Breast Revision (Exchange/Removal) – Capsule Removal for Breast Implant Illness – Newport Beach, CA

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About Breast Revision Surgery

Being one of the most popular cosmetic surgeries in America, breast augmentation has been documented with terrific outcomes and pleased patients. However, sometimes there are women who have issues with their surgery and want to have a revision surgery. You may think that practitioner error is the only reason why a woman would want to change her breast after a primary breast augmentation. It is important to note not all revision surgeries are due to having a plastic surgeon who made a mistake. While there are a few surgeries that do end with an unpleasing outcome, there are women who wish to exchange an implant or select a different size. Then, there are also women who have a visible irregularity or a medical condition and would like to have the revision to take out the implants out altogether. Newport Beach, CA plastic surgeon Dr. Karen Leong offers breast revisions to her patients and gives a thorough exam so that the right outcome is attained. She accepts patients requesting capsule removal (with or without breast implant illness or capsular contracture). If you have concerns with your augmented breasts, please contact one of our offices in Newport Beach for an appointment. Dr. Leong looks forward to meeting you and seeing how she can improve your condition with a breast revision.

Breast Revision Ideal Candidates

If you have any concerns (whether medical or aesthetic) about your breast implants, please schedule a consultative appointment with Dr. Leong to go over your wants and needs and to develop your personalized plan for breast revision surgery. Whether it is scarring, drooping, sagging, rippling, or asymmetrical breasts, revision surgery can help correct the problem. This procedure can also help if you are wanting to change size, implant styles, pocket placement, or address any other aspect of your breasts.

Common Reasons for Revision

Breast revision surgery either takes out an implant that no longer functions or is no longer wanted. Breast revision surgery may also be performed to switch implant size or go from an implant to a fat transfer (or vice versa). There are a few other common cases in which a revision surgery is desired or required:

Implant Rupture

Even though this is rare, implant rupture can possibly occur. If a saline implant type ruptures, deflation will take place almost immediately. Therefore, a visible change will occur. On the other hand, if the implant is silicone based and ruptures, it is only seen through an MRI. Whether silicone or saline, if a rupture happens, a revision procedure will be required.

Capsular Contracture

This is the term used for scar tissue hardening, occurring when the delicate tissue around the saline or silicone implant becomes hard and thickens. Although many implant surgeries do result in some internal scar tissue, most women will never see or feel it. In some cases, the scarring could interfere with implant placement, which can change the breast shape and implant functionality and deliver an undesirable outcome. Capsular contracture surgery to remove scarring would be recommended.

Breast Implant Illness

Breast implant illness is a concern for women because of the possible illnesses and conditions related or triggered by a silicone implant. Augmenting the breast with a silicone implant has been closely monitored and researched for decades. There is always a possibility of practitioner error or something happening during the surgery to impact the breast and implant. Also, breast implants are manufactured with labels warning women with preexisting autoimmune diseases. Why? It has not been determined if a silicone implant initiates or intensifies the symptoms of autoimmune diseases. Researchers are still working on the answer about what is behind breast implant illness. If you are concerned you may have an illness because of your implants, please schedule an appointment with Dr. Leong so that she can talk you through your symptoms and make recommendations to help you feel well again.

Bottoming Out

Bottoming out is a condition that happens when one or both breasts drop too low or "bottom out." In many cases this is a case of a positioning error from the first surgery. To modify this, a new placement approach may be needed. In some cases, tissue grafting most likely will be needed, as well as a surgically formed pocket to hold the new implant. For most women, going to a silicone implant usually will solve this problem.


Symmastia is a condition that takes place when implants are inserted and placed too close together. In most cases, this is because the implant used was the wrong shape and width. A revision treatment will correct this problem by selecting an implant that fits your body type and looks pleasing to the eye.

Implant Rippling

This condition occurs when there are obvious rippling and wrinkles beneath the skin. This irregularity generally forms just along the edging of the implant. Rippling is more common in patients who are of low body weight. Often, this condition can be fixed by simply changing to a silicone implant.

Breast Size & Asymmetry

There are times a secondary breast surgery is as simple as receiving a smaller or larger sized implant. With the original surgery, you may have opted to go too conservative or gone a bit too large. A new breast implant size can be used to reach the desired outcome. Asymmetry occurs when the implant sizes look disproportionate. This is because of a wrong size implant, or ptosis on one side, or another condition that may cause asymmetry. A proper diagnosis would need to be made to determine what is leading to the asymmetry, then surgery would be needed to correct the problem, and finally, new implants would be positioned to create a symmetrical result.

Pocket Revision

A breast augmentation pocket revision is about relocating the placement of the implant. If the original implant was placed in a pocket under the muscle, then the pocket can be made above the muscle for a pocket revision. Implants can also be exchanged and any scar tissue removed.

Breast Revision Surgical Technique

Revision breast surgery is performed in an accredited surgical facility under a general anesthesia and may take longer in the operating room than the primary breast surgery. The surgical technique for a breast revision surgery is determined by what needs to be accomplished. Dr. Leong will explain the steps, techniques, and more during your surgery planning session. She wants what is best for you and your health.

What to Expect with Breast Revision

Recovery from a revision surgery varies based upon the complexity. Revision surgery that warrants complex revision techniques will need a longer recovery period that could possibly take up to several months. Patients will begin to see their newly revised outcomes once the swelling begins to disappear. The goal following breast revision surgery is to reach a result that is both natural looking and healthy. Dr. Leong will follow-up with you regularly after the procedure to help guide your treatment, monitor your healing skin, and answer your questions as needed.

Breast Revision Frequently Asked Questions

How much does breast revision surgery cost?
The cost of breast revision surgery can vary greatly depending on what needs to be done. During your consultation, Dr. Leong will listen to your concerns and goals before performing a physical exam to assess your implants. Then, she can talk about your options before developing your surgical plan. The cost of revision surgery will depend on the complexity of the procedure, as well as what you choose for your new implants. It is best to focus on getting the results you want and finding an experienced plastic surgeon rather than the cheapest option. To help make your surgery easy to afford, Dr. Leong accepts many different payment methods and we can help you find low-interest financing.

What if Dr. Leong wasn't my original surgeon?
Dr. Leong can perform your revision surgery even if she wasn't the surgeon who did your original breast augmentation. Breast revision surgery can be more complex than the original augmentation if you want dramatic changes or have problems, so it's best to find a plastic surgeon like Dr. Leong who has the experience and advanced training in breast surgery. Dr. Leong also welcomes her patients to return to her for revision surgery after their augmentation surgery if you have a problem or want a change.

What about loose skin?
If you are having your implants removed or are changing to a significantly smaller size of implants, you may need to have excess skin removed during your surgery. After listening to your goals and assessing your current implants, Dr. Leong can discuss the need for a breast lift to remove loose skin. If you lose a significant amount of weight, become pregnant, or breastfeed after augmentation surgery, a revision with a lift can help you get better results.

Will there be new scars?
When possible, Dr. Leong will make incisions for revision surgery in the original augmentation incisions. However, if this is not possible, she will place the new incisions where they will be less visible. Breast revision surgery typically uses a transaxillary incision (through the armpit), a periareolar incision (on the lower edge of the areola), an inframammary incision (under the fold of the breast), or a TUBA incision (through the belly button). Dr. Leong or a member of her team will go over scar care management so your incisions heal smooth and blend into your skin.

Do I have to change my implants?
While implants can last a long time, they do need to be replaced at some point. After augmentation surgery, it is important to have your implants checked regularly so Dr. Leong can help you decide when your implants should be replaced. With so many advances in the medical field, you may want to consider the newest implant shapes and types to achieve your best look during breast revision surgery.

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Average Cost  
From $8,600
Recovery Time  
2 – 4 Weeks
Average Procedure Time  
2 – 3 Hours
Post-op Follow-up  
3 – 6 Months
Procedure Recovery Location  
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Breast Revision Changing Your Mind?

It is okay if you change your mind about your current breast augmentation. Revision surgery for breast implants is a tailored for your aesthetic goals by plastic surgeon Dr. Leong. If you notice a visible defect in your breast implants or desire a different outcome, we welcome you to get in touch with our Newport Beach, CA office to make your appointment. There are so many factors to think about and Dr. Leong will perform a full breast assessment, create your revision treatment plan, and help set realistic expectations.

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