Breast Revision Surgery for Implants in Houston, TX

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WHat Is A Breast Revision?

Breast augmentation using implants is one of the most popular cosmetic surgeries in America, and in the majority of cases, it produces beautiful and natural outcomes. However, sometimes a woman can be unhappy with the results of her breasts and at some point may want breast revision surgery. Keep in mind that not all revision treatments are due to surgeon error. While there are a few surgeries that do end with a poor outcome, there are women who want a larger or smaller implant while some may have a visible irregularity and ask to have the implant corrected or removed altogether. Furthermore, some women must have revision surgery for a unique condition. Houston, TX board-certified plastic and reconstructive surgeon Dr. Aldona J. Spiegel offers breast revision surgery. Call for an in-depth evaluation at Aldona J. Spiegel, M.D. so that the desired outcome is achieved.

DO I Need Breast Revision?

Should you have any trouble (either medical or cosmetic) with your breast implants, please make a consultative appointment with Dr. Spiegel. She will develop a personalized plan for breast revision surgery. You may have scarring, breast drooping, ripples under the skin, or asymmetrical breasts. Revision surgery will change the outcome if you would like to alter the implant style, size, or address another aspect of your augmented breasts.

Reasons for Implant Revision

Here are a few other common situations in which a revision or secondary surgery is desired or required.


Asymmetry occurs when the implants look disproportionate. This is because of an incorrect size implant, drooping on one side, or a different condition that may cause asymmetry. An in-depth evaluation would need to be made to determine the cause of the asymmetry, then a revision surgery would be implemented to resolve the condition, and finally, new implants would be inserted to create a balanced result.

Breast Shape

An implant that is not in a proper position or has shifted over the years may need to be surgically repaired. Contour abnormalities of one or both breasts is a common reason women seek out Dr. Spiegel's breast revision skills.

Breast Size

Sometimes, breast revision surgery is as straightforward as receiving a larger or smaller sized breast implant. During the first surgery, you may have chosen to go too big or too small. A different implant size can be inserted to achieve the desired look.

Capsular Contracture

This is the term used for scar tissue hardening, occurring when the delicate tissue that surrounds the implant becomes thick and hard. Although many implant surgeries do create some internal scarring, most women will never see or feel it. In some situations, the hardening tissue could change the implant placement, which can change the breast shape and result in an undesirable outcome. Scar removal surgery to eliminate scarring would be needed.

Implant placement

Bottoming out is a condition that happens when one or both implants drop too low or "bottom out." Sometimes, this is a positioning and placement error from the original surgery. To correct this, a different placement technique may be considered. For some patients, tissue grafting may be needed, as well as a surgically created pocket to fit the new implant. For most women, switching to a silicone implant can solve this problem.

Also, symmastia happens when implants are placed too closely together. In most cases, this is because the implant used was the incorrect shape, size, and width. A secondary procedure will correct this visible deformity by choosing an implant that is acceptable to your body type and looks proportionate.

Implant Rippling

This condition occurs when there are obvious rippling and wrinkles under the skin. This deformity generally forms around the edge of the implant. Rippling is generally found in females who are very thin. Many times, this issue can be fixed by simply switching to a silicone implant.

Implant Rupture

Even though this is rare, breast implant rupture may occur. If a saline breast implant ruptures, the implant will deflate almost immediately. Because of this, a visible deflation will occur. On the other hand, if the implant is silicone based and ruptures, it is only caught through an MRI. Either way, when a rupture occurs, a secondary procedure will be required.

Revising requires Surgery

Depending on your aesthetic goals after breast revision surgery, you may wish to exchange your implants or have them removed altogether. If this is the case, Dr. Spiegel will perform the surgery in an outpatient setting with general anesthesia and using the initial incision placement to not create more scars.

Instead of using an implant, you may also choose to have an autologous tissue augmentation surgery using your own skin, fat, and tissue from a donor site on your body. Since a breast flap procedure uses your own tissue, there is no risk of implant rupture or capsular contracture. The breast will also grow, shrink, and change with the rest of your body as you naturally age or fluctuate in weight over time.

Following your revision

Following your procedure and an observation period, you will be sent home to start your recovery. The overall recovery varies, depending on the complexity of your surgery. A revision that warrants any type of reconstruction or grafting will incur a longer recovery that could possibly take up to 6 – 8 weeks. You should slowly start to see your surgical results once the swelling starts to disappear. Dr. Spiegel or a member of her team will go over what you can expect while you recover, as well as tips to help speed your healing. You should go to your follow-up visits as often as directed so Dr. Spiegel can assess your recovery and results.

Redefine Your Breast Shape

Revision surgery for breast implants is a customized procedure tailored for your specific needs by Dr. Spiegel. If you're displeased with your breast implants or want a different outcome, we invite you to contact our Houston, TX office to schedule your appointment at Aldona J. Spiegel, M.D. There are numerous factors to consider and Dr. Spiegel will provide you with a full physical exam, create your revision recommendations, and help you set realistic goals and expectations.

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