Breast Augmentation Revision Surgery:

Breast augmentation revision is corrective surgery for women who have had complications with implants or desire a better outcome.

Breast Augmentation Revision

At Artiste Plastic Surgery Breast Augmentation Revision is performed for the following reasons:

  • Where a change in breast implant is desired
    • Larger or smaller size
    • Plane change
  • Poor shape
  • Removal of breast implants
  • Adjustment of breast implants placed via cosmetic tourism markets (Thailand)
  • Complications with breast implants
    • Capsular contracture:
      • A capsule forms around all breast implants that is part of the bodies normal defence mechanism. In some cases the capsule may harden causing visibility and pain. When associated with visibility and pain it is considered capsular contracture
    • Rippling:
      • The envelope surrounding the implant may be too thin resulting in visibility of the implant shell.
    • Rupture: Silicone or saline fill leaks through the implant shell.
    • Double bubble:
      • Where the implant and breast tissue are in two different positions in the inferior pole.
    • Synmastia:
      • Where the breast implants are too close together resulting in touching of the breasts in the midline
    • Wide cleavage
      • The breast implants are placed too far apart



Breast Augmentation Revision Technique:

As a highly skilled plastic surgeon, Dr Jack Zoumaras is often referred and sought out to correct and revise breast augmentation surgery. Dr Zoumaras offers the following techniques for correction and revision depending upon the examination and operative findings. Most corrections take place through an IMF incision.

Capsulectomy and Replacement of Implants

In extreme cases of capsular contracture and implant rupture, the entire capsule and implant are removed and new implants are exchanged for the damaged older ones.

Partial Capsulectomy and Capsulorraphy

When the capsule is healthy but a breast revision is required, then only part of the capsule is removed and the rest of the capsule can be manipulated to create a new pocket for the new implant.


An implant can be removed, and the capsule can be sutured together where appropriate. This enables a completely new pocket to be formed either above or below the muscle or dual plane. The neo-pocket allows for a pseudo-primary breast augmentation.

Internal Flaps and Internal Bra

Capsular flaps, adipose flaps, and capsular sutures enable the internal breast pocket to be advantageously manipulated during breast augmentation revision and secondary or tertiary breast augmentation. The use of such flaps is considered a form of “internal bra” where the breast tissue is shaped to hold the new implant in an aesthetically desirable position.

Fat Grafting

The use of fat grafting around the chest wall can help give balance and symmetry to breast augmentation results.


The procedure will be illustrated in detail and you will be given a detailed instruction sheet on expected post-operative course and potential complications during your consultation with Dr Jack Zoumaras.

It is recommended that you are a stable weight for at least 3-6 months to obtain the best possible results.

It is advised to stop smoking at least 6 weeks before and after surgery.