Breast Revision


You may be considering breast revision surgery for many personal reasons. Feeling beautiful and confident is the primary goal of breast enhancement patients, and no woman expects unsatisfactory results. Whether you’re displeased with the results from a previous breast surgery, or you want a different look or size than you originally anticipated, our surgeons offer breast revision surgery solutions to create your desired look.

There are many reasons why women seek breast revision surgery:

  • Capsular Contraction
  • Symmastia
  • Bottoming Out
  • Ruptured Implants
  • Double Bubble

Capsular contracture

Capsular contracture is the top complication for women who have had breast augmentation surgery. Although this condition is rare though natural occurrence in the body, the capsule may sometimes cause the breast to become painful, overly firm, or produce visible distortion of the breast.

Your body forms a capsule of scar tissue with virtually every foreign object that may be placed inside the body. It is a scar-like capsule of collagen fibers that covers the object and, under normal circumstances, is generally harmless. In rare cases, this encasement grows overly thick and constricts the breast implant, causing the area to feel very dense and like uncomfortable, in addition to looking misshapen. We still do not know why a capsule can become so severe that it grows to this level.

Capsular contracture is rated in four different levels (grades 1-4), with the fourth level as the most severe with the requirement of revisional surgery to remove the capsule.

Possible 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 silicone implant.
  • Placement of breast implant above the muscle.
  • Radiation treatment or exposure (before or after breast augmentation surgery).
  • Bacterial exposure to the implant during or after surgery.
  • Hematoma or seroma.

Symmastia:

When breast implants are placed submuscularly (under the muscle), there is a chance that the pectoral muscle will be cut, making room for breast tissue and the breast implants to fall in the direction of the sternum in the middle of the chest. This can happen when the breast pocket is cut too close to the center and releases the pectoral muscle to much, which results in the implants being too close together and an unnatural appearance to the cleavage (IE: “uniboob” or “bread-loafing”). A similar problem may also arise when implants are placed over the pectoral muscle. When dissecting the breast pocket, the space between the pockets may come too close to the middle.

This is typically detected within just a few days after surgery when the post-surgical swelling of the breasts lifts the breasts away, allowing the implants to slide inward. There are a variety of techniques to repair symmastia. Our board certified surgeons use internal sutures to reattach and reinforce the cleavage area from the breast implants.

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. It is also occurs more often subglandular breast implant placement as opposed to placement under the muscle.

The revisional 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, thus lifting the breast implant and resulting in a more natural breast shape and inframammary fold.

Ruptured Implants:

Decreased breast volume, asymmetry, pain, or swelling can point to a ruptured saline or silicone breast implant. There are many factors that may cause an implant to deflate or rupture. Underfilling or overfilling the implant in opposition to the manufacturer’s specifications is a frequent cause. (Note: all saline implants have a +/- threshold for underfilling or overfilling with saline.) Underfilling may lead to the implant having folds in it, and these folds rub together over time to create friction that weakens the integrity of the implant. Overfilling the implant may lead to the shell stretching, weakening the implant shell and causing it to rupture. Additionally, an accidental 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 the patient. Extensive studies have found no long-term health hazards caused by breast implant leaks.

Sometimes ruptures are covered by the implant manufacturer, often including surgical costs for replacing the damaged implant.

Double Bubble:

A “double bubble” happens when your implant falls below the natural breast fold (inframammary fold). This often occurs when a breast lift was included with the breast augmentation.

When breast tissue hangs below an implant which has been placed under the pectoral muscle, it is called a double bubble or high-riding implant. This often occurs in patients who had saggy breasts prior to breast augmentation.

Factors that raise the risk of double bubble are pregnancy, breastfeeding, weight fluctuation and aging. The best repair method will depend on your unique situation, but typically includes either a breast lift to address the drooping tissue, adjusting how the implants are placed, or performing an inframammary fold revision.

Why choose Belcara Health?

Breast correction surgery requires an artistic eye for aesthetics, a dedication to keeping informed of the new and innovative techniques and technologies as they become available, and the ability to develop problem-solving techniques – all key attributes of our board certified surgeons.

Breast Revision Specialist, Dr. Michael Cohen, is one of the most acclaimed breast surgeons in the country, renowned for his outstanding breast revision results.  With over 25 years of experience, keen eye and exceptional skill, Dr. Cohen can help you achieve the beautiful breasts  you desire.

Insurance Guidelines and Payment Option

Breast Revision Surgery is generally considered cosmetic in nature. Certain circumstances may be covered by your insurance provider; our staff will work with your insurance company to determine the scope of your benefits.

NOTE: The specific risks and the suitability of this procedure for any given individual can only be determined through a consultation with the plastic surgeon.

Our Financing Specialists will help you secure financing for your cosmetic procedure and help make budgeting and paying for your breast revision procedure simple and stress-free. We’re happy to help you plan for affordable monthly payments. Learn more about your financing opportunities.

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RECENT POSTS


After my implants severely bottomed out (surgery 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!

Our practitioners who specialize in Breast Revision surgery.


  • Connector.

    Dr. Cohen

    Dr. Michael D. Cohen is an acclaimed board certified plastic surgeon and has earned an international reputation for excellence in breast revision surgery. Read full bio.

  • Connector.

    Dr. Vela

    Dr. Gary A. Vela, Board Certified Plastic Surgeon, is renowned for his expertise, natural results and outstanding patient care with Breast Revision surgery. Read full bio.