Breast Implant Revision

Overview

Breast implant revision surgery addresses complications or changes following prior augmentation: capsular contracture, implant malposition, symmastia (implants touching centrally), bottoming out, rippling, size change, or elective removal. Dr. Fern is experienced in the full spectrum of revision scenarios — including complex cases following procedures performed elsewhere — and approaches each revision with a clear plan developed from detailed pre-operative assessment.

Are You a Good Candidate?

Ideal candidates for breast implant revision typically present with one or more of the following:

• Capsular contracture (hardening of breast) grade III or IV
• Implant displacement or malposition
• Rupture of silicone or saline implant
• Desire to change implant size or type
• Breast Implant Illness (BII) concerns and wish to explant
• Unsatisfactory cosmetic result from prior surgeon

The Procedure

Dr. Fern's approach to breast implant revision proceeds through the following steps:

• MRI or ultrasound reviewed pre-operatively if gel implant rupture is suspected
• En bloc capsulectomy performed when appropriate (particularly for BIA-ALCL concern or BII)
• Pocket modification to correct malposition (capsulorraphy or neosubpectoral techniques)
• New implant placed if replacing; pocket closed if explanting
• Mastopexy added concurrently if ptosis has developed

Recovery

Recovery is similar to primary augmentation. More complex revisions involving capsulectomy or pocket change require 1–2 additional days before returning to normal activities.

Frequently Asked Questions