Breast Implant Exchange (Revision)

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Breast augmentation patients want to enjoy their investment and be happy with their results. If previous breast surgery is keeping you from looking or feeling your best, Dr. Sarah Mess can help. A board-certified plastic surgeon with membership to the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS), Dr. Mess has the experience and training to correct previously augmented breasts to reveal the outcome patients have desired all along. She specializes in breast implant revision procedures at her Columbia, Maryland, practice and provides her patients with beautiful, natural-looking results.

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Breast Implant Revision Surgery in Columbia, Maryland

Breast augmentation (“augmentation mammaplasty”)is a surgical procedure that enhances the appearance of the breasts and has been the Trusetd Source Checkbox Trusted Source Plastic Surgery Statistics American Society of Plastic Surgeons Go to Source most popular plastic surgery procedure worldwide for years. The overwhelming percentage of women are thrilled with the new look breast augmentation affords, but implants aren’t made to last a lifetime, and other factors such as gravity and age can Trusetd Source Checkbox Trusted Source How Long Do Breast Implants Last? Healthline Go to Source take their toll on breasts . Even with proper planning, surgical precision, and superlative initial results, implants can show their age over time. A woman that received an augmentation in her twenties will likely have a very different body in her forties. She may also have a different opinion about the appropriate implant size and shape for her body.

Benefits of Breast Implant Revision

Dr. Mess understands that many factors influence a woman’s decision to undergo breast implant revision surgery, and that it can be difficult to weigh the pros and cons of breast implant revision. Only you can decide if the benefits of an additional surgery will help you achieve your aesthetic goals. There are many reasons other than simply changing their breast size that women consider breast implant exchange surgery, however women with concerns about existing or previous breast augmentation surgeries often find the following benefits associated with this procedure:

  • Improve asymmetry and overall appearance of breasts due to adjustment of the type, position and/or size of breast implants.
  • Correction of a ruptured or leaking breast implant(s). Increased volume of deflated breast implants.
  • Enhancement of breasts that may have become irregularly shaped due to pregnancy, weight fluctuations, gravity, or loss of skin elasticity.
  • Reduced discomfort resulting from scar tissue buildup around previous implants.
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Good Candidates for Breast Implant Revision

Breast implant exchange surgery is appropriate for patients in overall good overall health that are unhappy with Trusetd Source Checkbox Trusted Source Who is a good candidate for breast implant revision? American Society of Plastic Surgeons Go to Source their current augmentation or implant . Patients seek breast implant surgery revision for one or more of the following:

  • Update existing implant to a different size or profile
  • Adjust the type of implant
  • Change the placement of the implant (i.e. submuscular vs. subglandular)
  • Remodel the breast implant pocket to change the implant’s position on the chest wall
  • Revise breast implants to incorporate a breast lift
  • Correct saline implant deflation
  • Address implant rupture
  • Correct capsular contraction around existing implants
  • Correct breast implants that have shifted, bottomed out, or show double-bubble
  • Correct Symmastia (uni-boob) from a previous augmentation
  • Restore breast fullness and firmness lost due to age or weight loss
  • Achieve overall improved appearance and confidence in your image

Patients should have realistic expectations and goals regarding the outcome of their procedure. Today’s wide choice of implants and options for fat transfer in addition to implants make breast implant revision a natural choice for any woman unhappy with their current breast implant. During your breast augmentation revision consult, Dr. Sarah Mess will evaluate your natural body type and breast shape and discuss the best options to achieve your breast implant revision goals.

Before & After Photos

Implant exchange and breast lift with Sientra 550cc Smooth Round Gel Implants Photos taken 6 weeks post procedure

Types of Implants

There are two general types of breast implants; saline implants consisting of a silicone shell filled with a sterile salt solution at the time of insertion, and silicone implants made of a silicone shell that comes pre-filled with a cohesive silicone gel. Patients must be at least 22 years old to undergo augmentation with silicone gel implants. Both saline and silicone implants come in a variety of sizes and profiles. During your consultation, Dr. Mess will learn about your interests and will discuss the Trusetd Source Checkbox Trusted Source Silicone vs. saline breast implants American Society of Plastic Surgeons Go to Source advantages and disadvantages of saline, silicone gel, shaped or round implants. Patients will try on sizers and review breast procedure photographs and implant information with Dr. Mess in her office located in Columbia, Maryland. We provide extensive resources and education so the patient can determine which type of breast implant is best suited to achieve their breast enhancement goals.

Preparing for Breast Implant Revision Surgery

During your preoperative appointment, Dr. Mess will discuss what you should expect prior to undergoing breast revision surgery. In general, patients should refrain from smoking at least four weeks before and after surgery, and avoid taking aspirin, anti-inflammatory drugs, and herbal supplements two weeks prior to surgery as they Trusetd Source Checkbox Trusted Source How should I prepare for breast implant revision? American Society of Plastic Surgeons Go to Source can increase bleeding . Dr. Mess will provide you with detailed instructions on how to properly prepare surgery to exchange your breast implants and care for yourself post-procedure. Our comprehensive breast augmentation post-procedure care helps ensure the best possible results for your surgery and long-term enhancement results.

The Breast Implant Revision Procedure

The breast implant exchange procedure is performed on an outpatient basis with the Trusetd Source Checkbox Trusted Source What are the steps of a breast implant revision procedure? American Society of Plastic Surgeons Go to Source patient under general anesthesia . The procedure is often combined with other cosmetic breast and body procedures such as a breast lift, mommy makeover, liposuction, or abdominoplasty (tummy tuck).

The techniques used for your breast revision procedure will depend on the extent of revision required and choice of new implant. Dr. Mess will begin by making an incision through your original scar under the inframammary fold or around the areola and then removing the implants and then proceed with your custom treatment plan to create new breast contours, either with new implants or another breast surgery. Many women benefit from a breast lift combined with their breast implant revision, but each patient is different. A breast lift can provide a more aesthetic nipple placement and size, and patients with loose skin or drooping breasts usually benefit from a lift. Trusetd Source Checkbox Trusted Source Biological and synthetic mesh use in breast reconstructive surgery: a literature review NCBI Go to Source Synthetic dermal support such as Alloderm or Stratice may be required in some breast implant revisions to prevent bottoming out or add support for patients with thinner skin. Be sure to discuss your goals and expectations with Dr. Mess during your consultation. Dr. Sarah Mess welcomes patients anywhere around the world and has a great reputation in the Washington DC, Baltimore, Columbia areas.

Complex Breast Implant Revision Cases

Certain breast implant revision surgeries can present complex challenges, especially if you are experiencing complications such as bottoming out, double bubble deformity, or symmastia. These conditions require meticulous surgical techniques to restore the desired aesthetic outcome. To address these issues, the implementation of an innovative approach involving the GalaFLEX internal bra can be an effective solution. The GalaFLEX internal bra is a specialized bioresorbable mesh that provides additional support and stability to the breast implant pocket. By strategically placing this mesh during revision surgery, Dr. Mess can effectively correct cosmetic irregularities caused by bottoming out, double bubble deformities, or symmastia by reinforcing the weakened tissue and preventing implant displacement. This advanced technique not only enhances the overall aesthetic results but also reduces the risk of recurrent complications, offering a more durable and satisfactory outcome.

Quote Marks

Friendly, supportive, and caring staff. I just had my second surgery with Dr Mess. Her surgical skills are outstanding. Her approach is low key and gentle. She never pressures. She is patient and explains procedures in an understandable way. Her equipment is state-of-the art. I recommend Dr Mess wholeheartedly!

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Recovery: What to Expect After Your Breast Implant Revision

After the surgery is complete, sutures are closed and the breasts are covered with waterproof bandages and a Trusetd Source Checkbox Trusted Source What should I expect during my breast implant revision recovery? American Society of Plastic Surgeons Go to Source special post surgical bra to minimize swelling . While the recovery period can vary from patient to patient, you can generally expect the following:

  • Patients are advised to apply ice and relax for a few days post breast procedure.
  • Patients may experience soreness in the breasts during the first week of recovery, but prescribed pain medication can be taken to alleviate these symptoms.
  • Patients will be seen in the office for a post-op visit in a couple of days.
  • Patients can usually return to work after a few days, but should refrain from any strenuous exercise or activity for about two to three weeks.
  • Regular follow up continues for two to three weeks and patients are typically scheduled for post op photos at two months post breast revision.
  • Breast implant revision recovery time varies with each individual. Scars will diminish over the next few months and topical silicone or silicone sheets will help speed the process. Patients are encouraged to discuss their progress with Dr. Mess. Our goal is to make your recovery as quick and safe as possible so you can get back to your life and enjoy the benefits of your redefined figure.

Results After Breast Implant Revision Surgery

The results of breast implant exchange are immediately noticeable after surgery is complete and will improve over the coming weeks as swelling subsides. Women usually feel more confident in their everyday appearance and are excited about their restored figure. Breast implant revision patients from Columbia, Baltimore, and Washington DC enjoy the benefits of cosmetic surgery with Dr. Sarah Mess.

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How Much Does Breast Implant Revision Surgery Cost?

We believe patients make better decisions when they understand the options and cost ranges for breast implant revision surgery. We are happy to provide a basic price range for implant revision, but final costs cannot be determined prior to your consultation appointment with Dr. Mess.

Implant revision surgery cases are scheduled from 1.5 to 3 hours depending on the requirements of the case. Simple revisions for size change will take less time and cost less than complex cases with capsular contracture or ruptured implants. Dr. Mess will help you determine the best options to achieve your aesthetic goals.

The best way to determine your procedure pricing is to come in for a consultation with Dr. Mess. Our Columbia office is conveniently located and easily accessible from both Washington, D.C. and Baltimore.

Our surgical estimates are comprehensive. Your breast implant revision surgery quote will include:

  • Surgeon’s fee
  • Operating room fees and supply charges
  • Anesthesia fees
  • Post-surgical garments
  • All appointments before or after your surgery

Price Range for breast implant exchange: $10,000–$13,000. (budget an additional $2,000 for Galaflex internal bra support). Your costs may fall outside of this range.


Breast Implant Revision Surgery FAQs

What are the most common reasons for breast implant revision surgery?

There are various reasons that women choose a second breast augmentation. Below are common concerns motivating patients to seek this corrective procedure:

  • Unhappy With Placement, Shape and Size of Breast Implants
    Some women have never been satisfied with their breast augmentation, and some women find that their aesthetic tastes evolve with the passing of time and that the cosmetic enhancement that they wanted at twenty-two falls outside their current cosmetic preference. Breast revision surgery provides these women the opportunity to get the appearance you desire with new breast implants. Dr. Mess works with each patient to develop a customized breast implant revision treatment plan that integrates your current tastes and aesthetic goals.
  • Ruptured Implant(s)
    A ruptured breast implant happens when an implant’s outer shell is punctured or torn. Ruptures may be caused by a variety of things from physical trauma such as a sports injury or compression from a mammogram device to the age of the implants, as well as other factors. In most cases, women opt for breast implant replacement after having their ruptured implants removed. When saline implants rupture or tear, the saline fluid leaks out into the surrounding tissue, collapsing the breast—a harmless but unsightly condition. With silicone gel implants, both form-stable and cohesive, a rupture may not be apparent for some time after that trauma that caused it which is known as a “silent rupture.” Women that have cause to believe their silicone implants have ruptured, should schedule an MRI immediately to check for possible leakage. If a rupture has been confirmed in a silicone breast implant, it should be removed as soon as possible.
  • Breast Implant Removal
    Breast implant removal surgery is an option to consider for patients that find they no longer want breast implants due to changing cosmetic preferences or lifestyle shifts. However, if the breast implants being removed were large, breast tissue may appear deflated after the implants are removed. A breast lift performed at the time of the implant removal can correct for this and restore a more natural-looking aesthetic.
  • Capsular Contracture
    The common complication known as capsular contracture can occur following breast augmentation surgery when the body produces a layer of scar tissue around one or both implants. Some patients develop excess scar tissue that constricts the implants. This “capsule” of scar tissue can cause breast pain, and also cause breast tissue to become misshapen and hard to the touch. This condition requires a capsulectomy to treat, as a surgeon must surgically release the buildup of scar tissue around the breast. Most women who have capsular contractures choose to have a new set of implants placed when their surgeon removes the excess scar tissue.
  • Breast Rippling
    Sometimes a rippling effect is visible through the skin at the edges of the breast implant. This is typically associated with saline implants, typically in women who are thin and have less natural breast tissue. While this condition is common and isn’t dangerous, it is unnatural in appearance and a cause of concern to most women. During your breast implant revision consultation with Dr. Mess, she’ll guide you in choosing the best implants for your natural anatomy and frame, which will eliminate visible irregularities like rippling.
  • Breast Implant Malposition
    “Implant malposition occurs when breast implants were not placed in the correct position or have moved from their intended location in the breast pocket. This condition can be caused by surgical mishaps during initial breast pocket formation and implant placement, capsular contracture, trauma, and even aging. Malposition can cause the breasts to look deformed, irregular or asymmetrical, as one or both of the implants appear too low or too high, too close together, or too far apart. Dr. Mess can restore a natural-looking beauty, symmetry and balance to your breasts.
  • “Double Bubble” Deformity
    The deformity known as a “double bubble” is a rare complication that occurs when a breast implant falls below the inframammary fold, creating the appearance of a second bulge beneath the breast pocket. This deformity can also occur when the breast implant rises upward due to complications arising from capsular contracture, causing the lower part of breast pocket to look deflated. This condition can be corrected through breast implant revision surgery.

Will breast implant exchnage surgery correct my capsular contracture for good?

Patients that experience capsular contracture are more likely to develop the condition again. While Dr. Mess can correct capsular contracture through surgery, she works to ensure that women understand that capsular contracture can recur.

How do I know if my implants need to be replaced?

Some patients are under the impression that they need to replace their implants as often as every ten years, but it’s not advisable to undergo surgery if you do not have any concerns with your current implants. However, if you are experiencing pain in your breasts, or have noticed an increase in the firmness of your breasts, or changes in the shape of your breasts you may be a candidate for breast implant exchange surgery.

How soon can I have breast implant revision surgery after my initial breast augmentation if I’m dissatisfied with the results?

It takes time for your breasts to settle fully into their new size and position after breast augmentation surgery with implants. Because of swelling, your final breast augmentation results may not be apparent for six months. That’s why Dr. Mess recommends waiting at least six months up to one year after placing breast implants before considering a second surgery.

Have More Questions About Breast Implant Revision?

Don’t settle. Breast implant revision with Dr. Mess can help patients achieve the results they desire. Contact us today to learn more.

Trused Source Icon - Checkbox Sources

1 American Society of Plastic Surgeons. Plastic Surgery Statistics. Available at:

2 Healthline. How Long Do Breast Implants Last? Available at:

3 American Society of Plastic Surgeons. Who is a good candidate for breast implant revision? Available at:

4 American Society of Plastic Surgeons. Silicone vs. saline breast implants. Available at:

5 American Society of Plastic Surgeons. How should I prepare for breast implant revision? Available at:

6 American Society of Plastic Surgeons. What are the steps of a breast implant revision procedure? Available at:

7 NCBI. Biological and synthetic mesh use in breast reconstructive surgery: a literature review. Available at:

8 American Society of Plastic Surgeons. What should I expect during my breast implant revision recovery? Available at:

Dr. Sarah Mess has either authored or reviewed and approved this content. Page Updated

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Many patients come to see Dr. Sarah Mess from the Baltimore, and Washington DC areas because of her ability to provide their face and body with a revitalized look that appears naturally youthful. For all of your cosmetic needs, please call (410) 559-9468 or use the form below to request a consultation.

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