Breast Revision

Farbod Esmailian | Plastic Surgery


At our practice in Orange County, breast revision surgery is performed to correct or adjust the results of a patient’s original breast augmentation surgery. Statistically, breast implants last an average of ten years; however, this number can vary significantly based upon the specifics of each patient’s case. Women who elect to undergo a secondary breast surgery revision can generally be divided into two categories:  patients who have experienced a shift in their original aesthetic breast surgery goals, and patients who have experienced complications with their original breast surgery. 
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It is completely natural for one’s aesthetic goals to shift and change with time—some women may have selected a particular size implant during their original surgery and now find that that this implant is prohibiting them from achieving the aesthetic look they currently desire.  The FDA statistic stating that 37% of all breast revision surgeries in the United States are performed on women desiring larger implants provides concrete evidence of one example of the “shifting aesthetic goals” trend in breast revision surgery.

Women motivated by shifting aesthetic goals generally seek out revisionary surgery in order to:

  • Change the type of implant (switching from saline to silicone) because of rippling problems, or wanting a softer, more natural-feeling implant
  • Remove the breast implants, which is sometimes performed in conjunction with a breast lift
  • Select smaller implants
  • Select larger implants

Physical complications such as capsular contracture make up the second group of factors influencing breast revision surgery. Breast implants do not come with a lifetime guarantee (although most breast implant manufacturers now offer extended warranties on their implants), and over time, medical and/or physical issues may arise that make a breast revision surgery a medical necessity.

Women motivated by physical/medical implant complications undergo revisionary breast surgery to correct:

  • Implant deflation or rupture
  • Capsular contracture – a hardening of the breasts, caused by scar tissue around the breast implant. This issue is the most common reason for breast revision surgery, and requires the removal of scar tissue through a capsulectomy or capsulotomy.
  • Implant malposition or symmastia resulting in the incorrect positioning of the implants on the chest wall, causing them to shift and “ride high”(superiorly), “bottom out”(inferiorly), move too close together (medially), or fall outward into the axilla (laterally)
  • Negative breast changes that have occurred after substantial weight loss, pregnancy, or age-related aesthetic breast changes
  • Asymmetrical breasts, or unnatural-looking nipples after breast reconstruction following mastectomy

Breast augmentation revision surgery is often more complex than the primary breast augmentation procedure, and should only be performed by a board-certified plastic surgeon with extensive experience in this specific field. At our plastic surgery practice, Dr. Farbod Esmailian M.D., is a double board certified plastic surgeon who has helped countless women of Orange County with breast revision to improve upon their original breast augmentation surgery, enabling them to fulfill their current aesthetic goals, and resolve their breast implant complications.


Dr. Esmailian believes in helping his patients make truly informed decisions, and will take the time to thoroughly discuss your breast revision surgery in Orange County, helping you to select the best procedural choices to bring your surgical goals to fruition. If you would like more information about breast revision surgery, please contact our office. We are happy to answer any and all of your questions, and to schedule an initial consultation with Dr. Esmailian.