Breast revision surgery is something that many women may need to face at one point in their lives. This type of surgery takes a very high level of skill, in fact far more skill than it took to do the original surgery. Dr. Patterson is a Board Certified Plastic Surgeon and is highly experienced in this type of revision surgery. This experience gives him the skills needed to create a beautiful and natural result that addresses all the areas of concern. Here are the signs that it may be time for a breast revision surgery.

Capsular Contracture

Capsular contracture is a common issue after breast augmentation. It typically happens in the month to 6 weeks after the surgery. This condition occurs when bacteria gets into the surgical area. This causes the breast tissue surrounding the implant to shrink. This, in turn, compresses the breast implant and can cause hardening and an unattractive look. Some patients also have pain due to the hardness of the implant. This condition can be corrected with the removal of the old implants, which can then be replaced with new implants if desired.

Implant Position or Placement

In some cases, breast implants may migrate to another location. Implants may be too high, too low, or otherwise malpositioned. The correction for improper implant position or placement depends on many different factors, including the severity of the malpositioning. Dr. Patterson will work with each patient to find a solution.

Bottoming Out

Bottoming out occurs when the breast implants appear to have moved downwards significantly. This creates an undesirable aesthetic for many women, but it can be corrected. When implants are bottomed out, the problem can often be corrected with a capsulorrhaphy, a surgery which involves sutures in the lower part of the breast. This can elevate the breasts to the proper position again.


Symmastia is a condition that occurs when the breasts are too close to the middle of the chest, sometimes even appearing to be a single unit. If the breast implants are not properly spaced during the original breast augmentation, symmastia can develop later. This condition can be corrected by a repair of the existing pocket or the creation of a new pocket for the implants. This allows the implants to be moved into the proper position.


Rippling, just as the term implies, refers to a visible rippling of the implants. In some cases, the rippling is not as visually obvious but can easily be felt. Rippling is most common with saline implants and is seen more often in implants positioned atop the chest muscles (the sub glandular placement.) A breast revision surgery with a transition to properly placed silicone implants can correct rippling.

Double Bubble

A “double bubble” happens when the implants move below the inframammary crease, creating a whole new crease beneath it. The original crease will still show an indention, creating an aesthetically undesirable look overall. A double bubble can be corrected only by a highly experienced surgeon who can reconstruct the inframammary crease.

Ruptured Implant

Both saline and silicone implants can rupture, essentially springing a leak and leaving the breast looking deflated. The ruptured implant must be removed during revision surgery, and then replaced if the patient desires. When an experienced surgeon places the implants, they are very unlikely to rupture again.

Changing Size

If a woman isn’t happy with the size of her original implants, a revision surgery can give her the breasts she truly wants. Many women who are downsizing opt for a breast lift rather than new implants, but smaller implants can also be a good solution for women who feel their breast implants are too large. Women who want a larger implant size can consult with Dr. Patterson about what size will look and feel right for her body.

Ready For Revision?

Ready to consider breast revision surgery? It’s a big step that can truly be life-changing, and the team at Patterson Plastic Surgery is ready to take that step with you. Click below to arrange a consultation with Dr. Patterson.