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Breast Revision

For patients who are dissatisfied with the outcome of a previous breast surgery performed by another surgeon, Dr. Jon Paul Trevisani can improve the results and align them more closely with your expectations. Revision breast surgery can be performed to replace silicone implants with saline implants (or vice versa); increase or decrease implant size; address complications that have arisen from a previous surgery; remove breast implants; correct asymmetry; or give you results that mirror your original cosmetic goals.

Who is a Candidate for Breast Revision?

Those who would benefit from breast revision include patients who have been experiencing complications with their breast implants, such as palpable implant edges or hardening of the skin around the breasts. These issues are known as implant rippling and capsular contracture respectively, and can be corrected with breast revision. Women who are dissatisfied with the outcome of their original breast surgery or who did not achieve their initial cosmetic goals may also be good candidates for breast revision. Regardless of your reasons to pursue breast revision, potential candidates should be in good health and maintain realistic expectations for the procedure. All swelling from the previous breast surgery should also be resolved, a process which usually takes six months to one year. 

Reasons for Breast Revision

There are many factors that may contribute to a patient’s decision to pursue breast revision, and your own reasons to consider the procedure will be personal to you. Dr. Jon Paul Trevisani has found that a lack of effective communication between a patient and their original surgeon can often contribute to dissatisfaction with initial results, which is why he holds open and honest consultations so patients know what they can expect throughout the treatment process. In most cases, patients undergo a secondary breast procedure for the following reasons:


Since the FDA’s approval of silicone breast implants in 2006, many women consider exchanging saline implants for silicone to enjoy a more natural feel. Dr. Jon Paul Trevisani can also change the size and/or shape of the implant, depending on your ultimate goals. Dr. Jon Paul Trevisani is one of the nation’s leading voices in breast augmentation with implants, and he has extensive experience in this area of plastic surgery.


Capsular contracture is a rare occurrence that can sometimes affect women who have breast implants. The condition is characterized by thick scar tissue forming around the implant and causing a feeling of hardness to the breast. Capsular contracture can also have an effect on the breast shape. Dr. Jon Paul Trevisani can remove as much scar tissue as possible and remove or replace the implant, depending on your goals.


Breast implant removal is a relatively simple procedure that can often be performed utilizing the original areas of incision for breast augmentation. Patients decide to remove breast implants for a variety of reasons, and implant removal should restore the breasts to their original size. Patients who have had breast implants for long periods of time may experience some degree of loose, drooping skin after the implants have been removed; however, in these instances, a breast lift can be performed to restore firmness and “perkiness” to the breasts.


In July 2019, the FDA advised a recall of BioCell® textured breast implants made by Allergan® due to recent studies which suggest a correlation between these types of implants and some cases of BIA-ALCL (breast implant-associated anaplastic large cell lymphoma). Dr. Jon Paul Trevisani has never seen the need to place textured breast implants, therefore the concerns presented by the FDA generally do not apply to his patients. However, some women who have received textured implants from another plastic surgeon may wish to remove their implants altogether for their own peace of mind. With that said, it’s important to note that the FDA does not recommend that all individuals with textured implants remove their implants—the recall requested of Allergan® simply prevents BioCell® textured implants from being placed in the future. Still, Dr. Jon Paul Trevisani performs implant removal surgery for Orlando patients who would rather exchange or remove their textured breast implants. For all others with textured implants, the FDA encourages women to be aware of the possible symptoms of BIA-ALCL, namely swelling and pain around the implants. 

BIA-ALCL is a very rare condition that affects around 1 in 20,000 people with textured breast implants, according to current literature. To read more about BIA-ALCL and the FDA’s findings on the association between textured implants and BIA-ALCL, please visit our blog, which covers the latest news in cosmetic and reconstructive surgery. 


Although rare, breast implant deflation can happen with saline implants, particularly if you have had the implants for a long period of time. Deflation will necessitate removal or replacement, and patients should keep in mind that many breast implants are covered under warranties. In those cases, the cost of replacing deflated saline implants may be able to be defrayed, depending on the age of the implants, the company that manufactured them, and other factors. Dr. Jon Paul Trevisani recommends you bring any records you may have of your implants to your initial consultation and our staff will be happy to look into possible warranty coverage.


Regardless of the type of breast surgery you have had previously, it does not automatically disqualify you from undergoing another breast surgery. However, revision surgery should only be performed by board-certified surgeons who have experience with breast procedures. Dr. Jon Paul Trevisani is one of the most skilled and experienced breast surgeons in the area, prioritizing breast surgery as one of the primary focuses of his practice.

What Can I Expect From Breast Revision Surgery?

The details of each breast revision procedure will vary depending on each patient’s goals and the concerns they wish to resolve. Generally speaking, breast revision is performed as an outpatient procedure utilizing general anesthesia. Sometimes, the same incisions as your previous breast surgery can be reused for your revision. Any complications, such as scar tissue formation, will be corrected. For patients who wish to exchange their implants for a different size, shape, or type, the procedure typically lasts one to two hours. If you wish to remove your implants, Dr. Jon Paul Trevisani may suggest a breast lift to restore your original breast contours in cases where the skin has become stretched out and inelastic. Dr. Jon Paul Trevisani will go over every aspect of breast revision during your consultation so you have a thorough understanding of the potential results you can expect to achieve. 

Please contact us to schedule a consultation for revision breast surgery.