Optimal breast augmentation surgery should produce natural-looking, long-lasting results.
If a previous breast augmentation surgery failed to deliver the desired aesthetic—or if the appearance of implants has been affected by age or pregnancy-related changes to breast tissue—revisionary surgery can help.
What is Breast Implant Revision?
Breast augmentation changes the size or shape of the breasts using techniques such as implant placement or fat transfer. Breast implant revision is a surgical procedure that addresses issues with size, shape, feel, or placement of the original implants.
Revisional surgeries are indicated either by implant rupture, capsular contracture, a change in breast tissue due to aging, pregnancy, or breastfeeding, breast cancer, or initial results that failed to deliver the desired aesthetic.
Meet Dr. Marman
Dr. Daniel Y. Maman is a Harvard-fellowship trained and board-certified plastic surgeon with a reputation for taking on complex revisional cases. His expertise is rooted in a deep foundation and experience in breast cancer reconstruction.
A decade ago, Dr. Maman completed a dedicated fellowship at MGH/Harvard Medical School focused on cutting-edge implant and microvascular breast surgery techniques.
Meshing his experience in breast cancer reconstruction with cosmetic surgery allows him to use these complex maneuvers and techniques to enhance cosmetic breast implant revisions, breast lifts, and breast asymmetry cases.
Making the Decision
Besides a desire to change the size or shape of their implants, reasons our patients have sought a revision include:
- Pain or implant migration caused by excessive scar tissue forming around the implant, also known as capsular contracture.
- Poor initial placement resulting in implants sitting too high, too low, too wide, or too close together on your chest wall.
- “Rippling,” or being able to see implant folds through the skin, which can happen with both saline implants and silicone implants.
- Changes in breast tissue due to natural aging processes or significant weight loss.
- Implant failure
- Breast cancer reconstruction
Breast reconstruction and breast implant revision procedures use many of the same techniques. Breast implant revision surgery, however, can be more complicated than initial breast augmentation because revisionary procedures require managing scar tissue and changes in breast tissue as well as any complications from the original procedure. Breast implant revision also almost always involves the removal of the original implants. Many patients express hesitancy considering revision surgery if they have had a bad outcome or experience with another surgeon. We encourage our patients to review credentials and before/after galleries while considering options for revisional surgery.
We make sure you have the information you need to feel informed about your decision, from your inquiry about our practice through consultation and recovery.
The first step is a thorough, collaborative consultation. Before surgery, we provide:
- 60- to 90-minute in-depth initial consultations with a complete medical history review and physical assessment by Dr. Maman
- Multiple pre-op visits to answer all your questions
- Specialized surgery coordinators to help you navigate scheduling, financial, and insurance processes
Once you have decided to move forward with surgery, we emphasize convenience, comfort, and a smooth recovery. This includes:
- Convenient NYC operating facilities
- Luxury recovery room options at NYC hotels
- Complimentary, custom post-operative support garments and scar treatment regimens
- Attentive and routine aftercare visits
Personalized, Holistic Patient-Centered Approach
Understanding each patient’s personal and clinical needs is central to our practice. We customize treatment plans for each patient, and each patient receives Dr. Maman’s personal contact information along with direct round-the-clock access to our nurse and surgical coordinator.
“Dr. Maman’s bedside manner and talent as a surgeon cannot be beaten. His fastidious manner and attention to detail are what set him apart from the other plastic surgeons I have seen in the past.”
Results and Recovery
Our priority is to provide the highest degree of comfort for our patients throughout their breast implant revision procedure and recovery.
We schedule multiple pre-op appointments to make sure that our patients are fully informed and know exactly what to expect from the procedure. We also stay in close contact during the pre-op period in order to ensure that each patient receives prompt and personalized care.
Once surgery is complete, local patients have the option to recover at home in NYC or in one of our luxury recovery rooms located in select hotels in the city. Recovery timelines vary depending on procedure, and our thorough aftercare options ensure optimized recovery and results.
For more information, read our FAQs below.
See our results. Contact us to find the right approach for you.
Breast Implant Revision Gallery
Meet Dr. Daniel Y. Maman, Board-Certified NYC Plastic Surgeon
Dr. Maman completed a Harvard fellowship in aesthetic breast surgery as well as a 6-year plastic surgery residency at the Mount Sinai Hospital in New York City. He has appeared on The New York Times Top Doctors and Super Doctors in Plastic Surgery lists.
Dr. Maman is certified by the American Board of Plastic Surgery and is a member of the American College of Surgeons, the American Society of Plastic Surgeons, and the American Society for Aesthetic Plastic Surgery.
Whether your reasons for breast augmentation surgery are personal, clinical, or both, you deserve an experienced surgeon who is a partner in your care.
Contact us today to request a consultation.
Basic Breast Implant Revision FAQs
Am I a good candidate for a breast augmentation revision?
Because patients experience gradual breast changes with age, breast implant revision is a common procedure. According to the American Academy of Plastic Surgeons, you are a good candidate for breast implant revision if you have previously had an augmentation and are:
- Unhappy with the size, shape, feel, or appearance of your breast implants
- Concerned about the integrity or condition of your implants (especially if your implants are 10+ years old)
- Are physically healthy and at a stable weight
Is breast revision surgery different from other breast enhancement procedures?
Breast revision surgery can be more complicated than other breast enhancement surgeries due to the potential build-up of scar tissue, any changes to skin and breast as a result of previous procedures, the removal of old implants, and other challenges. Attention, up-to-date techniques, and advanced skills are essential to successfully delivering the results you deserve. As a result, choosing a plastic surgeon who has extensive experience in this revisionary breast implant surgery is important.
Can I change my implant size or type with breast implant revision surgery?
Absolutely. It’s very common for women undergoing breast implant revision surgery to select different implants as part of the procedure. Depending on your goals and the circumstances you’re working under, you may choose a new size or type of breast implant. We can help you evaluate your options.
How do I know if my implants should be replaced?
Most breast implant manufacturers have a recommended timeframe for use, but there isn’t necessarily a set expiration date for implants. However, if you notice a sudden change in the size, shape, appearance, or feel of your implants—especially if it’s accompanied by pain or discomfort—you should seek a consultation about a possible revision.
Does a breast revision procedure include areola reduction?
Reducing the diameter of one or both areolas is a relatively simple procedure that can easily be added to your breast revision surgery. Depending on where your incisions (both old and new) are, an areola reduction can be part of your procedure.
Where will my surgery be performed? How long will it take?
Dr. Maman usually performs breast surgeries at an in-office, AAAASF-certified facility, or an outpatient ambulatory surgery center (ASC). He also has operating privileges at Mount Sinai Hospital, Lenox Hill Hospital, New York Eye & Ear Infirmary, and Englewood Hospital. We work with you to select the best facility for your needs.
Breast revision surgery usually takes about two hours, including prep and recovery time.
How long does recovery take?
Recovery from breast implant revision surgery is similar to breast augmentation recovery. As long as you adhere to your activity restrictions and manage your pain medication well, you can return to work within a few days and resume lower body exercising (spinning, walking, etc.) in one or two weeks.
Breast revision surgery usually takes about two hours, including prep and recovery time.
When can I work out after my breast revision surgery?
Workouts that require significant upper body involvement (yoga, weight lifting, core training) shouldn’t happen until four to six weeks after surgery. You need to avoid lifting anything heavier than 10 lbs for a full six weeks.
It’s important to remember that feeling better is not the same as being fully healed. Even if you aren’t in pain, observing the total recommended recovery time of four to six weeks will reduce your risk of bleeding and ensure your implants do not shift.
When can I go home?
You’ll likely be able to return home with an adult companion several hours after your surgery is completed. If you don’t live nearby or are uncomfortable recovering at home, our office will arrange for you to stay nearby at The Carlyle, The Mark, or The Surrey hotels.
Can I breastfeed after a breast implant revision?
Implants themselves won’t affect your ability to breastfeed, but using an areolar incision to place the implant can disrupt milk ducts and affect milk transfer to the main nipple duct. During your consultation, Dr. Maman will explain the risks involved so you can make an informed decision that best fits in with your objectives.
Will my nipple sensation change after breast augmentation surgery?
Most patients don’t experience a change in nipple sensation, also known as paresthesia. While areolar incisions present a slightly higher risk of paresthesia, 90% of women who have this type of surgery regain full nipple sensation.
Request A Consultation
Call Today 212.920.6800
To schedule a consultation with Dr. Maman or to get more information, kindly submit your details using the adjacent form and a member of our patient concierge team will promptly be in touch. We look forward to welcoming you to Maman Plastic Surgery.