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Breast Implant Revision & Complex Breast Surgery in Baltimore, MD

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Enhance, Refine, and Perfect

Why Choose Belcara Health for Breast Revision Surgery?

Feeling beautiful and confident is the primary goal for breast enhancement patients, and no woman expects unsatisfactory results. If you are displeased with the results from previous breast surgery or now want a different size than you originally anticipated, we can help by performing a breast implant revision or impant removal. We also specialize in addressing complications, such as capsular contracture or implant rupture, restoring your breast aesthetics, comfort, and wellness.

Our Baltimore breast surgeons have extensive experience and expertise in breast revision surgery and will help you achieve the look you desire. Board-certified plastic surgeon Dr. Michael Cohen is one of the nation’s most acclaimed breast revision specialists. With over 25 years of experience, Dr. Cohen has a keen artistic eye, advanced surgical skills, and a reputation for delivering exceptional results. Our team’s commitment to patient care, innovation, and personalized solutions ensures you receive the best care in a welcoming, luxurious environment.

Breast Revision at a Glance

  • Purpose: Correct issues from previous breast implant surgery or address aesthetic concerns
  • Duration: Typically 2–4 hours, depending on complexity
  • Downtime: 1–2 weeks for initial recovery; full healing in several months
  • Benefits: Restores comfort, resolves complications, and achieves desired breast aesthetics
  • Performed By: Dr. Michael Cohen, renowned breast revision specialist

Because Every Woman Deserves to Feel Her Best

What is breast revision?

Breast revision, also known as secondary breast surgery, is a corrective surgery designed to address complications or dissatisfaction from previous breast augmentation.

Common reasons for breast revision include changes in breast size preference or complications such as capsular contracture, implant rippling, poor implant placement, or issues with aging breast tissue. This surgery may involve replacing silicone or saline implants, adjusting implant size or position, removing scar tissue, or removing implants to restore your breasts to their natural size. Our experienced team customizes every revision procedure to address your unique concerns and help you achieve your aesthetic goals.

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Why do patients seek breast revision surgery?

Whether you are experiencing complications with existing implants or are simply ready for a change, our leading surgical team will design a procedure tailored to your needs and goals. Patients may seek revision surgery for a range of reasons:

They Want a Different Breast Implant Size or Type

Common reasons patients seek breast implant revisions are to change either the size or the style of their breast implants, called elective implant exchange. If you wish your breasts were larger or smaller, or want to swap saline for silicone (or silicone to saline) – we can help you find the breast implants that will meet your goals.

They Want to Remove Their Breast Implants

Some patients may wish to remove their implants completely, whether due to complications, changes in preference, or the desire to avoid the maintenance associated with implants. In this case, a breast lift may be recommended as part of your procedure to elevate the breasts on the chest wall, remove excess tissue, and achieve a more shapely, youthful contour.

Capsular Contracture

As your body heals following breast augmentation, a capsule of scar-like tissue will naturally form around the implants. In most cases, this capsule is thin, soft, and harmless. In rare cases, the capsule may become thick, harden, or shrink, causing discomfort and a distorted appearance.

This condition can become quite painful and embarrassing for patients who experience it. Unfortunately, the reason it occurs is still unknown.

Factors that may increase the chance of capsular contracture are as follows:

  • Infections during or after surgery (such as dental work).
  • A rupture of a gel or a silicone implant.
  • Placement of breast implant above the muscle.
  • Radiation treatment or exposure (before or after breast augmentation surgery).
  • Bacterial exposure to the breast implant during or after surgery.
  • Hematoma or seroma.

At Belcara Health, our breast revision specialists treat capsular contracture by removing the breast implant, surgically removing (excising) the capsule and starting over, using the meticulous preventative techniques they’ve honed over decades of experience.

Rippling

Rippling is when a breast implant develops wrinkles or folds that are visible. This condition happens more with saline implants in women with little tissue to cover the implant. Rippling can be avoided or corrected by choosing an experienced surgeon to recommend the right implant type and placement for your anatomy.

The quality of the skin that surrounds your breast tissue significantly influences the shape of your breasts. Your skin’s natural elasticity and thickness, and your level of body fat, will affect the overall appearance of your breasts and must be considered when selecting breast implant type and positioning during surgery. Rippling may also occur when the original surgeon creates a breast pocket that is too large for the implants, allowing them to shift from their original position.

Symmastia

Normal-looking chests have a natural space between the breasts, called the medial fold. This space plays an important role in the overall appearance of the chest, giving the breasts their shape and the pretty cleavage most women desire.

Symmastia is a condition that occurs following a breast augmentation when the implants fall to the middle of the chest, creating an unnatural, odd-looking, bread loaf-like appearance.

This can happen when:

  • Breast pockets are made too large or too close to the center of the chest.
  • Implants are too wide for the patient’s body frame.
  • Implants migrate out of their original position.
  • Breast tissue becomes weak or stretched.

Our board-certified plastic surgeons use a variety of techniques to repair symmastia, such as using internal sutures and/or specialized mesh materials to reinforce and secure the cleavage area.

Bottoming Out

Patients with breast implants that have “bottomed out” have nipples that look overly high on the breast or have a breast fold that appears unnaturally low. Bottoming out most often occurs in patients who have very little or naturally thin breast tissue—the implant is able to pull the breast down and cause it to bottom out.

The revision surgery to correct bottoming out of breast implants involves moving the breast fold up higher. This is accomplished by reinforcing the lower portion of the breast pocket with internal sutures and/or specialized mesh materials, lifting the breast implant and reinforcing the proper fold, resulting in a more attractive, natural-looking breast shape.

Ruptured Breast Implants

Ruptured implants can be detected by a decrease in breast volume, asymmetry, discomfort, or swelling.

Causes include:

  • Under-filling a saline implant can cause it to fold, which may allow the surfaces to rub together over time, creating friction that weakens the integrity of the implant.
  • Over-filling the implant may lead to the shell stretching, weakening, and eventually rupturing.
  • Trauma, brute force, or injury to the chest can occasionally lead to a rupture or slow leak.

Please note that saline and gel/silicone implant leakage has NOT been shown to cause any harm to patients. Extensive studies have found no long-term health hazards caused by breast implant leaks.

Double Bubble

A double bubble occurs when an implant drops behind the natural fold of the breast and creates an unnatural indentation or line across the bottom of the breast. Fortunately, a double bubble is a relatively rare complication that is easily correctable with a breast revision procedure.

Double bubble deformity may occur when:

  • Implants are too heavy for the chest wall
  • Implants are poorly positioned
  • The mammary crease is constricted
  • Scarring is present from previous breast surgeries

The breast surgeons at Belcara Health offer a variety of solutions to correct these conditions and provide the natural-looking, beautiful results patients originally envisioned for themselves.

Your Vision, Your Beauty, Our Expertise

What is the breast revision procedure like?

The breast revision procedure at Belcara Health is a highly personalized and precise surgery designed to address your unique concerns and achieve your desired outcome. The process begins with a comprehensive consultation, during which your surgeon evaluates your breast tissue, implant positioning, and overall health. Together, you’ll discuss your goals and develop a customized surgical plan.

On the day of surgery, you’ll be administered anesthesia to ensure comfort throughout the procedure. Your surgeon will carefully address the specific issues, which may include removing or replacing implants, correcting the breast pocket for better positioning, removing scar tissue caused by capsular contracture, or incorporating additional techniques such as a breast lift or fat injections to enhance the overall result. Every step of the procedure is performed with meticulous attention to detail, prioritizing both aesthetics and functionality. After surgery, our team provides thorough aftercare instructions and regular follow-up appointments to support a smooth recovery and optimal results.

From Dissatisfaction to Stunning Results

What are the benefits of breast revision?

Breast revision surgery performed by our respected specialists empowers patients to feel confident and comfortable in their bodies.

This procedure addresses a variety of concerns, including complications from previous surgeries, such as capsular contracture, implant rippling, or poor implant placement. It allows patients to achieve their desired breast size, shape, and symmetry by adjusting, replacing, or removing implants, removing scar tissue, or incorporating enhancements like fat injections or a breast lift. Beyond aesthetics, breast revision restores comfort by alleviating pain or tightness caused by complications, creating a more natural feel and appearance.

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Take Control of Your Confidence

Is breast revision right for me?

Candidates for breast revision surgery include individuals who are dissatisfied with the results of a previous breast surgery or are experiencing complications such as capsular contracture, implant rippling, poor implant placement, or changes in breast size preferences. Those seeking to replace saline implants with silicone implants, adjust their implant size, or address issues like asymmetry or aging breast tissue may also benefit from this procedure.

Ideal candidates are in good overall health, have realistic expectations, and are committed to achieving their desired aesthetic goals. During a personal consultation with Dr. Michael Cohen, your candidacy will be thoroughly evaluated, and a customized treatment plan will be developed to address your unique concerns and ensure the best possible results.

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Breast Enhancement Guide

Interested in learning more before scheduling your free consultation? Get a sneak peek of what to expect by accessing our Procedure Guides. Fill out the form below to get access and learn the ins and outs of your personal transformation.

Nurturing Your Transformation

Breast Revision Recovery

Recovery after breast revision surgery at Belcara Health is a gradual process designed to ensure optimal healing and long-lasting results. Immediately following the procedure, patients are encouraged to rest and avoid strenuous activities for the first 1–2 weeks. During this time, a surgical bra or compression garment will be provided to support the breasts and minimize swelling. Mild discomfort, bruising, and tightness are common but can be effectively managed with prescribed medications and proper care.

Patients are typically able to resume light daily activities within 7–10 days, although more rigorous activities, including exercise, should be avoided for several weeks. Follow-up appointments are an essential part of the recovery process. While initial healing occurs within a few weeks, the final results of the surgery will continue to improve over several months as swelling fully subsides and the breasts settle into their new shape. Throughout your recovery, we will provide comprehensive guidance and support to ensure you feel confident and comfortable every step of the way.

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A New Beginning

Breast Revision Results

The results of breast revision surgery can be life-changing, providing patients with beautifully enhanced breasts that align with their aesthetic goals and restore confidence. Whether correcting complications, adjusting implant size, or improving symmetry, this procedure delivers noticeable improvements in both appearance and comfort. Patients often experience a more natural look and feel, better-proportioned contours, and relief from discomfort caused by issues like capsular contracture or poorly placed implants. These results are not only visually stunning but also long-lasting, empowering patients to feel comfortable and radiant in their bodies for years to come.

Dedicated to Excellence

Breast Revision Surgical Expertise for Superior Results

If you are ready to improve how you look and feel, the practice and surgeon you select are your most important decisions. To be confident with your results, you must have confidence in your medical team.

Breast correction surgery requires extensive training and experience, an artistic eye, the ability to problem-solve, and a dedication to staying informed about new and innovative techniques and technologies – all key attributes of our Breast Implant Revision Specialist, Dr. Michael Cohen. Dr. Cohen is one of the most acclaimed Breast Revision surgeons in the country, renowned for providing his patients with outstanding results. With over 25 years of experience, a keen eye, and exceptional skill, Dr. Cohen can help you achieve the beautiful breasts you desire. Dr. Cohen will listen carefully to your goals, answer all your questions and help you make informed choices about your procedure.

At Belcara Health, exceptional patient care is the core of our philosophy. Upholding the highest standards of safety and expertise, all breast procedures are performed in our 5-star on-site surgical center, one of the few Maryland breast augmentation facilities to be accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) 2005. Our goal is for you to feel as if you just received the best care possible and absolutely love your results. Located in a welcoming, sophisticated, luxurious facility, our 5-star services, and outstanding staff provide an unparalleled experience. At each stage, we make every effort to surpass all your expectations. We are constantly upgrading our knowledge, technology, and services–and it shows. Our strong reputation and the trust of the community validates this commitment.

What does a breast implant revision procedure cost?

Estimated price ranges for the plastic surgery procedures

We understand that having a general range of breast revision procedure prices can be helpful so we are happy to provide estimated price ranges for the plastic surgery procedures we perform. However, it is important to note that these price ranges are general estimates only.

Generally speaking, our price range for breast revision procedures is between $7,000 – $12,000.

The best way to learn about plastic surgery pricing is to consult directly with one of our board-certified plastic surgeons. During your breast revision consultation, your surgeon will listen carefully to your concerns and goals and assess your medical history, lifestyle, and anatomy. Together, you and your surgeon will review all your treatment options and develop a personalized plan that meets all your needs. Only then are we able to provide an accurate price quote, which will include:

  • All visits before and after the procedure
  • Operating Room time and supplies
  • Surgeon’s fee
  • Anesthesia fees
  • All medical devices, implants, and support materials

Financing & Payment Options

Obtaining the funds for elective procedures and products can sometimes be difficult, especially in these challenging economic times. At Belcara Health, we have a dedicated financing department, designed to help you get the financing you need, for the procedures you want.

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Confidence beginshere

Our Practitioners Who Specialize in Breast Revision

Dr. Sarah McMillan

Board Certified Plastic Surgeon & Breast and Body Contouring Specialist

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Dr. Michael D. Cohen

Medical Director, Board-Certified Plastic Surgeon & Breast Specialist

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Various medical awards and recognitions for excellence.
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Where will the breast revision procedure take place?

Most breast revision patients elect to have their procedures performed in our on-site surgery center.

Our 5-star on-site surgical center is one of the few Maryland breast augmentation facilities to be accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) 2005.

“After my implants severely bottomed out (surgery was done by another plastic surgeon), Dr. Cohen fixed the problem and left even less scarring than before. He did a great job! He was very professional and kind. He called me or my husband to check on me and truly cared about how I was doing. If I ever need plastic surgery again, I will go directly to Dr. Cohen!”

—Satisfied Breast Implant Revision & Complex Breast Surgery patient

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Breast Revision Frequently Asked Questions

If you’re unhappy with your breast implants or experiencing discomfort, we invite you to consult with Dr. Cohen to determine if breast revision is right for you.

Yes, breast revision surgery can replace saline implants with silicone implants for a more natural look and feel.

Dr. Cohen uses advanced techniques to minimize scarring, and most scars fade significantly over time.

Yes, breast revision can address uneven implant placement or natural asymmetry for a more balanced look.

The procedure typically lasts 2–4 hours, depending on its complexity.

Absolutely. Combining procedures can improve overall results and address multiple concerns in one surgery.

While some discomfort is normal during recovery, our team provides effective pain management options to ensure your comfort.

Most patients can resume light work within 1–2 weeks, but strenuous activities should be avoided for several weeks.

Dr. Cohen can safely remove and replace ruptured implants during breast revision surgery.

With proper care, breast revision results can last many years, although future changes in your body may require additional adjustments.