Breast Revision Surgery: Everything You Need To Know

By Dr. Ramin Behmand, Plastic Surgeon – Nashville & Franklin, Tennessee.

Undergoing breast enhancement—whether a lift, an augmentation, or both—can be transformative. Yet time, life changes, and our own bodies can shift the results away from what we once loved. If you’re noticing firmness, sagging, asymmetry, or simply feel your current results no longer match your goals, a breast revision may be right for you. In this comprehensive guide, we’ll cover:

1. What Makes Revision Necessary

2. Why Changes Happen

3. How the Revision Process Works

1. What Makes Revision Necessary

• Capsule Contracture
  Over-aggressive scar tissue around your implant can tighten, causing hardness, distortion, and discomfort.

• Implant Rupture or Deflation
  Saline implants can deflate; silicone implants may develop “silent” leaks that alter shape or volume.

• Sagging (Ptosis) & Asymmetry
  Aging, gravity, weight fluctuations, pregnancy, and breastfeeding can stretch skin and tissue, leading to droop or uneven nipples and implant positions.

• Implant Position Issues
  You might notice implants sitting too low (“bottoming out”), shifting toward your underarms, or creating a “double-bubble.”

• Changed Size Preference
  Your lifestyle or aesthetic desires may evolve, making your current implant volume feel too large—or too small.

• Unbalanced Spacing
  Breasts that sit too close together or too far apart can look unnatural.

• Dissatisfaction with Scars
  Hypertrophic, wide, or poorly positioned scars can detract from your overall satisfaction.

If any of these resonate, it’s a sign to explore revision options.

2. Why Changes Happen

A. Natural Body Evolution

• Aging Skin & Tissue: Over time, skin thins and loses elasticity.

• Weight Fluctuations: Gaining or losing weight—even modest amounts—can stretch or shrink breast tissue.

• Hormonal Events: Pregnancy and breastfeeding repeatedly expand and contract the breast envelope.

B. Surgical Variables

• Individual Healing: No two people form scar tissue the same way.

• Tissue Quality: Thicker or thinner skin, differing elasticity, and unique tissue characteristics affect outcomes.

• Pocket Dynamics: Minor differences in how the implant pocket is created can shift where and how implants settle.

C. Emotional & Aesthetic Alignment

• Changing Preferences: What felt right immediately after surgery may feel less “you” years later.

• Confidence & Comfort: Physical changes aren’t always just structural—how you feel in your body matters.

3. How the Revision Processes Works

1. In-Depth Consultation

You bring invaluable insight: what bothers you, how your breasts look and feel, and how they fit your life today. Together, we’ll review your history and concerns.

2. Expert Assessment

I’ll perform a detailed exam to evaluate:

• Implant integrity

• Capsule tightness

• Pocket position

• Skin and tissue quality

• Scar characteristics

3. Customized Surgical Plan

Based on our discussion and exam, your plan may include:

• Capsulotomy or Capsulectomy: Releasing or removing problematic scar tissue

• Implant Exchange: Upsizing, downsizing, or changing implant style/material

• Capsulorrhaphy: Internal reshaping of the breast implant pocket

• Mastopexy (Breast Lift): Removing excess skin, reshaping, tightening and lifting the breast tissue

• Scar Revision: Refining scar appearance and placement

4. Setting Realistic Expectations

You’ll leave our consultation with:

• A clear, step-by-step overview of your surgery

• A tailored recovery timeline

• Detailed discussion of the possible risks, and the most likely outcomes

5. Surgery & Recovery

Revision procedures can be more complex than primary surgeries. With advanced techniques and meticulous planning, my goal is to minimize downtime and maximize your renewed confidence.

Ready to Rediscover Your Confidence?

Breast revision is not a setback—it’s an opportunity to ensure your results continue to reflect the best version of you. If your enhancement no longer aligns with your body, lifestyle, or self-image, let’s have a conversation.

Schedule your personalized consultation today and take the next step toward results you’ll love.