Breast Revision

Plan Your Procedure
Recovery Time:
4-6 Weeks
Post-op Follow-up:
3-4 Days
Recovery Location:

Thousands of women receive breast enhancement procedures every year- and while many patients are happy with their results, there are some patients who, for one reason or another, didn’t quite achieve the look they desired. These women often pursue revision of their breast enhancement procedures. Board-certified Orlando Plastic Surgeon Dr. Armando Soto has years of advanced training and experience in complicated revision breast surgery. Indeed, many patients visit Aesthetic Enhancements Plastic Surgery every year in pursuit of improvement of an unfavorable outcome from prior surgery. In some cases, patients are dissatisfied with the size resulting from their breast augmentation; others require breast revision surgery to replace or exchange their implants due to problems or for an improvement in shape. The breast implants that were perfect for your twenties may not be what you want in your forties. Patients may also undergo this procedure with Dr. Soto because of concern for the age of their implants.

Breast Revision
 Before & After Photos


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Breast Revision
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 8
Case: 1 of 8
Before & After Breast Revision Case 75927 View #2 View in Orlando, FL
Case: 1 of 7

Keep in mind that each patient is unique and your results may vary.

Before & After Breast Revision Case 37920 View #5 View in Orlando, FL
Case: 2 of 7

Keep in mind that each patient is unique and your results may vary.

Before & After Breast Revision Case 42373 View #2 View in Orlando, FL
Case: 3 of 7

Keep in mind that each patient is unique and your results may vary.

Before & After Breast Revision Case 49387 View #2 View in Orlando, FL
Case: 4 of 7

Keep in mind that each patient is unique and your results may vary.

Before & After Breast Revision Case 23313 View #2 View in Orlando, FL
Case: 5 of 7

Keep in mind that each patient is unique and your results may vary.

Before & After Breast Revision Case 28553 View #1 View in Orlando, FL
Case: 6 of 7

Keep in mind that each patient is unique and your results may vary.

Before & After Breast Revision Case 28540 View #1 View in Orlando, FL
Case: 7 of 7

Keep in mind that each patient is unique and your results may vary.

Reasons for Revision Surgery

Breast revision surgery is performed for many reasons, including to remove or exchange old breast implants, for improvement in size and/or shape. Listed below are the most common cases where a patient may be a candidate for this treatment:

Breast Implant Removal

Women who undergo breast augmentation obviously desire an increase in breast fullness. Individual goals for appearance may shift over time, however, with some patients opting to revert back to their natural breast size. Others may want to remove their implants because of health concerns or for other, personal reasons. Breast revision surgery might involve any number of surgical and non-surgical maneuvers to perfect or idealize the shape and size of the breast according to the individual patient’s goals.

Ruptured Implant

Despite the knowledge that implants are safe and leakage rare, it is important to understand that eventually all implants will rupture. When implants filled with saline rupture, the solution will be absorbed by the body, and there will be a noticeable deflation of the breast. In the case of silicone filled implants, the gel will settle where it is originally placed and the only way to verify rupture is with an ultrasound or MRI. This is also the reason why we recommend patients with silicone implants undergo routine ultrasound or MRI scans after a few years, and why Dr. Soto offers these scans at Aesthetic Enhancements.

Capsular Contracture

Because our bodies recognize that breast implants (like pacemakers, artificial joints, and other implants) are not part of us, it is normal for the body to create a capsule of connective tissue around them. It is also normal for the body to want to shrink, or “contract” this tissue over time. Unfortunately, when this contraction is allowed to occur around a breast implant, it will lead to an unfavorable change in shape, and- in advanced cases, even discomfort. This situation can be corrected through revision breast surgery, which will involve removal of the scar tissue and implant. The patient’s goals will then dictate whether a new implant is placed, and any other details necessary to achieve her goals.

Breast Rippling

A noticeable rippling can sometimes be seen underneath or on the side of the breast, especially when a saline filled implant is used. This is generally more common among patients who have very low breast tissue volume, or are very thin.  Although not truly a complication, the rippling and wrinkling can cause an unnatural appearance and is one of the most common causes of patient dissatisfaction when saline filled implants are used. 

Dr. Soto

Dr. Armando Soto

Dr. Soto is a board-certified plastic surgeon who brings an exceptional level of attention, skill, and integrity to every patient and procedure. For more than 15 years, he has helped Orlando women and men look and feel fabulous using innovative yet proven surgical and nonsurgical options.

Meet Dr. Soto

Credentials You Can Trust


Double Bubble Implants

When an implant moves out of the intended pocket, it may cause the appearance of a double breast where a significant crease is noticeable. Implants not properly placed may drop and extend past the breast’s crease or rise, forming an odd volume on top of the breast. Sometimes implants are displaced by severe capsular contracture or tightening of scar tissue. Patients who experience this often pursue revision surgery as this condition progresses over time.

Breast Size & Shape

Breast implants vary in size, texture, shape, and base. Some patients may be unhappy with how the breast looks and may consider a revision surgery to improve the appearance according to preference. It may be a size increase, decrease, or an improvement in shape and position of the breast that they are seeking. Some patients also later realize that they’d rather have silicone instead of saline. All preferences will be considered to modify the breast to your preferences.

Surgical Technique

Revision surgery is tailored according to our patient’s anatomy and her goals. With this treatment, a major correction is done to the enhanced breast in conjunction to scar tissue removal, if necessary, or a breast lift if there is sagging. There are instances when a scaffolding (a tissue matrix device) will be needed to act as an internal underwire if additional support is required. Ultimately, the correction aims to fix the issue that’s the source of the patient’s dissatisfaction.

During/After Surgery

Breast revision surgery is performed with general anesthesia in our internationally accredited surgical facility in Orlando. You may be sent home after an appropriate time in our recovery area, or will spend the night with one of our acute care nurses after your treatment depending on the magnitude of the procedure. It is recommended that you have someone who can drive you home and who can provide support for the first 48 hours. Resumption of activities will depend on the details of your procedure and should be carefully discussed with Dr. Soto. Results are usually seen immediately, but the final outcome will require resolution of swelling and a suitable healing time of approximately 6 weeks.