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Frank Agullo, MD En Español

Breast Revision

Breast augmentation is a highly personal experience that must be carried out with meticulous care and attention to detail. However, when the outcome is not as planned or breast implants become damaged, a patient can feel disappointed and self-conscious about her bustline. If you have undergone breast augmentation before and are unhappy with your results, you may want to consider breast revision.

Do you...

  • Suffer from capsular contracture, implant displacement, or implant rupture?
  • Experience implant rippling?
  • Continue to have or developed significant asymmetry?
  • Feel dissatisfied with your breast shape or size after your initial breast augmentation?
  • Have noticeable scarring from a previous breast surgery?
  • Carry the burden of uncomfortable or painful breast implants?

Dr. Agullo has helped hundreds of women correct the disappointing aftermath of past breast augmentations and finally achieve the beautiful breasts they desire. At your initial consultation, you and Dr. Agullo will discuss your goals and expectations to arrive at the best surgical plan.

Breast Revision Options

Implant Exchange

Patients will often exchange saline implants for silicone implants during breast revision surgery because silicone produces a more natural look and feel. Some patients decide to get larger or smaller implants depending on their personal preference.

Implant Placement

Subpectoral implant placement involves placing the implants underneath the pectoral muscles, producing a more natural breast slope. It is also believed that subpectoral implant placement is less likely to lead to complications such as capsular contracture.

Breast Reinforcement

In many cases where breast tissue is compromised, reinforcement of the breasts is necessary. Dr. Agullo uses a tissue scaffold to fortify thin breast tissue, resulting in a lower risk of capsular contracture and implant displacement in the future.

Breast Lift

Patients who experience significant drooping of the breasts after augmentation may require a breast lift during revision surgery for optimal results. Breast lift surgery is often recommended for patients who decide on getting smaller implants as well.

Fat Injections

Fat injections can help place volume in certain areas with a high degree of control. They are often used to thicken tissue in order to decrease implant visibility or palpability. It is also a great tool to enhance the cleavage in patients with a naturally wide gap.

Implant Type

Because there are various kinds of breast implants available, this procedure can be entirely personalized. Dr. Agullo will help you determine the best implant type and size for your breast revision surgery based on your concerns, desires, and body type.


Saline Implants

Saline Implants
  • Size can be easily adjusted as needed
  • Are cost-effective
  • Are ideal for creating a prominent breast profile

Silicone Implants

Silicone Implants
  • Have a more natural look and feel
  • Are more lightweight than saline implants
  • Are less likely to ripple, rupture, or leak

Gummy Bear Implants

Gummy Bear Implants
  • Are still Silicone implants, but have a more cohesive gel
  • Produce uniform contours which translates into less chance of rippling and palpability
  • Ideal for patients who are thin, petite, or desire a significant change in size

Preparing for Your Treatment

Proper planning and preparation can help you have a quicker and smoother recovery process. Some things you should do to prepare for your surgery include:
  • Line up a family member or friend to drive you home after your procedure
  • Ensure you have your paperwork and your ID
  • Don’t eat or drink after midnight the day of your scheduled procedure
  • Don’t use lotions, creams, or makeup on your skin the day of your procedure
  • Wear a loose-fitting shirt that buttons up because it may be difficult to slip one over your head after the procedure
  • Stop smoking for at least two weeks prior to your surgery and for two weeks after to lower your risk of blood clots and other complications
  • Don’t take medication that will thin your blood for two weeks before your procedure

Breast Revision FAQs

Where will my breast revision incisions be?

There are three common breast revision incisions:

  • Inframammary incisions are created just underneath the breast along the natural crease.
  • Axillary incisions are located within the armpit.
  • Periareolar incisions encircle the areolas.
  • Breast lift incisions depend on the amount of lift required (link to breast lift page)
What can I expect during breast revision recovery?

After surgery, you will need plenty of rest. However, it is essential to walk around for a few minutes throughout the day to boost circulation and prevent blood clots. You may experience some discomfort, which can be alleviated with medication prescribed by Dr. Agullo. A special bra will be provided for you to wear day and night, as you must not wear underwire or padded bras for a months following the procedure. Avoid heavy lifting and vigorous exercise for at least four weeks. Most people resume light duty activities in a week.

What are the risks associated with breast revision surgery?

Significant complications from breast revision surgery are uncommon. However, any surgery comes with potential risks, which may include:

  • Abnormal reaction to anesthesia
  • Hematoma or seroma
  • Infection
  • Bleeding
What is used for breast tissue reinforcement?

Dr. Agullo uses a few different tissue scaffolds depending on your particular needs and indications. Most commonly, he uses GalaForm3D, GalaShape, or GalaFlex. These products not only strengthen weakened or thinned breast tissue, but they also promote cell regeneration for lasting enhancement. These scaffolds are biologically derived and bioabsorbable.

How much does breast revision cost?

Pricing varies depending on the extent of the treatment or surgery. You can see a list of the approximate prices of each procedure on our current fee schedule. Dr. Agullo charges a consultation fee of $100, which is applied to the cost of your treatment. Generally speaking, cosmetic plastic surgery is considered “elective” and is not covered by most insurance plans. The prices listed on our fee schedule represent the minimum cost of the procedures, including anesthesia and surgical facility fees, medical tests, garments, and recovery products. The cost of prescription medications, however, is not included. The exact price of each procedure can only be determined after a thorough consultation. All fees must be paid in full prior to the scheduled treatment.

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