Breast Implant Revision

Breast implant exchange focuses on replacing existing implants with a different size, shape, or type — typically to update or refine results. Breast implant revision is a broader term that addresses specific complications or concerns such as implant malposition, capsular contracture, bottoming out, double bubble deformity, or rippling. Revision surgery often involves multiple techniques — including implant exchange, capsulectomy, capsulorrhaphy, breast lift, or fat grafting — to correct the issue and restore a natural, balanced result.

Capsulorrhaphy is a surgical technique that reshapes or tightens the implant pocket using internal sutures. It is used when the implant has shifted from its original position — sitting too low (bottoming out), drifting to the side, or sitting too high. By tightening the capsule, Dr. Jacobson can guide the implant back into a more ideal position, improve breast symmetry, and stabilize the implant to prevent future malposition.

A double bubble deformity occurs when the natural inframammary fold (the crease beneath the breast) and the implant pocket do not align properly, creating two distinct contours beneath the breast. This can happen when the implant pocket is created too low or when the implant descends past the natural fold. Correction may include repositioning the implant pocket, releasing or redefining the breast fold, implant exchange, or combining revision with a breast lift when necessary.

Yes. Fat grafting can be a valuable tool during breast implant revision. It can be used to smooth contour irregularities, improve implant coverage in areas where breast tissue is thin, reduce visible rippling, and enhance the overall softness of the breast. Fat is harvested from another area of the body using gentle liposuction, purified, and carefully injected into the breast tissue to refine the result.

Recovery depends on the specific procedures performed. Most patients experience approximately 5–10 days of downtime and return to desk work within about one week. A supportive surgical bra is worn for approximately 4–6 weeks. Strenuous exercise should be avoided for 2–4 weeks with lifting restrictions for approximately 4–6 weeks. Most patients resume full activity at about 6 weeks post-surgery. Final breast contour is typically visible at approximately 3 months as swelling resolves and implants settle into their final position.

Many patients seek revision surgery to address concerns from a previous breast augmentation performed elsewhere. During your consultation, Dr. Jacobson will review your complete implant history, evaluate your current anatomy — including implant position, tissue thickness, skin elasticity, and capsule condition — and develop a personalized revision plan tailored to your goals. The objective is to correct the specific issues and create a result that looks natural, proportionate, and balanced with your body.