Breast Revision
Surgery

Revision reasons fall into a few categories. Aesthetic: unhappy with size, shape, position, or symmetry of the original result. Functional: capsular contracture (hardening of tissue around implants), implant rippling, implant malposition, or "double bubble" deformity. Time-related: implants aging out and requiring exchange, or natural tissue changes that have altered the original result.

Patients also come for preference shifts — wanting to go from implants to a natural look (explant), from silicone to saline or vice versa, or from saline to a different size. Every path is possible; the specifics depend on your current anatomy.

Capsular contracture is the most common reason for breast revision. The body forms scar tissue around any implant; when that tissue contracts abnormally, it can cause the breast to feel hard, look distorted, or become painful. The condition is classified Baker I through IV based on severity.

Treatment involves removing the contracted capsule (capsulectomy) and either replacing the implant in a fresh pocket or explanting permanently. Dr. Mata often combines capsulectomy with implant pocket change or acellular dermal matrix support to reduce recurrence risk.

An increasing number of patients are choosing to have implants removed without replacement. Reasons vary: concerns about breast implant illness, preference for a more natural look, or simply feeling done with maintenance. Dr. Mata performs en bloc removal when indicated, removing the implant and its capsule as a single unit.

After explant, many patients benefit from a concurrent lift (mastopexy) to address stretched tissue. Some also consider fat transfer to restore subtle volume without any foreign material. These decisions are made collaboratively based on your anatomy and goals.