Understanding Breast Revision Surgery: What to Know
Breast revision surgery is more common than you might think. Whether it’s addressing discomfort, restoring shape, or simply making a change that better aligns with your current body and lifestyle, there are many valid reasons someone might revisit a previous breast surgery.
Here’s what I often share with patients when they’re considering this path.
There’s no shame in changing your mind
The breasts you wanted 10 or 15 years ago might not be the breasts you want today. That’s normal. Bodies change, preferences evolve, and what once felt “right” might not anymore. Revision surgery gives us the chance to realign your outcome with who you are now.
Why people choose revision surgery
There’s no single reason, but here are a few I commonly see:
Downsizing to smaller implants (a growing trend)
Removing implants entirely and lifting the natural breast
Addressing implant-related discomfort or complications (such as rupture, rippling, or asymmetry)
Adjusting outcomes that no longer suit your current body shape or goals
Sometimes it’s about comfort. Sometimes it’s aesthetic. Sometimes it’s a mix of both.
What the surgery can involve
Every revision is different. It might include:
Removal and replacement of implants
Lift (mastopexy) to reshape the breast envelope
Correction of implant pocket issues
Fat grafting for volume refinement
It’s a more bespoke surgery than a first-time augmentation, which is why a thorough consultation is so important.
Things to consider before moving ahead
Breast revision is a decision to make thoughtfully. You’ll want to ensure:
You’ve had enough time to heal from previous surgeries
Your expectations are realistic, especially around scars, sensation, and shape
You’re doing it for you, not external pressure or trends
My approach to breast revision
I take a conservative, tailored approach. That means understanding your story, assessing your current anatomy, and designing a surgical plan that honours both the aesthetic and functional outcomes you’re seeking.
We’ll also talk about the healing process, downtime, and what support you’ll need along the way.
If you’ve been thinking about it, I’d be happy to meet and talk through your options, no pressure attached.
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This blog is intended for individuals aged 18+ and is for general educational purposes only. It does not constitute medical advice or guarantee outcomes. All procedures involve risk. Please consult with a qualified specialist plastic surgeon to determine what’s appropriate for you.
Dr Ania Smialkowski | Specialist Plastic Surgeon | MED0001068109