Breast Implant Revision


There are a number of reasons why a patient may require a breast implant revision. The most common is actually not due to a complication such as rupture or capsular contracture. The main reason that women come in to discuss breast augmentation revision surgery is because they are unhappy with the size and position of their breast implants. For some women, they notice this dissatisfaction immediately after surgery. Their original implant feels too big or too small. For others, however, this dissatisfaction may develop over time, especially if their body has changed since the time of their original implant surgery.


Breast implant revision requires a thorough consultation prior to surgery to discuss reasons for revisions and desired outcomes. Common reasons for revision are:

  • Dissatisfaction with size or shape of original implants
  • Rupture or deflation of the implant
  • Implant malposition 
  • Changing aesthetic with age
  • Capsular contracture
  • Asymmetry
  • Old implant that needs to be updated or switched from saline to silicone
  • Problem with the implant (pain, sagging, rippling)


There is no rule that says implants need to be exchanged after 10 years, though nothing lasts forever and tastes do change. Replacing a breast implant for another size or type may be a simple exchange through your original breast augmentation incision assuming that your skin and tissues are healthy. Pregnancy, breastfeed, weight gain/loss, menopause, and general aging can affect the appearance and position of old implants and may require additional considerations, such as a breast lift, for proper revision. 

Patients who are experiencing problems with the appearance of their breast implants from capsular contractions may require excision of the capsule to achieve the best possible cosmetic result. All of these options will be discussed with you in detail during your initial consultation


During consultation, Dr. Bindewald will listen closely to what is bothering you about the look and feel of your breast implants. He will perform a thorough physical examination, take measurements, and assess the underlying cause of the concern as well as offer the best procedure for achieving your desired goals. Some deformities may not be entirely correctable due to a permanent change in your anatomy from your original surgery. Dr. Bindewald will always be honest about what he can and cannot achieve, so that you know what to expect after your surgery.

For more information on Breast Revision Surgery or to find out if it’s the right procedure for you, call the San Antonio Plastic Surgery Center at (210) 616-0798 or Request a Consultation

Why Choose Dr. Bindewald?

Board Certified plastic Surgeon who listens and cares Dedicated to achieving superior cosmetic outcomes Top priority given to patient safety Trusted and experienced with excellent outcomes Experienced and caring staff

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