Breast Revision

Restore comfort. Refine your results.

Breast revision surgery is a procedure performed to replace or remove breast implants after a previous breast augmentation or reconstruction surgery. Over time, breast implants and the surrounding tissues can change due to aging, weight fluctuations, pregnancy, or implant-related complications. In some cases, a patient’s aesthetic goals may evolve. Breast revision addresses these concerns by restoring comfort, improving breast appearance, and creating results that better align with the patient’s current needs.

Every woman’s body, history, and goals are unique. Dr. Ryan Constantine will work closely with you to understand your concerns, evaluate your existing implants or surgical results, and develop a personalized treatment plan. His goal is to achieve results that look natural, complement your proportions, and feel right for you.

Who Is a Candidate for Breast Revision?

Breast revision may be right for you if you:

Are unhappy with the size, shape, or position of your implants
Have experienced changes in your breasts over time after augmentation
Notice discomfort, tightness, or firmness in the breasts
Have concerns about implant rupture or other implant-related complications
Want to replace or upgrade to newer or different implants
Prefer to remove your implants and restore your natural breast contour

Ideal candidates are in good overall health and have realistic expectations about what revision surgery can achieve.

Benefits of Breast Revision

While breast implants can last for many years, some patients can benefit greatly from revision surgery. Here are some of the benefits of breast revision:

Improve appearance: Refine shape, symmetry, and overall breast contour
Update implants: Replace older implants with a different size, type, or profile
Restore comfort: Address implant-related issues that have caused tightness, pain, or distortion (such as capsular contracture)
Remove damaged implants: Correct concerns such as implant rupture or implant malposition
Align results with current goals: Help patients achieve results that better fit their current preferences and lifestyle

About the Procedure

Breast revision surgery is performed under general anesthesia and is tailored to the patient’s existing implants, anatomy, and goals. Depending on the reason for revision, surgery may involve removing and replacing implants, removing implants without replacement, releasing or removing scar tissue, repositioning implants, or reshaping the surrounding breast tissue. In some cases, a breast lift may also be recommended to improve breast shape and position. Whenever possible, Dr. Constantine uses existing incision lines to minimize additional scarring. Most patients return home the same day to begin recovery.

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Common Reasons for Breast Revision

Breast revision may be recommended for a number of reasons, both cosmetic and medical. One common reason is capsular contracture: a condition in which the scar tissue around the implant tightens and causes the breast to feel firm, look distorted, or become uncomfortable. Another reason is implant rupture or deflation, which may change the shape or feel of the breast and require removal or replacement of the damaged implant.

Some patients pursue breast revision because they want a different implant size, type, or profile, or they wish to upgrade their implant choice after a time. Others develop concerns related to implant malposition, rippling, asymmetry, or changes in the surrounding breast tissue over time. Breast revision can also be appropriate for women who decide they no longer want implants and would prefer implant removal with or without additional reshaping procedures (e.g. breast lift surgery).

Surgical Techniques

Breast revision surgery can involve different techniques depending on the nature of the concern being addressed:

Implant Exchange: Removes the existing implants and replaces them with new implants of a different size, type, or profile
Implant Removal: Removes the implants without replacing them; may be combined with a breast lift to reshape the breasts
Capsulectomy or Capsulotomy: Treats capsular contracture by removing or releasing scar tissue around the implant
Implant Repositioning: Adjusts the implant pocket to improve breast symmetry, implant placement, or breast contour
Breast Lift with Revision: Lifts and reshapes the breasts when skin stretching or sagging is also present

Dr. Constantine will recommend the technique (or combination of techniques) that best addresses your concerns and supports a natural, balanced result.

Recovery and Healing

Recovery from breast revision typically goes as follows:

First week: Patients may experience soreness, swelling, and tightness. These can be managed with medication and rest.
One to two weeks: Most patients are recovered enough to return to light activities and work (depending on job type).
Four to six weeks: Patients may gradually return to exercise and more active routines.
Two to six months: As swelling resolves and tissues settle, the final results will become visible.

Dr. Constantine provides detailed post-operative instructions and close follow-up care to support safe healing and long-lasting results.

Breast Revision FAQs

How often should breast implants be replaced?

While implants are durable, they are not considered lifetime devices. While many implants last 10 to 15 years or longer, replacement may be needed sooner if complications develop or if your aesthetic goals change.

Can breast revision improve capsular contracture?

Yes. Breast revision can treat capsular contracture by removing or releasing the scar tissue around the implant and, when appropriate, replacing the implant.

Can I remove my breast implants without replacing them?

Yes. Some patients choose implant removal without replacement. Depending on the amount of remaining breast tissue and skin elasticity, a breast lift may also be recommended to improve shape after removal.

Will my results look natural?

Yes. Dr. Constantine’s approach focuses on restoring comfort, balance, and proportion. His goal is to achieve results that look natural and feel aligned with your body and current goals.

Will there be new scars?

Whenever possible, Dr. Constantine uses existing incision lines to minimize new scarring. Any additional incisions are placed carefully and typically fade over time.

When will I see my final results?

Initial improvements are visible early, but swelling and tissue settling take time. Final results are typically visible within three to six months, depending on the extent of revision performed.