How do I know if I need breast revision surgery?

You may be a candidate if you notice changes in implant shape, discomfort, asymmetry, capsular contracture, rippling, or if you want a different size or look. A consultation helps determine the best approach.

Will my implants need to be replaced?

Not always. Some patients replace older implants, while others prefer removal or a lift for a natural look. Dr. Freedland reviews the best option during your evaluation.

Can I switch from implants to a natural look?

Yes. Many patients choose implant removal combined with a breast lift to restore a natural, lifted appearance without implants.

What is capsular contracture and can it be fixed?

Capsular contracture is the tightening of scar tissue around an implant. Revision surgery can remove or release the tissue and restore a softer, more natural shape.

How long is recovery after breast revision?

Most patients return to daily activities within a week. Full recovery depends on your surgical plan, with results refining over the following months.

Can breast revision improve symmetry?

Yes. Revision can adjust implant placement, reshape tissue, or change implant type to create a more balanced, symmetrical result.

Is breast revision more complex than initial augmentation?

Revision usually requires more planning due to prior surgery, tissue changes, or implant issues. Dr. Freedland uses careful evaluation and precise surgical planning to ensure predictable results.

Will I have scars after breast revision?

Scarring depends on the specific procedure. Incisions are placed in discreet, natural-looking areas and designed to heal as cleanly as possible.

What does breast augmentation improve?

Breast augmentation increases breast volume, improves shape, enhances symmetry, restores fullness after pregnancy or weight loss, and helps balance overall body proportions.

What is the difference between saline and silicone implants?

Saline implants are filled with sterile salt water and deflate visibly if they rupture, but they may feel less natural and show more rippling. Silicone gel implants feel more like natural breast tissue and usually have less rippling, but rupture may be silent and monitored with imaging over time.

Are textured implants used in breast augmentation?

Textured implants are used less frequently due to their association with a rare lymphoma called BIA-ALCL. Dr. Freedland primarily uses smooth implants for most patients.

Should implants go over or under the muscle?

Under-the-muscle placement can reduce rippling and capsular contracture risk and often looks more natural in thinner patients, but recovery may be longer. Over-the-muscle placement can have a faster recovery and stronger cleavage, but may show more rippling in patients with thin tissue.

Where are the incisions placed for breast augmentation?

Common incision options include the breast crease (inframammary), around the areola (periareolar), or in the armpit (transaxillary). Dr. Freedland often prefers the breast crease because it gives the best control and heals discreetly.

How is implant size chosen?

Implant size is selected based on your chest width, breast tissue, skin quality, lifestyle, and aesthetic goals. Sizers in a surgical bra help visualize options, and Dr. Freedland recommends sizes that fit safely within your anatomy.

What is recovery like after breast augmentation?

Most patients wear a support bra for several weeks. Discomfort is normal, especially with under-the-muscle placement. Many patients return to work in about a week and avoid heavy lifting or strenuous exercise for 4 to 6 weeks.

Do breast implants last forever?

Implants are durable but not lifetime devices. Many last 10 to 20 years, but future surgery may be needed for rupture, capsular contracture, or cosmetic changes over time.

Why doesn’t Dr. Freedland recommend cosmetic fat injection to the breast?

Fat grafting to the breast can lead to fat necrosis and calcifications that may resemble or obscure breast cancer findings on mammograms. Because cosmetic augmentation is elective, Dr. Freedland avoids introducing long-term screening risks.

Can I still get mammograms with implants?

Yes. Implants do not prevent mammography. Technicians use special imaging views to visualize breast tissue effectively, and you should always tell your imaging center that you have implants.

What are common risks of breast augmentation?

Risks include capsular contracture, implant rupture or deflation, infection, bleeding or fluid collection, scarring, rippling, sensation changes, implant malposition, and the rare risk of BIA-ALCL. Dr. Freedland takes precautions to minimize these risks.

Breast Revision Surgery - Freedland MD - Bloomfield Hills Plastic Surgeon

Why Patients Choose Breast Revision

Patients seek revision surgery for many reasons, including changes in implant appearance, shifting over time, capsular contracture, or a desire to adjust size or shape. Dr. Freedland evaluates your unique concerns and provides honest guidance so you understand the options that fit your body and lifestyle.

What Breast Revision Can Improve

Replace or update older implants
Correct implant shifting or asymmetry
Improve shape after pregnancy, weight changes, or aging
Address capsular contracture
Remove or exchange implants
Create a more natural look and feel
Restore comfort and confidence

What to Expect

Every revision surgery begins with a detailed evaluation of your existing implants, breast tissue, skin elasticity, and your desired outcome. Dr. Freedland explains each option clearly, including implant replacement, removal, reshaping, or combining procedures like a lift. The goal is predictable, natural-looking results that match your current aesthetic.

Personalized Care, Real Results

Recovery varies depending on the revision plan. Most patients return to daily activities within a week and experience steady improvement over the following months. Results continue to refine as the tissue settles, giving you a restored, more comfortable, and more confident appearance.

Who Is a Good Candidate?

You may be a strong candidate for revision if you notice changes in your implants, experience discomfort, want a different implant size, or simply feel your previous results no longer reflect your goals.

Schedule Your Consultation

FAQs

You may be a candidate for revision if you notice changes in implant shape, discomfort, asymmetry, capsular contracture, rippling, or if you simply want a different size or look. A consultation helps determine the best approach for your needs.

Revision can address implant shifting, capsular contracture, deflation, rippling, size changes, asymmetry, implant rupture, or results that no longer match your goals.

Not always. Some patients choose to replace older implants with newer styles, while others prefer removal or a lift for a more natural look. Dr. Freedland reviews each option based on your anatomy and desired outcome.

Yes. Many patients choose implant removal with a breast lift to restore a natural, lifted appearance without implants.

Capsular contracture is the tightening of scar tissue around an implant. It can cause firmness, discomfort, or shape changes. Revision surgery can remove or release the scar tissue and restore a softer, more natural result.

Most patients return to normal daily activities within a week. Full healing varies depending on the revision plan, with results continuing to refine over several months.

Yes. Revision surgery can reshape tissue, adjust implant placement, or change implant types to create more even and balanced results.

Revision typically requires more planning due to changes in tissue or implants from previous surgery. Dr. Freedland uses careful evaluation and detailed surgical planning to ensure safe, predictable results.

Scars depend on your individual procedure. Dr. Freedland places incisions in discreet, natural-looking locations and focuses on minimizing visibility as much as possible.

Most results are long-lasting. Aging, weight changes, or future pregnancies may affect shape over time, but revision offers a refreshed, stable starting point.

Before and After

21 year old 5'4" woman had a Breast Reduction 38DD to 38C

Before

After

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Breast Procedures Performed

Breast Revision Surgery

Why Patients Choose Breast Revision

What Breast Revision Can Improve

What to Expect

Personalized Care, Real Results

Who Is a Good Candidate?

FAQs

Before and After

From Our Patients

Ready to Take the Next Step?

Where medicine meets artistry

Breast Revision Surgery

Why Patients Choose Breast Revision

What Breast Revision Can Improve

What to Expect

Personalized Care, Real Results

Who Is a Good Candidate?

FAQs

How do I know if I need breast revision surgery?

What problems can breast revision surgery fix?

Will my implants need to be replaced?

Can I switch from implants to a natural look?

What is capsular contracture and can it be fixed?

How long is recovery after breast revision?

Can breast revision improve symmetry?

Is breast revision more complex than initial breast augmentation?

Will I have scars after breast revision surgery?

How long will breast revision results last?

Before and After

From Our Patients

Ready to Take the Next Step?

Where medicine meets artistry