Revision Breast Surgery Specialist

Prime Plastic Surgery -  - Board Certified Plastic Surgeon

Prime Plastic Surgery

Board Certified Plastic Surgeon located in San Diego, CA & La Jolla, CA

There are many reasons why you may want to make a few corrections in your breasts, from asymmetry to change following a previous breast surgery that isn’t what you were expecting. At Prime Plastic Surgery, James Chao, MD, FACS, has an extensive depth of knowledge and experience in revision breast surgery, allowing women in the San Diego area to obtain the figures they set out to achieve. If you’d like to explore your options in revision breast surgery, call the office or request a consultation using the online booking tool.

Revision Breast Surgery Q & A

What implant problems can be corrected?

Even if your breast implants were expertly placed, giving you years of satisfaction, issues can crop up over time, undoing the effect you desired and making a breast implant revision necessary. Some of the most common problems that may benefit from a breast augmentation revision include:

Bottoming out

This happens when your implants begin to shift downward, leaving your nipple areola complex to appear too high on your breasts. As well, the distance from your areola to your inframammary fold increases. Bottoming out usually means that your implant was placed in an area with too little or no muscle coverage, which is what allows the implant to slip down. Another cause of bottoming out is when your implant pockets were over-dissected.

Breast implant downsizing

If you opted for a larger breast implant, only to find that you may have been overzealous in your choice, Dr. Chao offers breast implant downsizing.

Breast implant removal

Going a step further, if you’re having problems with your implants, or you’ve decided to have them removed for personal reasons, Dr. Chao can remove the implants.

Capsular contracture

If you develop too much scar tissue after your breast implant surgery, causing the implants to harden, Dr. Chao releases the implant by removing the hardened tissue. This is the most common reason why you may need breast implant revision, and there are different degrees of encapsulation, ranging from mild to severe.

Implant rippling

If you don’t have enough tissue around your breast implants, you may experience palpability and rippling. This often occurs on the outer edge and cleavage areas, which don’t have enough muscle coverage to prevent rippling. In these cases, Dr. Chao replaces the saline implant with silicone implants or uses Strattice™, a surgical mesh that provides an extra layer that covers any rippling.


This condition, which is also called “bread-loafing” or “uni-boob,” often develops when your chest wall anatomy was altered to encourage more cleavage, including cutting the horizontal muscle that connects to your sternum. This allows your implants to migrate together, without any definition between the two. Symmastia occurs more frequently in thin patients who opt for larger implants.

How are implant issues resolved?

Dr. Chao is an experienced breast revision surgeon and turns to a number of innovative solutions to correct breast implant problems, most notably Strattice™. This surgical mesh is made from porcine skin, which is preserved in an aqueous solution that contains matrix stabilizers. With Strattice, which was approved by the FDA, Dr. Chao can use the biosynthetic mesh to reinforce your tissue, giving it time to correctly reform and rebuild on its own. The mesh is full absorbable and provides superior strength for six months and then starts to biodegrade, eventually disappearing altogether after three years.

Dr. Chao turns to this innovative solution to correct a host of issues, including:

  • Bottoming out
  • Capsular contracture
  • Implant repositioning
  • Breast asymmetry
  • Lateral displacement
  • Unnatural implant movement

In addition to Strattice, Dr. Chao can correct implant issues using a technique called the internal bra, in which he closes a section of your breast pocket.

What is recovery like after revision breast surgery?

After your breast augmentation revision surgery, Dr. Chao and his expert staff make sure you have everything you need for a speedy and comfortable recovery. They supply you with a list of complete aftercare instructions, as well as the Thongbra®, which provides constant support to your cleavage area after your breast revision surgery.

If you’d like to learn more about revision breast surgery, call the experts at Prime Plastic Surgery or fill out the online form to request a consultation.

Revision Breast Surgery Gallery

Breast Implant Removal Gallery

Symmastia Gallery

Bottoming Out

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