Breast Revision in Dallas, Frisco, Plano TX
About the
Breast Revision Surgery
Breast revision is a procedure performed after an initial breast procedure to correct an unsatisfactory result as a direct result of previous surgery. Often this is because the initial surgeon did not perform the procedure correctly. In such cases, the unfavorable results are immediately seen after the first procedure. Sometimes it is the result of late internal scarring or continuing breast changes after surgery that is independent of the surgeon who performed the procedure. In such patients, there was an initial good cosmetic outcome that has over time given way to an unaesthetic appearance. The exact details of the breast revision procedure vary significantly from patient to patient and are dependent upon the nature of the complication and the patient’s reason for having the surgery.

Implant Exchange (implant removal and replacement) implants from a prior breast augmentation are removed and replaced with new implants. No other internal work is done. This is typically done in patients who were either too large or too small after the first augmentation and have an overall shapely breast without internal scarring or ptosis (breast droop). This can be done on one or both sides.

All patients with implants develop a thin layer of scar tissue called a capsule that lines the tissues that come into contact with the implant. However in some patients (for reasons that are not fully understood) this capsule/scar tissue forms a tight and constrictive band around the breast implant, giving the breasts an overly firm, round appearance or causing the breasts to feel hard, tender, or painful. This is the most common implant-related complication and can be corrected during breast revision surgery with a capsulectomy (release) or capsulotomy (removal) of the scar tissue.
Saline implants feel less natural and can ripple more. However, advantages include the ability to place them through smaller incisions, the possibility of varying the filling volume during placement (adjustability), and a clear indication if an implant has ruptured. When ruptured, the saline is absorbed and the affected side is smaller. It is frequently perceived as the safer alternative. The FDA recommends an MRI screening every few years with gel, but not for saline implants.
- Sideways into the armpit area when the person is lying down
- Fall beneath the breast fold (the fold that marks the junction of the lower part of the breast with the upper abdomen) into the abdomen giving a double bubble appearance ( implant partially above the breast fold forming the first bubble and partially below which is the second bubble)
- Overshoot the inner boundary of the breast and fuse/merge with the other breast forming a unibreast. This is called symmastia (also called uniboob or kissing implants)
Occurs when the implant shifts downward on the chest, gradually lowering and or stretching the natural breast fold.
Implants that sit too high up on the chest. Usually from inappropriate release of the muscle during the initial breast augmentation surgery.
The development of unsightly wrinkles or ripples on the breast mound overlying the implant. All implants have creases/wrinkles and typically these are not seen as the implant is covered by a good volume of breast tissue. However, in patients with thinned out breast tissue these wrinkles are readily seen.
In many patients who had breast augmentation before pregnancy and childbirth, the breasts continue to age and change with these life events. Although the implants may be intact without scar tissue formation, the breasts can become overly saggy with excess skin and the nipples drop down in position.
Many scientific studies estimate the risk of implant rupture at about 1% each year after the original surgery. After about 15 years this translates to a 15% chance of implant rupture.
With time, the patient may feel that the initial implant was either too big or too small. With recent emphasis on breast implant associated lymphoma, many women are removing textured implants and replacing them with smooth implants. Other women had saline implants placed approximately between 1992 and 2006 (when gel implants were taken off the market and not available for implantation) and wish to replace these with gel implants.

How Do I Know If I Need Breast Revision Surgery?
You may need breast revision surgery if:
- Your Appearance Has Changed: Over time, factors like aging, pregnancy, weight fluctuations, or changes in skin elasticity may alter the appearance of your breasts. Revision surgery can restore your original aesthetic or enhance your current look.
- You Are Experiencing Pain or Discomfort: Capsular contracture (the hardened scar tissue around an implant) or implant malposition can cause discomfort, pain, or visible distortion that revision surgery can address.
- You Want to Change Your Implants: Whether considering a different size, shape, or implant type (e.g., switching from saline to silicone), breast revision surgery allows you to achieve your updated preferences.
- You Suspect a Rupture or Deflation: Implant leaks, ruptures, or deflations require surgical intervention to replace or remove the affected implant.
- Asymmetry Is Noticeable: If your breasts have become uneven due to implant shifting or changes in natural breast tissue, breast revision can restore balance and symmetry.
- You Are Dissatisfied with Previous Results: Whether due to surgical technique, healing complications, or changes over time, breast revision can correct aesthetic concerns from a prior augmentation.
Breast revision allows patients to address asymmetry, implant size, or placement issues, ensuring a more balanced and natural look that matches their desired aesthetic.
If you experience discomfort due to implant deflation, capsular contracture, or changes in your breast tissue over time, revision surgery can relieve and restore comfort.
Correcting imperfections or addressing dissatisfaction with previous results can significantly boost self-esteem and body confidence.
Advances in implant technology allow patients to replace older implants with newer options that feel more natural, are safer, or have a longer lifespan.
Breast revision can address complications such as implant rupture, shifting, or capsular contracture, promoting overall health and wellness.
Whether you want to adjust the size, shape, or type of your implants, breast revision surgery is a personalized solution.
Dr. Solomon’s approach to plastic surgery is shaped not only by his advanced medical training but also by his artistic sensibility. Patients appreciate his compassionate bedside manner, meticulous attention to detail, and dedication to personalized care. Recognized by prestigious awards such as D Magazine Best and Patient’s Choice Award, Dr. Solomon is committed to helping patients achieve their ideal outcome with confidence and satisfaction.
Enhanced Breast
If you are unhappy with your breast size and shape, call Solomon Plastic Surgery in Dallas, TX today. We can help you achieve that full, sexy look that you desire and discuss the pros and cons of saline vs. gel implants to see which option is best for you.
Enhanced Breast
If you are unhappy with your breast size and shape, call Solomon Plastic Surgery in Dallas, TX today. We can help you achieve that full, sexy look that you desire and discuss the pros and cons of saline vs. gel implants to see which option is best for you.
Discover expert insights and advanced techniques from Dr. Matthias Solomon, the only plastic surgeon in the Dallas-Fort Worth area certified in both Plastic Surgery and Facial Plastic Surgery. Trained at the world-renowned Mayo Clinic, Dr. Solomon is known for his precision, artistry, and commitment to achieving exceptional aesthetic results.
Conveniently located in Frisco, Texas, our practice proudly serves patients from across the DFW metroplex, including Dallas, Plano, McKinney, and Allen, offering easy access to world-class cosmetic surgery.
Contact Us
For more information on Plastic Surgery and Non-Surgical Medical Spa Procedures and Treatments in Dallas, Frisco, Plano, McKinney, Celina, Prosper and surrounding areas please contact the offices of Board Certified Plastic Surgeon Dr. Matthias Solomon or calling 214-234-0277.
Schedule a
Consultation
At Solomon Plastic Surgery, your aesthetic vision is entrusted to the hands of Dr. Matthias Solomon — a triple board-certified, Mayo Clinic–trained plastic surgeon known for his meticulous technique and naturally elegant results. Experience personalized care and surgical excellence tailored entirely to you. Schedule a private consultation to begin your journey with confidence.