or intravenous sedation is administered based on the complexity of the planned revision.
- An incision is made, typically using the prior incision site when possible. Common approaches include inframammary (in the breast crease), periareolar (around the areola), or a mastopexy pattern if a concurrent lift is planned.
- The existing implant is carefully removed. The capsule is assessed and treated as indicated, whether by capsulectomy, capsulotomy, or capsulorrhaphy.
- The implant pocket is modified as needed, including pocket adjustment, site change, or reinforcement with ADM or mesh if required for structural support.
- New implants are placed using a no-touch technique, often with an insertion funnel to minimize bacterial contamination. Pocket irrigation with antibiotic or antiseptic solution is performed.
- The incisions are closed in layers with sutures and protective dressings are applied. A surgical bra or compression garment may be placed for support.
- You receive detailed postoperative instructions covering wound care, activity restrictions, medication guidance, and follow-up scheduling.
How a breast revision works
- The surgeon evaluates the existing implants, the condition of the capsule, the implant pocket, and the breast tissue through examination and imaging. Prior operative reports and implant records are also reviewed to identify the original surgical approach and implant specifications.
- Capsular contracture is typically treated with capsulectomy, meaning complete removal of the scar capsule, or capsulotomy, which releases the capsule. The implant is then exchanged. Changing the implant from a subglandular to a submuscular position, or creating a neosubpectoral pocket, may be used to reduce the risk of recurrence.
- Implant malposition is corrected with capsulorrhaphy. Internal sutures tighten the pocket and reposition the implant. The options include suture capsulorrhaphy, creation of a capsular flap, or reinforcement with acellular dermal matrix to provide internal support.
- For a change in size or style, the existing implants are removed and replaced with implants of the desired specifications. The pocket may need to be adjusted for the dimensions of the new implant. When breast ptosis is also present, a mastopexy may be performed during the same operation to reshape and elevate the breast tissue.
When it's recommended
- Capsular contracture (Baker Grade III or IV) causing firmness, discomfort, or distortion
- Implant malposition including bottoming out, lateral displacement, or symmastia
- Implant rupture or deflation detected by imaging or physical examination
- Desire to change implant size, shape, type, or profile
- Visible implant rippling or wrinkling, particularly in patients with thin soft tissue coverage
- Breast asymmetry that developed or worsened after primary augmentation
- Breast ptosis (sagging) related to aging, pregnancy, or weight changes
- Double bubble deformity where the implant and breast tissue create a visible crease
- Implant warranty expiration prompting elective exchange (typically around 10 years)
Is a breast revision right for you?
Reach out to learn more from Dr. Lucas Boehm.
Recovery & aftercare
- Swelling and bruising are common in the first 1 to 2 weeks after surgery
- A surgical bra or compression garment is typically worn for several weeks as directed
- Most patients return to desk work and light daily activities within 1 to 2 weeks
- Strenuous exercise, heavy lifting, and upper body exertion are generally restricted for 4 to 6 weeks
- Swelling may take 6 weeks or longer to fully resolve
- Implants may take several months to settle into their final position, a process often described as "drop and fluff"
- Final breast shape and softness may not be apparent for 3 to 6 months
- Scar maturation continues over 12 to 18 months
Alternatives
- Implant removal (explantation) without replacement
- Implant removal with autologous fat transfer to maintain volume
- Non-surgical management of mild capsular contracture (monitoring, massage)
- Concurrent mastopexy without implant exchange if ptosis is the primary concern
Related treatments
Frequently Asked Questions
- Breast revision is a secondary operation performed to correct or improve the result of a previous breast augmentation or reconstruction. It may include implant exchange, removal of scar tissue, adjustment of the implant pocket, or a breast lift. The plan depends on the concern and the anatomy found on examination.
- Discomfort varies with the extent of the operation. Most patients describe manageable soreness during the first few days, controlled with prescribed pain medication. Capsulectomy or pocket modification may cause more initial discomfort than a straightforward implant exchange.
- Breast revision is generally considered safe when performed by a board-certified plastic surgeon experienced in revision procedures. As with any surgery, risks include infection, bleeding, and changes in sensation. A thorough consultation helps evaluate individual risk factors.
- Most patients return to light daily activities within 1 to 2 weeks. Strenuous exercise is typically restricted for 4 to 6 weeks. Swelling may take 6 weeks or longer to resolve fully, and the final breast shape and softness often develop over 3 to 6 months as the implants settle.
- The procedure is performed under general anesthesia or sedation and typically uses the prior incision site. The surgeon removes the existing implant, treats the capsule as needed, modifies the pocket when indicated, and places the new implant. Surgery generally takes 1 to 3 hours, depending on its complexity.
- People with an active infection or an uncontrolled medical condition may not be candidates until the issue has been addressed. Revision may also need to be delayed during pregnancy or breastfeeding. Current smokers face higher complication risks and are typically advised to stop tobacco use before surgery. A consultation with a board-certified plastic surgeon can determine candidacy.
- Some changes settle and some do not, which is why this decision requires an examination rather than a judgment based on a description. A firm breast after augmentation may be capsular contracture or normal healing at that stage. An implant sitting too high often drops during the first months, but sometimes it does not. Rippling in a thin patient is frequently structural rather than a fault in the surgery. Dr. Boehm assesses these findings differently, and only some require an operation.
- Bring the implant card and the operative note from the original surgery if you can obtain them. The implant card lists the fill type, volume, profile, and manufacturer. The operative note identifies the pocket that was used and whether anything was done to the capsule. Together, they turn a revision from an exploration into a plan. Most patients can request both from wherever the original operation was performed. Without them, the assessment relies more heavily on examination and imaging. That works, but reaching a firm proposal takes longer.
- There is no single published price because the cost follows the operation, and breast revision is a family of operations rather than one fixed procedure. Implant exchange, capsule removal, pocket tightening, and breast lift are separate pieces of work. Most plans combine two or three of them in a proportion that cannot be determined before examination. Dr. Boehm does not bill insurance, so breast revision is paid for privately even when the original surgery was reconstructive.
Breast Revision risks & candidacy
Who should avoid this
- Active breast infection or untreated infection at the surgical site
- Uncontrolled bleeding disorder or anticoagulation without medical clearance
- Active autoimmune conditions that may impair wound healing (requires specialist evaluation)
- Pregnancy or active breastfeeding
- Significant uncontrolled medical conditions such as unmanaged diabetes or cardiac disease
- Unrealistic expectations about surgical outcomes (counseling recommended prior to proceeding)
- Current tobacco use, which compromises tissue healing and increases complication risk
Possible risks
- Recurrence of capsular contracture, particularly in patients with a history of contracture
- Infection at the surgical site requiring antibiotic treatment or additional surgery
- Bleeding or hematoma formation beneath the implant or within the breast tissue
- Seroma (fluid accumulation) around the implant
- Changes in nipple or breast skin sensation, which may be temporary or permanent
- Unfavorable scarring at incision sites
- Persistent asymmetry despite surgical correction
- Implant malposition or recurrent displacement
- Skin necrosis or poor wound healing, more common in smokers
- Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a rare cancer associated with textured implants
- Need for additional revision surgery in the future
Your surgeon
Care that respects what makes you, you.
Dr. Lucas Boehm is a Wisconsin native, board-certified, fellowship-trained plastic surgeon and the founder of Consona Plastic Surgery and Aesthetics. His practice is dedicated exclusively to aesthetic surgery of the face, nose, breast, and body, with particular expertise in deep plane facelifts, rhinoplasty, and aesthetic breast surgery. He completed his undergraduate education at the University of Wisconsin–Madison, earned his medical degree from the Medical College of Wisconsin, and completed his plastic surgery residency there as well. He then pursued an Aesthetic Society-endorsed fellowship in aesthetic surgery under the mentorship of Dr. Bradley Calobrace in Louisville, Kentucky. Known for meticulous attention to detail, he approaches each case with precision and intention. His philosophy emphasizes harmony and balance – enhancing what is already beautiful while ensuring every change feels natural, thoughtful, and uniquely you.
- Board-certified
- Am. Board of Plastic Surgery
- Fellowship-trained
- Aesthetic surgery
- 12+ years
- In practice
Sources & references
This article draws on 5 sources, including peer-reviewed research.
Medically reviewed by Dr. Lucas Boehm, MD · Last reviewed: 2026-09-12