Why Breast Revision Surgery?
At Elysian Plastic Surgery we specialize in breast revision surgery—a category of advanced procedures designed to correct or improve the results of previous breast surgeries. Whether you are experiencing aesthetic dissatisfaction, implant-related complications, changes over time, or simply want to update your results to better match your current lifestyle or preferences, breast revision is a highly personalized solution that requires technical precision, surgical judgment, and artistic expertise.
Common reasons for breast revision surgery include:
- Implant rupture, deflation, or shifting
- Capsular contracture (hardening around the implant)
- Size or shape dissatisfaction
- Asymmetry or implant malposition
- Synmastia
- Rippling or wrinkling
- Desire to remove or replace implants
- Changes in breast tissue due to aging, pregnancy, or weight fluctuations
DR. BRIAN’S PROCESS
Every revision case is unique, and our approach at Elysian Plastic Surgery begins with a thorough consultation, detailed imaging (when appropriate), and a carefully developed plan that accounts for your anatomy, surgical history, aesthetic goals, and any complications that may be present. Revision surgery may involve one or more techniques, including implant exchange, pocket adjustment, breast lift (mastopexy), or fat grafting for volume and contour refinement.
In many breast revision surgeries, the capsule—the scar tissue that naturally forms around any breast implant—must be addressed to achieve the best possible result. Depending on your individual case, we may recommend one or more of the following techniques:
Capsulotomy: Strategic incisions made into the capsule to soften and release tight scar tissue. Often used to improve implant mobility and reduce firmness, especially in cases of early capsular contracture.
Capsulectomy: Partial or complete removal of the capsule. This is indicated in more advanced capsular contracture, implant rupture, or in cases where the entire implant and capsule need to be removed together (as in some en bloc explant procedures).
Capsulorrhaphy: Tightening or reinforcing of the implant pocket to correct issues like implant malposition, bottoming out, or lateral displacement. This may involve internal sutures or biological mesh, depending on the severity of the problem and tissue quality.
These capsule management techniques are integral to achieving a stable, long-lasting, and aesthetically pleasing result in revision surgery. At Elysian Plastic Surgery, we tailor each surgical plan to your needs—ensuring a balanced, symmetrical outcome that reflects both your vision and our commitment to precision.
