
While breast augmentation or reduction can be life-changing, the results are not always permanent, and complications can occasionally arise. Whether you are seeking to change your implant size, address capsular contracture, or correct a loss of symmetry, revision breast surgery offers a path back to confidence. At our Paramus practice, Dr. Gary Breslow treats revision cases with the specialized care they require, utilizing advanced techniques to ensure your "second act" is your best one yet.
The goal of any surgical procedure performed on the breasts is not only to treat pre-existing issues but also to attain attractive results that complement your body. However, if you are not satisfied with the outcome of a procedure, breast revision surgery is an option worth considering. This type of surgery involves correcting aesthetic defects from a previous procedure and mitigating any health complications resulting from it.
Some of the most common reasons for breast revision surgery include:
In other cases, breast revision surgery may be necessary for unrelated health complications, such as breast cancer, which is better treated without the implants.


The type of breast revision surgery performed will determine the length and intensity of the recovery process. Recovery from minor surgeries, such as implant removal, can take a few days, and you will be given pain medication to manage any pain and discomfort.
For more complex procedures, such as implant replacement surgery, you might need a couple of weeks to fully recover. In addition to pain medication, our surgeons will fit you with a compression bra to improve your comfort during recovery.
Regardless of the type of revision surgery, you will need to avoid strenuous activity for at least six weeks following the surgery.
Depending on your goals or needs, there are several options available to you when it comes to breast revision surgery. During the consultation process, our plastic surgeons in Paramus will discuss these options with you in detail.
Some of these options include:
This breast revision surgical procedure involves switching a silicone implant for a saline one, or vice versa. The surgeon will first have to deflate the existing implant before removing it, after which they embark on eliminating any scar tissue that is on the breast.
If you are switching from saline implants to silicone, the new implants are typically placed immediately after removing the saline implants. However, when switching from silicone to saline, the procedure might take longer, as removing silicone implants is more extensive and may require removal of some surrounding tissue.
Capsular contracture refers to scar tissue that sometimes forms around an implant, resulting in pain and breasts that are hard to the touch. Capsular contracture occurs when your body has an adverse reaction to the implants.
Our surgeons treat this condition using one of these two procedures:
Capsulotomy
This procedure involves cutting open the hardened scar to release the implant from constriction. A capsulotomy is ideal for individuals whose contracture affects only a small area around the implant.
Capsulectomy
Sometimes referred to as a full capsulotomy, this procedure involves the complete removal of the scar capsule. Capsulectomy is ideal for patients with large amounts of scar tissue around their implants. This is a more extensive procedure than capsulotomy and, therefore, requires a longer recovery time.
Breast implant removal is one of the most straightforward breast revision procedures and usually takes between thirty minutes and an hour to complete. It is done under local anesthesia or general anesthesia, depending on the patient’s preference, and involves making an incision through the nipple or under the breast to remove the implant and address any scar tissue.
When saline implants rupture or deflate, you will notice a significant change in the shape and size of your breasts almost instantly. Fortunately, the body absorbs saline without complications, as it is harmless.
With a silicone implant, however, you might go for weeks without realizing that it has ruptured, as silicone leaks at a much slower rate. If you have reason to believe that your silicone implant has ruptured, our plastic surgeons will help you determine whether that is the case.
If the outcome of a prior breast surgery procedure is not satisfactory, our surgeons will work to make your original goal a reality.
This procedure is the definitive answer for a variety of concerns that can develop over time. It corrects implant displacement (where the implant has shifted too high, too low, or to the side), resolves "bottoming out," and addresses rippling that may be visible through the skin. It is also the primary treatment for implant rupture or capsular contracture, where thickened scar tissue puts pressure on the implants. It is also designed for women who simply feel their previous implants no longer fit their frame or lifestyle.

The most profound benefit is the resolution of physical discomfort and the restoration of a pleasing aesthetic. Revision surgery can help correct concerns from a previous procedure, improving symmetry and restoring a more youthful, natural-looking breast contour. For many, the benefit is psychological—replacing outdated or problematic results with a look that feels modern, safe, and sophisticated. It’s about the freedom to move and dress without the distraction of complications from a previous surgery.
The ideal candidate for breast revision is someone who is dissatisfied with their previous breast surgery results or is experiencing a medical complication.
If your body has changed significantly due to weight loss or pregnancy since your first surgery, a revision can help re-balance your proportions. During your consultation in Paramus, Dr. Breslow will evaluate your existing tissue and implant health to determine if a revision is the safest and most effective path forward for you.
While there will be initial swelling, you will notice an immediate improvement in the shape and comfort of your breasts. As the tissues heal and any new implants "drop and fluff" into their natural position over several weeks, your refined silhouette will be revealed.

The results of a revision are intended to be long-lasting. By using the latest generation of FDA-approved implants and advanced surgical techniques to manage scar tissue, Dr. Breslow provides long-lasting restoration. As the aging process continues, your updated profile will offer a significantly improved, stable appearance for many years to come.

Over time, changes in the body or implant behavior can prompt the need for breast revision surgery. This procedure can successfully refine the aesthetics of a prior surgery, restore symmetry, or correct specific medical complications. Dr. Breslow provides comprehensive consultations to evaluate your concerns and guide you toward a safe, beautiful outcome.
Fortunately, breast revision surgery by our highly skilled and experienced plastic surgeon at The Breslow Center can rectify the majority of those issues.
Dr. Breslow has decades of experience helping women love their bodies by not only rectifying the outcomes of previous procedures but also by meeting and surpassing their goals. Book a consultation today!
Most patients find the recovery comparable to, or even easier than, their initial surgery. While there is soreness, the "stretch" of the tissue has already occurred, which can make the initial days of healing more comfortable.
Generally, it is best to wait at least 6 months to 1 year to allow the tissues to fully heal and settle before performing a revision, unless there is an acute medical emergency, such as a severe infection or rupture.
Dr. Breslow makes every effort to use existing scars. In most cases, no new incision lines are necessary, though some may be slightly lengthened to accommodate tissue change
Yes. This is one of the most common requests. Modern "Gummy Bear" silicone implants offer a more natural feel and a lower risk of visible rippling compared to older saline models.