Breast Revision in Delafield
Correcting the result you were promised.
Breast revision surgery is a secondary procedure performed to correct, improve, or update results from a prior breast augmentation or reconstruction. Common reasons include capsular contracture, implant malposition, asymmetry, implant rupture, size change desires, 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 complications or dissatisfaction following a prior breast augmentation or reconstruction. Unlike primary augmentation, revision procedures require assessment of existing scar tissue, implant position, and capsule condition, making them generally more complex. The procedure is tailored to each patient's specific concerns and anatomic findings.
Common indications for revision include capsular contracture (hardening of the tissue around the implant), implant malposition (shifting or displacement), implant rupture or deflation, desire for a size or style change, and visible rippling or wrinkling. Breast tissue changes related to aging, pregnancy, or weight fluctuation may also prompt revision.
The surgical approach varies depending on the presenting issue. Revision may involve implant exchange with or without a change in size or type, capsulectomy or capsulotomy to address contracture, pocket modification to correct implant position, and concurrent mastopexy (breast lift) to address ptosis. A board-certified plastic surgeon experienced in revision procedures can assess the specific findings and recommend an appropriate plan.
The American Society of Plastic Surgeons notes that breast implant revision is not a standard or routine procedure and that each case requires individualized surgical planning. Selecting a surgeon who routinely performs breast revision operations may contribute to achieving the desired outcome.
What to expect
- A comprehensive preoperative consultation includes review of the patient's 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.
- The patient receives detailed postoperative instructions including wound care, activity restrictions, medication guidance, and follow-up scheduling.
How a breast revision works
- The surgeon evaluates the existing implants, capsule condition, implant pocket, and breast tissue through clinical examination and imaging. Prior operative reports and implant records are reviewed to understand the original surgical approach and implant specifications.
- For capsular contracture, the treatment typically involves capsulectomy (complete removal of the scar capsule) or capsulotomy (surgical release of the capsule), followed by implant exchange. A site change from subglandular to submuscular placement, or creation of a neosubpectoral pocket, may be performed to reduce recurrence risk.
- Implant malposition is corrected through capsulorrhaphy, in which the implant pocket is tightened with internal sutures to reposition the implant. Techniques include suture capsulorrhaphy, capsular flap creation, or the use of acellular dermal matrix (ADM) to reinforce the pocket and provide internal support.
- When the patient desires a size or style change, the existing implants are removed and replaced with implants of the desired specifications. The pocket may be adjusted to accommodate the new implant dimensions. If breast ptosis is present, a concurrent mastopexy may be performed 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 surgery is a secondary procedure to correct or improve results from a previous breast augmentation or reconstruction. It may involve exchanging implants, removing scar tissue, adjusting the implant pocket, or performing a concurrent breast lift. Each revision is tailored to the patient's specific concerns and anatomy.
- Discomfort following breast revision varies depending on the complexity of the procedure. Most patients describe manageable soreness in the first few days, controlled with prescribed pain medication. Capsulectomy or pocket modification may involve 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, there are risks including 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 fully resolve, and 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, typically through a prior incision site. The surgeon removes the existing implant, addresses any capsule issues, modifies the pocket as needed, and places the new implant. The surgery generally takes 1 to 3 hours depending on complexity.
- Individuals with active infections, uncontrolled medical conditions, or who are currently pregnant or breastfeeding may need to delay revision surgery. 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.
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: 2026-06-13