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Breast Revision

Breast Revision in Las Vegas, NV

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About Breast Revision Surgery

Breast augmentation using implants is one of the most popular cosmetic procedures in the United States, and in many cases, produces terrific outcomes. Unfortunately, sometimes a patient can be dissatisfied with the appearance of her breasts and at some point may want breast revision treatment. Keep in mind not all revision treatments are because of practitioner error. While few breast augmentations do end with an unpleasing outcome, there are individuals who wish to have a larger or smaller implant, while some may have a visible irregularity and would like to have the implant corrected or removed all together. Furthermore, some women must have revision treatment due to a particular condition. Las Vegas, NV plastic surgeon Dr. Christopher Costa offers breast revision surgery after giving an in-depth exam at Platinum Plastic Surgery so that the appropriate outcome is attained. He can help you receive your desired results that you may not have experienced through your previous breast enhancement procedure. Dr. Costa and his team work with you to understand what specific areas of the breast you are wanting to revise before then creating a personalized treatment plan to achieve those goals. 

Ideal Candidates

Should you have any complications (either medical or aesthetic) after breast augmentation surgery, please make a consultative appointment with Dr. Costa to go over your wants and needs and to develop your personalized plan for breast revision surgery. Whether it's scar tissue, drooping or sagging, ripples under the skin, or asymmetry, revision surgery can help correct the issue and result in a more normal and properly functioning outcome. This operation may also be appropriate if you are wanting to alter the implant style and size or address another aspect of your breasts.

Common Reasons for Revision

Most commonly breast revision surgery is done for patients who have had their implants for several years and now they have irregularities related to implant migration, stretching of the implant pocket, or stretching of the breast tissue. Breast revision surgery may also be done to either removes an implant that is defective or not functioning or is no longer desired. Breast revision surgery may also be performed to change implant size or go from an implant to a fat transfer (or vice versa). 

Implant Rupture

Even though this is uncommon, breast implant rupture can possibly occur. When a saline implant type ruptures, the implant will deflate almost immediately. Due to this, a visible change in appearance will be noticeable. Meanwhile, if the implant is silicone based and ruptures, it may only seen via an MRI. When silicone implants rupture, it may cause inflammation and hardening of the tissue around the implant, called capsular contracture, or you may notice a different in the feel and size of the breast. Whether silicone or saline, when a rupture occurs, a corrective procedure will be required.

Capsular Contracture

This is known as scar tissue hardening, occurring when the delicate tissue that surrounds the saline or silicone implant becomes thick and hard. Although many implant surgeries do create some internal scar tissue, most women will never see or feel it. In some instances, the hardening tissue could interfere with implant placement, which can change the breast shape and implant functionality and deliver an undesirable outcome. Capsular contracture surgery to reduce scarring would be recommended.


This condition occurs when the implant sizes look disproportionate. This may be due to an incorrect implant size, drooping on one side, or a different condition that may cause asymmetry. A thorough assessment would need to take place to determine what is leading to the asymmetry, then a revision surgery would be needed to resolve the problem, and finally, a new set of breast implants would be positioned to create a symmetrical result.

Bottoming Out

This is a problem that happens if one or both implants bottom out or drop too low. Sometimes this is a case of a positioning error from the original operation. To modify this, a different placement strategy may be needed. For some patients, tissue grafting most likely will be needed, in addition to a surgically formed pocket to securely fit the new implant. For many patients, going to a silicone breast implant usually will solve this issue.


Symmastia is a condition that takes place when breast implants are inserted and placed too closely together. Most often, this is because the breast implant used was the incorrect shape and width. A revision treatment will repair this problem by choosing an implant that fits your frame and looks pleasing to the eye.

Implant Rippling

This condition occurs when you see obvious rippling and wrinkles under the skin. This irregularity typically forms just along the edging of the implant. Rippling is generally found in patients who are of low body weight. Many times, this issue can be fixed by simply switching to a silicone breast implant.

Breast Size

Sometimes a secondary breast surgery is as straightforward as getting a smaller or larger sized breast implant. During the first surgery, you may have opted to go too conservative or gone a bit too large. A different implant size can be inserted to reach the desired look.

What to Expect

Revision breast surgery is performed using general anesthesia. Recovery from a revision surgery varies depending on the revision type. For example, if a different size is being placed, a breast lift may work if less CCs are used to help remove wrinkled or loose skin. Revision surgery that warrants complex revision techniques will need a longer recovery that could possibly last up to six weeks. Patients will slowly start to see their newly revised outcomes once the bruising and swelling starts to disappear. The most important aspect following a secondary breast surgery is to reach a result that is both healthy and natural looking.

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Recovery Time  
1 – 2 Weeks
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Revision surgery for breast implants is a specialized procedure tailored for your aesthetic goals by plastic surgeon Dr. Chris Costa. If you notice a visible defect with your breast augmentation results or desire a different result, we invite you to get in touch with our Las Vegas, NV office to schedule your appointment at Platinum Plastic Surgery. There are many factors to consider and Dr. Costa will perform a full physical assessment, create your revision treatment plan, and discuss realistic outcome expectations.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.