FAQs: Breast Implant Revision Most Commonly Asked Questions
For more information, please visit our breast revision surgery page or contact us with your questions.
How long do I have to wait after my initial implant surgery to have a revision?
It’s best to wait at least 6 to 12 months after your initial breast implant surgery before considering a revision. This gives your implants time to settle into place and allows swelling to subside, so we can accurately assess your final results.
What can I expect as I recover from a capsulectomy?
You may feel sore for about a week following a capsulectomy. This procedure often involves removing scar tissue from the muscle, which can cause moderate inflammation. Temporary drains are typically in place for 4–5 days, and we recommend avoiding strenuous activity for two weeks to support healing.
How can I tell if my breast implants are bottomed out?
Bottoming out happens when implants descend below the natural breast fold. This can be corrected with a surgical revision that reinforces the fold using permanent sutures to restore proper positioning.
What can I do to stop repeated capsular contracture development after breast augmentation procedures?
Some individuals are more prone to developing capsular contracture, but certain techniques can reduce the risk. Implants should be placed beneath the muscle through an inframammary incision, and any scar tissue should be fully removed. New implants are also recommended during revision.
My breast implants are sitting too far apart; can this be fixed with a revision?
If your implants were placed under the muscle, you may notice an animation deformity during muscle contraction. This can often be improved by releasing scar tissue or repositioning the implant above the muscle.
I had a breast augmentation with saline implants nine years ago and I am now experiencing pain/discomfort in my breasts; do I need to have them replaced?
Pain or discomfort may indicate capsular contracture or other changes to your implants. An in-person evaluation is the best way to determine what’s causing your symptoms and whether revision surgery is needed.
My implants move when I flex—should I have a revision?
If your implants were placed under the muscle, you may notice an animation deformity during muscle contraction. This can often be improved by releasing scar tissue or repositioning the implant above the muscle.
Can submuscular implants be moved to a subglandular position during revision?
Yes, implants can be repositioned above the muscle during revision surgery. Each option has its pros and cons: subglandular placement reduces animation deformity but has a higher risk of capsular contracture, while submuscular placement offers more support and easier breast cancer screening.
How can I fix rippling in my breast implants?
Rippling may occur with saline implants or certain textured silicone implants. Revision options include switching to smooth silicone gel implants or adding fat grafting to soften and smooth the visible ripples.
I want smaller implants—will I have loose skin afterward?
Skin laxity after downsizing depends on your skin’s elasticity and how much volume is being removed. If a significant size reduction is planned, a breast lift may be needed to remove excess skin and maintain a natural shape.
What are the most common reasons for breast implant revision?
Revisions are usually performed for:
1) Rupture – Older implants may leak and need replacement.
2) Capsular Contracture – Scar tissue tightens around the implant, distorting the shape or causing pain.
3) Implant Displacement – Implants can shift over time due to weight loss, pregnancy, or aging.
4) Size Change – Patients may want to go larger or smaller.
5) Removal – Some patients choose to remove their implants altogether.
1) Rupture – Older implants may leak and need replacement.
2) Capsular Contracture – Scar tissue tightens around the implant, distorting the shape or causing pain.
3) Implant Displacement – Implants can shift over time due to weight loss, pregnancy, or aging.
4) Size Change – Patients may want to go larger or smaller.
5) Removal – Some patients choose to remove their implants altogether.
How do I choose the right surgeon for my breast implant revision?
Ideally, return to your original surgeon since they’re already familiar with your surgical history. If that’s not an option, seek out a board-certified plastic surgeon with experience in complex breast revisions.
Can I change the size or type of implant during revision surgery?
Yes, implant revisions often include changing the size or type of implant. Even if the revision is for another reason—like capsular contracture—this is a good opportunity to adjust implant size or switch from saline to silicone, or vice versa.
What are my options if I no longer want implants?
If you decide to remove your implants entirely, they can be safely taken out during revision surgery. In most cases, we use the same incision site to remove both the implant and any surrounding scar tissue.
How do capsular contracture and implant rupture affect the need for revision?
Both conditions typically require revision. Capsular contracture can cause firmness, discomfort, or misshaping, while a ruptured implant—though not an emergency—should be replaced to avoid further complications and restore a natural look.
What is the cost of breast implant revision, and what factors affect it?
Costs vary based on surgeon’s fees, anesthesia, facility costs, and whether you’re receiving new implants. A consultation will help provide a more accurate estimate tailored to your surgical plan.
How should I prepare for breast implant revision surgery?
Treat this like any major surgery. Follow your surgeon’s instructions carefully, eat a healthy diet, and avoid smoking. Good pre- and post-operative care supports better healing and outcomes.
Can breast revision correct asymmetry or poor results from previous surgery?
In most cases, yes—breast revision can significantly improve symmetry and correct earlier results. Your surgeon will work with you to set realistic goals based on your anatomy and desired outcome.
What should I expect in terms of scarring after a breast implant revision?
Scars vary depending on the type of revision, incision location, and your skin’s healing response. While some scars may take up to a year to fully fade, most patients find them discreet and well worth the improvement in appearance.
Breast Revision Before & After Photos




