What Are the Main Reasons to Get Breast Implant Revision Surgery?

The most common reasons patients request breast revision are functional issues, including capsular contracture, wrinkling, malrotation, or rupture of one or both implants. The reason could also be cosmetic – you may want to exchange saline breast implants with silicone for a more natural texture and appearance, or you may want the breast implant removed altogether because you no longer like the look. No matter what your reason is, Dr. Walker will walk you through the best approach to help you feel great about your decision. Overall, candidates for breast revision are typically seeking one of four things:

  • Exchange of breast implant type
  • Correction of unsatisfactory results of previous augmentation
  • Removal of breast implants
  • Replacement due to capsular contracture or deflation

Jump to:

How Is Breast Revision Surgery Performed?

Dr. Walker performs breast revision surgery under general anesthesia in an accredited surgical center. After your procedure, we monitor you until the anesthesia wears off, and then you'll be released to a loved one who can drive you home and help you get settled. In most cases, Dr. Walker will use the same incision spots from your previous surgery. If you're also getting a breast lift, she may need to make new incisions according to your surgical plan.

Once you're comfortably anesthetized, Dr. Walker will carefully remove your old implants and replace them with new ones if that's what you chose during your consultation. If needed, she’ll adjust the implant pocket to correct any issues like capsular contracture. After confirming the shape and position of your breasts is correct, Dr. Walker will close the incisions and apply a compression garment for swelling and discomfort. The entire procedure usually takes between one and two-and-a-half hours.

Banner media

Breast Revision & Correction Before & After

Recovery After Breast Implant Revision

Recovery from breast revision is similar to what you experience after your initial breast augmentation. You’ll have prescription pain medication for three to four days after the surgery. During this time, it is important to rest and keep physical activity to a minimum. Walking is an approved activity that should be done a few times a day to prevent the formation of blood clots in the legs. Beyond that, avoid lifting and moving objects using your arms, which will be outlined in your post-operative care instructions. Usually, patients are ready to return to work in one to two weeks, however, you’ll still need to avoid strenuous activities for six weeks post-op.

women holding up her arm

Testimonials

5 out of 5 stars

"The day you can throw away your concealer is a really good day! Thank you so much Lara for answering every little qu...

"The day you can throw away your concealer is a really good day! Thank you so much Lara for answering every little question about my Halo Laser procedure and guiding me through the process to end at such great results. I would 110% recommend the Halo Laser and Dr. Walker's team to manage the success process for anyone's skin rejuvenation. Lara also recommended a follow-up BBL to even out a few spots, and I am loving my results. My face is fresher, clearer, and has less fine lines, and the natural collagen boost was exactly what I needed to trash my concealer for the first time in 30 years. Thanks again!"

5 out of 5 stars

"Dr. Walker is an amazing surgeon. She is very detail oriented, her bedside manner is excellent, and you can tell she...

"Dr. Walker is an amazing surgeon. She is very detail oriented, her bedside manner is excellent, and you can tell she truly cares about her patients. She is very thorough in her explanations and makes sure you understand."

5 out of 5 stars

"Dr. Walker performed Safe Lipo on me. I am now two weeks post op and I am absolutely pleased with the results. I had...

"Dr. Walker performed Safe Lipo on me. I am now two weeks post op and I am absolutely pleased with the results. I had no complications during surgery and my recovery was way easier than I anticipated. Dr. Walker is a genius! She is an artist! From my initial consultation to my most recent post-op follow-up, her staff has been respectful, informative, and all around great! I highly recommend her. Don't waste your time with anyone else. See Dr. Walker for your cosmetic surgery needs. She's the greatest!"

5 out of 5 stars

"Life changing! Literally the best decision in my life was to put faith into Dr. Walker and her team for my breast re...

"Life changing! Literally the best decision in my life was to put faith into Dr. Walker and her team for my breast reduction. They're so compassionate and care so much about achieving your vision as natural and beautiful as possible. Even the aftercare is just as attentive. Save yourself the time and highly consider Dr. Walker when you're looking for someone who actually makes you feel heard and not just another patient walking through the door."

5 out of 5 stars

"Your search is over! Dr. Walker and her team, Jackie, Madison, and everyone else, are absolutely incredible. Dr. Wal...

"Your search is over! Dr. Walker and her team, Jackie, Madison, and everyone else, are absolutely incredible. Dr. Walker's ability to listen to your personal needs and make suggestions based on her artistry and experience make her the best in my book. In our first appointment, she talked me through everything for over an hour and made me feel extremely comfortable with the whole process. Any questions or concerns I had, the team answered around the clock, since they have the office phone connected to a texting service that goes right to their phones. They never miss a single question. I cannot recommend this team enough. My results are even better than what I thought they were going to be, and I'm currently only three weeks out. I can't wait to see myself at three months! Thank you, thank you, thank you, Dr. Walker, for giving me a new outlook on life and a new confidence I didn't know I had. I appreciate you and your team more than you know!"

5 out of 5 stars

"Dr. Walker is nothing but fantastic! I've been going to her for my Botox for several months now, and the results are...

"Dr. Walker is nothing but fantastic! I've been going to her for my Botox for several months now, and the results are the best I've ever had. The entire process is seamless and professional from start to finish. I've tried several different injectors, and Dr. Walker is by far the best, especially in the areas of aesthetic appearance and longevity. She doesn't attempt to push more product on you, but instead works with you within your price range and goals. I highly recommend Dr. Walker for all your beauty and cosmetic needs. I will be a forever customer, she is amazing!"

5 out of 5 stars

"I love Dr. Walker's office! She's amazing, and is so warm, professional, and detailed in her approach. Her office st...

"I love Dr. Walker's office! She's amazing, and is so warm, professional, and detailed in her approach. Her office staff is super friendly, which honestly matters a ton in today's world. Excellent patient experience, and would highly recommend it."

5 out of 5 stars

"I got a breast augmentation and I'm absolutely in love with the results. If I could give this place 100 stars I woul...

"I got a breast augmentation and I'm absolutely in love with the results. If I could give this place 100 stars I would! Everyone here is so warm and welcoming, from the receptionists to the assistants to the injectable nurses and the lovely surgeon, Dr. Walker. They really are an amazing team. Nothing but positive things to say about my experience here. If you are looking to get any procedure done, I would highly recommend coming here if you want the best of the best. I am so happy with my results! Thank you, Plastic Surgery Center of Dallas!"

5 out of 5 stars

"I absolutely love everything about this office! I am a regular client and love my Botox results. One of the best dec...

"I absolutely love everything about this office! I am a regular client and love my Botox results. One of the best decisions I have ever made. I happily make the 40-minute drive and won't go anywhere else. If you want a staff that will remember your name, a pristine facility, and a doctor you can honestly trust, this is the place!"

5 out of 5 stars

“Obsessed! The results are perfect but getting there has been just as good. It’s so important to feel comfortable and...

“Obsessed! The results are perfect but getting there has been just as good. It’s so important to feel comfortable and confident with the surgeon and staff. Dr. Walker made me feel so sure of our plans and Sarah Stanford, BSN, RN needs 5 stars all on her own as well. I didn’t expect to need to feel so comfortable with the nurse but she has made my experience so pleasant. The entire staff is exceptional.”

5 out of 5 stars

“I cannot recommend this office enough!! From the level of knowledge and understanding I received during my consultat...

“I cannot recommend this office enough!! From the level of knowledge and understanding I received during my consultation with Dr. Walker, to the care and amazing talents of Katelyn- everything was beyond my expectations! Katelyn took her time explaining and showing me what areas would improve with treatment, but also didn’t make me feel forced with the treatment options. She spoke to me in a way that not only I could understand, but in a way that made me feel almost like a friend! I cannot rave enough about Katelyn- and will be making the drive to see her with any injections I need or want in the future, and I cannot wait to schedule my procedure with Dr. Walker. If you want a truly judgement free, woman friendly environment this is the place to go!! Also Izzy and Savannah were so friendly and helpful!!”

5 out of 5 stars

“My experience here was amazing! The whole staff was very kind, welcoming, and genuinely took the time to explain eve...

“My experience here was amazing! The whole staff was very kind, welcoming, and genuinely took the time to explain everything clearly and answer all of my questions/concerns (also love that it’s an all woman team). Dr. Walker’s work is astounding, I’m in love with my results. I had a breast augmentation and she gave me exactly what I asked for from my inspo pictures. Overall just a positive experience from beginning to end, Highly recommend!!”

5 out of 5 stars

“So glad I came to Dr. Walker's office for my procedure. The whole experience has been so easy & everyone has bee...

“So glad I came to Dr. Walker's office for my procedure. The whole experience has been so easy & everyone has been so friendly. I never once felt embarrassed when going through the initial consult. The morning of the surgery, the staff were the best at making you feel comfortable and safe. Everyone is professional. I have never been so at ease while being naked in a room full of strangers!! Communication has been amazing too. I highly recommend this facility for anyone thinking of having any procedures done!”

5 out of 5 stars

“Dr Walker makes sure from The first visit all the way until the last that you feel important and comfortable with he...

“Dr Walker makes sure from The first visit all the way until the last that you feel important and comfortable with her office and staff! Everyone she has hired has the same Kind of drive and vision and supports Doctor walkers vision in doing good work, staying true and fair, reasonable with the cost and taking pride in her work, making sure you as her patient receives concierge care! Dr Walker has the hands of an artist and takes pride in her masterpiece. No body anatomy is the same and she had a great teacher who taught her all the ways to love and admire her job, work and making others feel confident without looking botched!”

5 out of 5 stars

“I had a great experience at Plastic Surgery Center of Dallas. The patient coordinator, Savannah, was incredibly resp...

“I had a great experience at Plastic Surgery Center of Dallas. The patient coordinator, Savannah, was incredibly responsive and quick to answer all my questions, which made the whole process feel smooth and stress-free. Not to mention, Dr. Walker gave me exactly what I wanted with my breast augmentation. My results exceeded my expectations! The esthetician, Nyza, was extremely knowledgeable, and the injector Katelyn was warm and friendly. I felt comfortable & supported within each interaction. Thank you kindly to Dr. Walker and the whole women dream team at PSCD!”

Banner media

What Is an Internal Bra in Breast Revision?

An internal bra is a technique Dr. Walker may use during breast revision to give your implants added support from the inside. When the tissue around an implant has stretched or weakened, often from larger implants, weight changes, pregnancy, or aging, the implant can drift out of position. An internal bra reinforces the lower and outer parts of the breast pocket so the implant stays where it belongs. Depending on your needs, the internal bra may be created with permanent sutures that tighten and reshape the existing pocket, with a soft surgical mesh or tissue matrix placed beneath the implant for extra support, or with a combination of both. Over time, your body’s own tissue grows into the supportive material, creating a stronger foundation. An internal bra can help correct issues such as:

  • Synmastia, when the implants move too close together in the center of the chest
  • Bottoming out, when the implant sits too low on the chest
  • Implants that shift toward the armpits when lying down
  • Asymmetry caused by uneven implant position

Because it is performed through your existing incisions in most cases, an internal bra typically adds little to your recovery. Dr. Walker will let you know during your consultation whether this technique could help you achieve a more stable, long-lasting result.

What to Expect From Your Results

After your breast revision surgery, you can expect improved breast shape and symmetry. Many patients see a more natural, balanced appearance. Remember that the healing process takes time – the initial swelling and settling of the implants can last several weeks or months. Your final results will become more apparent as the swelling subsides. Due to the complex nature of breast revision surgery, Dr. Walker will spend a good deal of time with you discussing options and expected outcomes, all with the goal of setting realistic expectations for a satisfying outcome.

Correcting Complications From Large Implants

Some corrections simply involve expanding an incomplete pocket and replacing implants with a better size. In other cases, breast revision requires a more complex approach, especially when dealing with over-dissected pockets or pockets that have stretched and become distorted by large implants. Larger implants tend to cause more tissue distortion and can lead to complications over time. Corrective surgery may involve a combination of techniques, such as:

  • Breast lifting to restore a natural position
  • Skin tailoring to adjust for excess skin
  • Downsizing implants to reduce strain on the tissue
  • Removal of internal scar tissue
  • Internal modification of the pocket to reshape and tighten it

These surgeries are often less predictable and may require patients to accept certain compromises, such as implant downsizing, in order to balance their appearance. Since each case is unique, a detailed consultation with Dr. Walker is essential to determine the best course of action for your specific situation.

Banner media

Breast Implant Holiday: A Different Approach to Breast Revision Surgery

Why Dr. Rachel Walker May Recommend an Implant Holiday

For some women considering breast implant revision, achieving their desired results may require more than simply exchanging one implant for another. When downsizing breast implants, Dr. Rachel Walker may recommend an implant holiday — a period of time without breast implants to allow the breast tissues and skin envelope to adjust before considering placement of smaller implants.

Over time, breast implants can stretch the surrounding skin and breast tissues. When a patient chooses to downsize, the existing breast pocket may be larger than necessary for the new, smaller implant. In select cases, temporarily removing the implants can give the tissues time to settle and may help create a more suitable foundation for future implant placement.

Why Consider an Implant Holiday?

An implant holiday may be an option for patients who are considering smaller breast implants and want to address changes that have occurred over time. Depending on a patient's anatomy, tissue quality, and surgical goals, Dr. Walker may recommend this staged approach to help optimize the conditions for a future breast implant exchange.

Potential considerations include:

  • Allowing the breast tissues to adjust: Gives the skin and surrounding tissues time to settle after implant removal.
  • Preparing for smaller implants: May help address the mismatch between an existing breast pocket and a smaller implant.
  • Supporting individualized surgical planning: Allows Dr. Walker to evaluate how the breasts heal and change before determining the next step.
  • Prioritizing long-term results: Provides an opportunity to reassess breast shape, skin laxity, and implant options before proceeding with another surgery.

Is an Implant Holiday Right for You?

An implant holiday is not necessary for every breast implant revision. The recommendation depends on several factors, including your current implant size, desired implant size, breast tissue quality, skin elasticity, existing pocket dimensions, and overall surgical goals.

For some patients, a direct implant exchange or another revision technique may be appropriate. For others, a staged approach may offer advantages. Dr. Walker will evaluate your individual anatomy and discuss the potential benefits, limitations, and risks of each option.

Personalized Breast Implant Revision in Dallas, Texas

At Plastic Surgery Center of Dallas, Dr. Rachel Walker takes an individualized approach to breast revision surgery. Her goal is to help patients understand their options and develop a surgical plan that reflects their anatomy, preferences, and long-term goals.

If you are considering downsizing your breast implants or exploring options after years of having implants, a consultation with Dr. Walker can help you understand whether an implant holiday may be appropriate for you.

Ready to explore your options?

Contact Plastic Surgery Center of Dallas to schedule a breast implant revision consultation with Dr. Rachel Walker.

*An implant holiday is not appropriate for every patient and does not guarantee a particular surgical outcome. Treatment recommendations are made following an individualized consultation and medical evaluation.*

Why Choose the Plastic Surgery Center of Dallas?

The Plastic Surgery Center of Dallas is led by board-certified plastic surgeon Rachel Walker, MD. Dr. Walker is a detail-oriented surgeon who takes the utmost care in performing revision procedures. Her training and skill combine to achieve excellent results that support optimal breast shape for each patient. Our AAAASF-accredited surgical suite combines the advanced equipment of a hospital operating room with the convenience and privacy of an office setting, making it the perfect choice for your breast revision surgery.

Is Breast Revision Painful?

The surgery itself will not be painful. Recovery from your breast revision surgery may be shorter and less painful than what you experienced after your initial surgery, depending on the specifics of your procedure. 

Expect to feel swollen and sore at first. Your incisions will be dressed, and you may be placed in a support garment. Remember not to rush the recovery process; patience is key to getting the best outcome.

Will My Breast Revision Cause More Scarring?

Dr. Walker carefully plans each breast revision to minimize additional scarring. In most cases, she uses the same incisions from your previous surgery to avoid creating new scars. However, if your revision includes a breast lift or other adjustments, additional incisions may be needed, which could result in new scars. That said, Dr. Walker takes special care to place incisions in areas where scars will be less noticeable. Over time, with proper care, your scars should fade and become less visible.

Banner media

How Long After My Initial Breast Augmentation Should I Wait Before Considering Breast Revision?

Generally, you should wait at least six to 12 months after your initial breast augmentation before you consider a revision. This waiting period allows ample time for your body to heal and the implants to settle into their final position. During this time, any swelling or changes in breast shape will subside and give you a clearer idea of the final results. Then, you can make a more informed decision about whether or not you want a revision.

women's chest up close

What Are the Risks Associated With Breast Revision Surgery?

Breast revision surgery, like any procedure, comes with some risks, including:

  • Infection
  • Scarring, which can vary in visibility
  • Implant rupture or deflation
  • Changes in nipple or breast sensation
  • Capsular contracture (scar tissue around the implant)

Dr. Walker will explain these risks during your consultation and take the necessary steps to mitigate them.

Can I Switch From Silicone to Saline Implants During a Revision Surgery?

Yes, you can switch from silicone to saline implants during a revision surgery. Many women choose to change the type of implant for various reasons, including:

  • Personal preference
  • The feel of the implants
  • Medical concerns

During your consultation, Dr. Walker at the Plastic Surgery Center of Dallas will discuss the benefits and potential drawbacks of each type of implant.

Background media

How Do I Choose the Right Size and Type of Implant for My Revision?

Choosing the right size and type of implant for your breast revision can be daunting. This decision involves several factors, including:

  • Your body type
  • Your skin elasticity
  • Your existing breast tissue
  • Your aesthetic goals
  • Issues experienced with your initial implants (such as rupture or capsular contracture )

Dr. Walker will use this information to recommend implant sizes and types that will provide the best results. She will listen carefully to your concerns and help you make the right choice for your needs and preferences.

Contact us media

Can Breast Revision Fix Issues Caused by Weight Fluctuations After My Initial Surgery?

Yes, breast revision surgery can address issues caused by weight fluctuations. Significant weight changes can affect how your breasts look and cause problems like:

  • Asymmetry
  • Sagging
  • Changes in implant position

During a breast revision, Dr. Walker can correct these issues by repositioning the implants. She can also adjust their size or incorporate a breast lift if necessary.

What Is the Difference Between Breast Revision and Breast Reconstruction?

Breast revision and breast reconstruction are distinct procedures with different objectives. Breast revision is performed to correct or improve the results of a previous breast augmentation. This might involve changing implant size or type, addressing complications, or improving aesthetic outcomes.

On the other hand, breast reconstruction is typically performed after a mastectomy or injury to rebuild the breast. This procedure aims to restore the breast’s appearance, often using implants or tissue from other parts of the body.

Banner media

How Long Do the Results of Breast Revision Surgery Last?

The results of breast revision surgery can last for many years, but the longevity of your results depends on several factors, including:

  • Implant type and quality: Modern implants are durable and long-lasting, but they are not designed to last a lifetime. You may need additional revisions in the future if issues arise.
  • Your body: Weight fluctuations, pregnancy, and aging can all impact the appearance of your breasts over time.
  • Surgical technique: Dr. Walker’s advanced techniques and attention to detail help create lasting results.

While breast implants typically last 10-20 years, some patients may never require another revision, while others may need future adjustments depending on their body's changes or personal preferences.

Long-Term Maintenance After Breast Revision

To preserve your breast revision results, attend regular checkups with Dr. Walker. Maintaining a stable weight and a healthy lifestyle helps prevent changes in breast shape. Keep an eye on your implants for any signs of complications, such as discomfort or changes in appearance, and follow your routine self-exams and mammogram schedule to make sure your implants and breast tissue stay in good condition.

Can Breast Revision Surgery Be Combined With Other Procedures?

Yes, breast revision can be combined with other procedures, such as a breast lift to correct sagging, liposuction for body contouring, or a tummy tuck for a more comprehensive transformation. Fat grafting is also an option to enhance breast volume. Dr. Walker will work with you to create a personalized plan, allowing you to achieve multiple aesthetic goals in one surgery.

Banner media

Call Dr. Walker for Breast Revision & Implant Correction in Dallas!

If you have questions about breast revision surgery or you feel ready to move forward with the procedure, do not hesitate to book a personalized consultation with Dr. Rachel Walker. 

Call 972-661-5077 or use our email contact form. Our office is located in Dallas, TX, and we look forward to serving you!

Resources:

Schedule a Consultation Today

women laying down on the floor posing

Plastic Surgery Center of Dallas Schedule a Consultation

Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (972) 661-5077.
Contact Us