Improve Your Original Breast Augmentation Results with Revisional Breast Surgery

There are a variety of aesthetic and medical reasons that some patients seek revisional breast surgery. For many women, size is the primary concern—some wish to go larger, some smaller. Others may be dissatisfied with the appearance of their breasts following normal changes, such as weight loss or pregnancy. Patients who are unhappy with their original breast augmentation may opt for another operation to correct or revise their appearance. At our San Antonio, TX, practice, Dr. Peter Fisher is a board-certified plastic surgeon who takes part in continuing education to help provide the results patients hope to achieve.

A close up image of a woman's chest
Revisional breast surgery can correct a number of issues following initial breast augmentation surgery. 

About Breast Implant Revision Surgery

Because each woman is unique, every breast implant revision surgery can vary depending on the needs of the individual. The surgery may involve simply changing the size or type of an implant. More complex treatment could include changing implant placement, such as moving it from over the chest muscle to under the chest muscle. Depending on the circumstances, revisional breast surgery may be performed immediately, as in the case of a rupture, or it may occur several months or years after the initial procedure.  

Reasons for Revisional Breast Surgery

Many women choose revisional breast surgery as a cosmetic option. For others, it may be medically necessary. Common reasons for breast implant revision include:

  • Implant Downsizing: When women change the size of their breast implants, most desire to go larger. However, some women feel they need to downsize in order to make their bodies more proportional. When replacing larger implants for smaller implants, breast ptosis can occur. This condition is characterized by drooping breasts and redundant breast skin. Therefore, whenever women opt for downsizing, the procedure is typically performed in conjunction with a breast lift to address the excess skin.
  • Bottoming Out: When the breast implants have sagged low on the chest, making the nipples appear too high, it is described as bottoming out. This condition can be corrected by repositioning the implants and then securing them with Strattice™, which is a biocompatible scaffolding material.
  • Capsular Contracture: When a breast implant is placed, it is normal for a capsule to develop around it. This capsule is actually a form of scar tissue. Some patients experience capsular contracture, which occurs when the capsule becomes thicker and tighter. Patients suffering from this condition may notice their breasts are hard and painful to the touch. This condition can be treated by placing new implants in more favorable positions relative to the chest muscles. This will provide long-lasting, aesthetically pleasing results.
Many women choose revisional breast surgery as a cosmetic option. For others, it may be medically necessary.

Healing and Recovery

Generally, recovery following your revisional surgery will be comparable to your original breast augmentation. However, if the procedure is more invasive, healing could take longer. Stiffness, swelling, and discomfort are normal aspects of healing after your breast surgery. This can be addressed with prescription medications, over-the-counter pain killers, and cold compresses. A surgical bra can also be worn to provide additional support during the recovery process.

Heavy exercise and lifting should be completely avoided until your doctor clears you to participate in these activities. Most patients find they can return to work within a week. However, those with physically demanding jobs will need to wait longer. Specific post-operative instructions will be provided for you. It is important to follow these closely, and attend all scheduled follow-up appointments so you can enjoy a successful recovery.

Learn More about Revisional Breast Surgery

If you are unhappy with the results of your breast augmentation, a revisional breast surgery may be an option for you. To learn more, schedule a consultation with Dr. Fisher. You can do so by calling our office at (210) 616-0798 or by contacting us online

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Dr. Fisher has been available to answer all of my questions and provide me with not only professional medical expertise, but also a much appreciated level of personal empathy. I would 100% recommend Dr. Fisher to anyone who is considering plastic surgery.



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7950 Floyd Curl Dr
Ste 1009
San Antonio, TX 78229

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