Breast Revision
Correct and improve results from prior breast surgery with expert revision by Dr. James Rosing. Restoring confidence through precision and experience.
Breast Revision
Correct and improve results from prior breast surgery with expert revision by Dr. James Rosing. Whether addressing capsular contracture, implant malposition, or simply wanting a change, trust your revision to a surgeon who specializes in getting it right.
2-4 hrs
Procedure Time
2-3 weeks
Initial Recovery
10-15+ yrs
Results Last
General
Anesthesia
What is Breast Revision Surgery?
Breast revision surgery corrects or improves the results of a previous breast augmentation, breast lift, or breast reconstruction. Whether your concerns stem from a complication like capsular contracture, dissatisfaction with size or shape, or natural changes to your breasts over time, revision surgery offers a path to the outcome you originally envisioned.
Dr. James Rosing understands that choosing revision surgery is a deeply personal and often emotional decision. Many patients come to him after a disappointing experience with another surgeon, feeling anxious about trusting the process again. Dr. Rosing brings both the technical expertise required for complex revision cases and the empathy to guide you through the decision with honesty and care.
Every revision case is unique. Dr. Rosing performs a thorough evaluation of your current anatomy, reviews your prior surgical records when available, and develops a detailed plan tailored to your specific situation and goals. His approach prioritizes long-term stability and natural-looking results.
Common Reasons for Breast Revision
Breast revision addresses a wide range of concerns. Dr. Rosing has experience correcting each of the following issues:
Revision Techniques
Capsulectomy
Complete removal of the scar tissue capsule surrounding the implant, essential for treating capsular contracture and creating a fresh pocket.
- Resolves capsular contracture
- En bloc or total removal
- Restores natural softness
- Reduces recurrence risk
Implant Exchange
Replacing existing implants with updated devices for improved size, shape, profile, or to upgrade to current-generation technology.
- Size and profile adjustment
- Saline to silicone conversion
- Upgrade to latest generation
- Addresses rupture or deflation
Pocket Adjustment
Repositioning the implant pocket to correct malposition, using internal sutures, fat grafting, or Strattice mesh for complex cases.
- Corrects implant malposition
- Subpectoral to subglandular conversion
- Strattice mesh for added support
- Fat grafting for contouring
Are You a Candidate?
Breast revision surgery may be right for you if you experience any of the following:
Recovery Timeline
Recovery from breast revision is similar to primary augmentation, though the timeline may vary depending on the complexity of your revision.
Initial Recovery
Rest with upper body elevated. Moderate swelling, bruising, and discomfort around the breasts. Surgical drains may be placed to prevent fluid buildup. Pain medication and antibiotics prescribed.
First Follow-up
Drains removed if output has decreased. Incisions checked and dressings changed. Swelling begins to settle. Light walking encouraged to promote circulation and healing.
Visible Improvement
Bruising fading significantly. Supportive surgical bra worn at all times. Many patients feel comfortable with light daily activities. Sutures may begin to be removed.
Return to Routine
Return to desk work and most daily activities. Swelling continues to decrease. Implants beginning to settle into their final position. Avoid heavy lifting and strenuous exercise.
Implant Settling
Implants dropping into a natural position. Breast shape becoming more defined. Scars beginning to mature and fade. Light exercise and more activities can resume gradually.
Final Results
Complete healing achieved. Implants fully settled. Scars continuing to fade and soften. Enjoy your improved, natural-looking breast contour with renewed confidence.
Dr. James Rosing, MD, FACS
Dr. James Rosing is a Stanford-trained, board-certified plastic surgeon whose revision practice is built on technical precision and honest communication. He understands that patients seeking revision surgery have already been through a difficult experience and need a surgeon they can trust completely.
With over 14 years of experience in breast surgery, Dr. Rosing has developed advanced techniques for even the most complex revision cases, including capsulectomy with acellular dermal matrix reconstruction and pocket conversion procedures that deliver reliable, long-lasting results.
Frequently Asked Questions
Yes, capsular contracture is one of the most common reasons patients seek breast revision. Dr. Rosing performs capsulectomy (complete removal of the hardened scar tissue capsule) and may replace the implant, change the pocket plane, or use acellular dermal matrix such as Strattice to create a new, healthy tissue environment. The goal is to restore soft, natural-feeling breasts and prevent recurrence.
In most cases, yes. Even if your current implants are intact, Dr. Rosing typically recommends new implants during revision surgery. Implant technology has improved significantly over the years, and newer implants may offer better shape, feel, and longevity. If you are changing size or switching from saline to silicone (or vice versa), new implants are required. During your consultation, Dr. Rosing will advise whether your existing implants can safely remain.
Dr. Rosing generally recommends waiting at least 6-12 months after your original surgery before pursuing revision, allowing tissues to fully heal and implants to settle into their final position. However, if you are experiencing complications such as implant rupture, severe capsular contracture, or infection, earlier intervention may be necessary. Each situation is unique, and Dr. Rosing will evaluate your specific circumstances during your consultation.
Breast revision surgery is typically more expensive than a primary augmentation because it is a more complex procedure. Revision requires addressing scar tissue from the previous surgery, correcting altered anatomy, and often employing advanced techniques such as capsulectomy, pocket conversion, or the use of support materials like Strattice mesh. The additional surgical time and expertise required are reflected in the cost.
In the hands of an experienced revision surgeon like Dr. Rosing, most patients achieve significantly improved results. However, it is important to have realistic expectations. Revision surgery works with tissue that has already been operated on, which can present unique challenges. Dr. Rosing will give you an honest assessment of what can be achieved and ensure you understand both the possibilities and limitations before proceeding.
Absolutely. A significant portion of Dr. Rosing's revision practice involves correcting unsatisfactory results from other surgeons. He understands that seeking revision after a disappointing outcome can be an emotional decision, and he approaches each case with both technical expertise and compassion. During your consultation, he will thoroughly evaluate your current situation, review your surgical history, and develop a detailed plan to achieve the best possible outcome.
Implant removal (explant surgery) with or without a breast lift is a valid option that Dr. Rosing performs regularly. Some patients choose explant due to lifestyle changes, health concerns, or simply preferring a more natural look. If you are considering implant removal, Dr. Rosing will discuss what your breasts may look like after explant and whether a mastopexy (breast lift) or fat grafting would help achieve your desired aesthetic. The consultation is an open, judgment-free conversation about your goals.
Financing Available
From $150/month
Breast Revision $9,000–$18,000 with 0% APR options available
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Schedule a Breast Revision Consultation
If you are unhappy with the results of a previous breast surgery, Dr. Rosing is here to help. Schedule a consultation to discuss your concerns and explore your options in a supportive, judgment-free environment.