Sometimes, breast augmentation results may not align with your expectations. Whether due to natural changes over time, complications, or a shift in personal goals, revision breast augmentation is a procedure that offers a solution, restoring both comfort and confidence. With advanced skill and a compassionate approach, Dr. Andrew Trussler helps patients achieve beautiful, natural-looking outcomes that feel true to who they are today.
What is a Revision Breast Augmentation?
While many women are happy with their breast augmentation performed by other surgeons, some patients come to us seeking revision surgery after unsatisfactory results from their initial procedure. These feelings of unhappiness may be caused by the shape, size or placement of the implant, or by complications that occurred after the procedure. Other patients also come to us because of safety concerns caused by their initial procedure. Even patients who are happy with the results of their initial procedure require additional procedures to replace their implants after a certain amount of time.
Revision breast augmentation is often performed through a procedure very similar to the initial augmentation surgery, with slight modifications made depending on the reason for revision. After these procedures, patients are able to fully enjoy the breast size, shape and position they desire.
Different Breast Implants Sizes
After their first breast augmentation, many women discover that they actually want their breasts to be larger or smaller than the results achieved during the initial procedure. A different implant size may also be desired several years after the initial procedure after the natural breast volume has been affected by weight changes, pregnancy, breastfeeding or aging.
This is the most common reason that patients seek revision surgery. During this type of revision procedure, the same incision is used to remove the old implants and insert a different implant based on the patient’s individual body. Small adjustments may be required in order to accommodate the new breast size.
Patients seeking changes to their implant size are advised to wait at least three months after the initial procedure before undergoing revision augmentation. After three months, the swelling has subsided and the implants have settled, allowing patients to evaluate the true size of their implants. From there, revisions can be made if desired.
Implant Leaks/Ruptures
Saline breast implants that begin to leak are often noticeable, as the leaking breast will gradually decrease in size. Patients with silicone implant leaks may notice small changes in the shape of the breast but should have any suspected leaks or ruptures confirmed by a plastic surgeon. Your plastic surgeon may perform an evaluation through a mammogram or MRI to evaluate the status of your implants.
A leaking or ruptured implant should be replaced right away and can be done through the same incision as the initial procedure. This procedure is often easier and less painful than the first procedure, and patients can benefit from a faster recovery as well.
Implant Complications
There is always a risk of certain complications and side effects from a breast augmentation procedure. Some of these complications may include wrinkling and rippling of the implant, capsular contracture, and shifting of the implants. Wrinkling and rippling occur most often in women with thin skin or a small amount of natural breast tissue, and can often be felt when touching the breast and may even be visible under the skin. Capsular contracture involves hardening of the breasts and a change in shape as well as scar tissue developing around the implant.
There are several solutions available to help correct these complications. Changing the size, shape, position or type of implant is often helpful in relieving these problems and correcting the look and feel of the breasts.
Why you should choose Dr. Trussler for your Secondary Breast surgery
Revision procedures can often be avoided by choosing a plastic surgeon who is skilled and experienced in breast augmentation. Dr. Andrew Trussler’s will work one-on-one with you to achieve the precise results you desire and deserve with a minimized risk of complications during or after your procedure. Our doctors have years of experience performing breast augmentation for many satisfied patients.
Patient Testimonial
"After doing a lot of research, I chose Dr Trussler based on the abundance of positive reviews and the amazing results in his before and after pictures. Being almost 10 weeks post op, I can definitely say that I made the best choice. From the consultation, to the surgery, to all of the post op appointments, I was pleased with the professionalism, kindness, time spent answering all of my questions, and meticulousness from Dr Trussler and every single member of his staff. I received an extensive procedure in which I healed quickly and relatively pain free. My results are beyond all expectations I had. I would do it all over again in a heartbeat. I highly recommend Dr Trussler for any surgical or non-surgical procedures. He truly changed my life and I will forever be grateful to him and his entire staff"
Frequently Asked Questions
Can I remove implants and just get a breast lift instead?
Yes. Some women decide they no longer want implants but still want a youthful, lifted appearance. In this case, a breast lift (mastopexy) can be performed during implant removal to reshape and lift the breasts. The right choice depends on your skin elasticity, breast tissue, and cosmetic goals.
Do I have to replace my implants during revision?
Not always. Revision surgery can involve adjusting the position of your existing implants, removing scar tissue, or reshaping the breast without replacing the implants. However, many patients choose to replace them, especially if the implants are older, damaged, or no longer meet their cosmetic preferences.
Can I change from saline to silicone implants (or vice versa)?
Yes. Revision surgery is an opportunity to change the type of implant. Many patients switch from saline to silicone for a more natural look and feel, while others may prefer saline for peace of mind in case of rupture. Dr. Trussler can discuss the pros and cons of each option with you.
Can I choose a different implant shape or profile during revision?
Absolutely. Revision surgery is often the perfect time to choose a new size, shape, or profile that better fits your body and aesthetic goals. Options include round or teardrop-shaped implants, as well as low-, moderate-, or high-profile implants to achieve your desired look.
How long does the procedure take?
Surgery time depends on the complexity of the revision. Simple implant exchanges may take one to two hours, while more involved revisions that address scar tissue, asymmetry, or pocket reconstruction may take three to four hours.
Where are the incisions made during revision?
Whenever possible, Dr. Trussler will use your existing incision lines to minimize new scarring. However, if your revision requires pocket adjustments or a lift, additional incisions may be necessary.
What is recovery like after revision breast augmentation?
Recovery is often similar to your initial augmentation but may vary depending on the extent of revision. Most patients experience swelling, bruising, and soreness for the first week. Light activities can usually be resumed in five to seven days, while exercise and lifting are limited for four to six weeks. Full healing continues over several months as the breasts settle into their final shape.
How can I make sure I get the results I want this time?
The most important step is choosing a board-certified plastic surgeon with extensive experience in revision breast surgery. During your consultation, communicate your concerns and goals, review before-and-after photos, and inquire about available implant options and surgical techniques. Aligning expectations with a skilled surgeon greatly increases the likelihood of achieving your desired outcome.
Contact Us
Whether you have a question or would like to set up a revision breast augmentation consultation in Austin, Texas, Dr. Trussler and his staff are here to help. Please fill out our contact form, or call our office at 512-450-1077 to schedule an appointment. Start your journey to not only looking better, but feeling better today!
Publication
- Lesavoy, MA, Trussler, AP, Dickinson, BP. Difficulties with Subpectoral Augmentation Mammaplasty Correction: The Role of Subglandular Site Change in Revision Aesthetic Breast Surgery. Plast Reconstr Surg. 2010 Jan:125(1):363-371.