What You need to Know about Breast Revision Surgery

Cosmetic Surgery Associates, with offices in Bethseda, MD, and McLean, VA, provides state of the art plastic surgery procedures. Led by board certified plastic surgeons, Dr. Dean Jabs and Dr. Franklin Richards, Cosmetic Surgery Associates is a premier facility for breast augmentation in Virginia and Maryland.

Both doctors have more than 40 years of plastic surgery experience between them. Dr. Jabs has received the “Physician’s Recognition Award” from the American Medical Association. Dr. Richards was voted President of the National Capital Society of Plastic Surgeons in 2002, and is a Fellow of the American College of Surgeons (FACS).

What is Breast Revision?

Dr. Jabs and Dr. Richards are experienced surgeons for breast augmentation in Maryland and Virginia. The procedure has a very high success rate when performed by a qualified and experienced surgeon. However, breast implants do not come with a guarantee of a lifetime. Whether it is silicone or saline implants, they may develop capsular contracture at some stage during their life cycle, requiring a breast revision surgery. Breast revision surgery may also be required for other reasons, even if the implants are fully functional.

Breast implants may typically last for about 10 years, but the period may differ from one patient to another due to various factors. Women may also be motivated to undergo a breast revision, if they wish to replace the older implants with new implants of different size. As a woman goes through age-related changes, it may invoke a change in physical aspirations, necessitating a breast revision surgery. As per the FDA figures, nearly two out of five breast revision procedures in the U.S. are performed on women who need bigger implants.

Common Reasons for Breast Revision

Some of the common reasons why women may seek breast revision procedure are as follows:

  • The existing implants may have ruptured or deflated.
  • The previous implant surgery may have left the patient dissatisfied with implant placement.
  • The patient may have a need to replace implants with larger or smaller ones.
  • The patient may wish to switch from saline to silicone implants, or vice versa.
  • Capsular contracture may occur in the breasts. This involves hardening of breasts due to formation of scar tissue around the breast.
  • Major weight loss, pregnancy, or age related changes may necessitate correction of adverse impact on breasts.
  • The patient may desire to have the breast implants removed.

Ideal Candidates

An experienced plastic surgeon will carefully evaluate the breast condition and patient’s needs before recommending a revision surgery. Suitable candidates will usually have one or more of the following conditions:

  • Leakage of saline implant fluid, causing the implant to deflate.
  • Shell leak in a silicone implant, which may be detected through digital imaging.
  • Patient’s clear goals to change implant size.
  • Patient suffering from capsular contracture or hardening of scar tissue around the implant.
  • One or both implants having moved from their position.
  • Change in breast tissue due to significant weight loss or weight gain.

What happens during breast revision consultation?

The plastic surgeon will seek to understand the patient’s reasons for a breast revision, if it is a voluntary decision. The patient should explain in a candid manner about her desires and aspirations about the appearance of her breasts and the desired breast size. This will help the surgeon suggest the most appropriate choice of implant type and size, and help the patient have realistic expectations from the revision.

In case, the patient is visiting a new surgeon for revision, it is helpful to obtain information on previous surgery and implants from the last surgeon. During the pre-op preparation, the surgeon will evaluate the breast condition and may take discreet photographs for medical records and treatment planning. The surgeon will also examine the breast skin and tissue quality, the current position of areolas and nipples, and every aspect of the existing implants. Sometimes a breast lift may be recommended along with breast revision surgery for best results.

Capsular Contracture

This is a common cause of breast revision surgeries. The reasons for the tightening of scar or capsule surrounding the implant are not precisely know, but it could occur due to trauma around the implant or an infection in either breast, or other reasons. Once capsular contracture is detected, it usually requires a breast revision surgery.

Breast Revision at Cosmetic Surgery Associates

Cosmetic Surgery Associates in Bethseda, MD, and McLean, VA, provides breast augmentation in Maryland and Virginia as well as breast revision procedures. Dr. Jabs and Dr. Richards are highly experienced plastic surgeons for breast augmentation in Virginia and Maryland. They also provide breast revision surgery for patients who may need to replace implants or need the surgery for capsular contracture or other reasons.

If you would like to learn more about plastic surgery procedures performed by Plastic Surgeons Franklin D. Richards, M.D. and A. Dean Jabs, M.D. and Keshav Magge, M.D.  please visit http://cosmeticplastics.com/  or  http://breastaugmentationmd.com/

Serving Northern Virginia, Washington DC, McLean VA, Bethesda MD, Fairfax, Alexandria, Rockville, Potomac, Chevy Chase, Loudoun County and surrounding communities.


  • Share: