Breast augmentation isn’t always a simple, once-and-done procedure, and you may need revision to correct asymmetry, misalignment, sagging, or other medical complications.  

Breast implant revision procedures

Implant revision can be done under intravenous anesthesia or general anesthesia. The most common breast implant revision procedures include:

• Implant exchange: You may want new implants to replace older, damaged implants, or to change your breast size or shape.                    
• Capsular contracture surgery: Capsular contracture occurs when the natural scar tissue surrounding your implant (the capsule) grows too thick and squeezes your implants too hard. Capsulectomy surgery removes this capsule so a new healthy one can form. Capsulotomy is a similar procedure, but the capsule is left in place and just scored to relieve pressure.                   
• Pocket change: Your implants can be placed in pockets above or below your chest muscles, and you may want this placement altered for a different look and feel, or to correct implant placement or rippling issues. •                    
• Mastopexy: Known as breast lift surgery, mastopexy removes excess breast tissue and raises your nipples and areolas to counteract natural sagging.
• Areola reduction: Your areolas may become larger, usually due to pregnancy or age, but this can be corrected by trimming excess skin from the outer edge of your areolas.
• Synmastia repair: The pockets that your implants rest in may become too close, pushing your implants close together. Your surgeon can repair these pockets for a more pleasing look.                     

Recovery

Recovery after breast implant revision is similar to your original breast augmentation surgery. You will have some pain, soreness, bruising, and swelling, but this should subside after a few days. Most women can return to their normal routines after one to two weeks.

Costs

The costs of breast implant revisions can vary depending on what type of surgery you have, your area, surgeon, and health insurance coverage. Additional anesthesia and surgery fees may apply. Your surgeon can help explain specific costs, and a call to your health insurance provider can clarify what coverage you have as well.