Breast Augmentation Revision

About Breast Revision Surgery

Breast augmentation using implants is one of the most effective cosmetic procedures in America and, in many cases, allows for terrific outcomes. In some situations, a patient can be dissatisfied with the appearance of her breasts and, at some point, may want breast revision treatment. Keep in mind not all revision treatments are because of practitioner error. While few breast augmentations end with unpleasing outcomes, some individuals wish to have a larger or smaller implant. In other cases, some may have a visible irregularity and want the implant corrected or removed altogether. Furthermore, some women must have revision treatment for a particular condition. New Orleans, LA, plastic surgeon Dr. Jules Walters offers breast revision surgery after performing an in-depth exam and showing 3D simulations of the procedure to attain the desired outcome.

Ideal Candidates

Should you have any worries (either medical or aesthetic) after breast augmentation surgery, please make a consultative appointment with Dr. Walters to go over your desires and needs and to develop your personalized plan for breast revision surgery. Whether it’s scar tissue, drooping or sagging, ripples under the skin, or uneven breasts, revision surgery can help correct the deformity and result in a more normal and properly functioning outcome. This operation may also be appropriate if you want to alter the implant style or size or address another aspect of your breasts.

Breast Revision
 Before & After Photos


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Common Reasons for Revision

Breast revision surgery removes an implant that is either not functioning properly or no longer desired. Breast revision surgery may also be performed to change implant size or go from an implant to a fat transfer (or vice versa). There are other common situations where a revision surgical treatment is desired or required:

Implant Rupture

Even though this is rarely seen, breast implant rupture can occur. When a saline implant type ruptures, the implant will deflate almost immediately. Because of this, a visible deflation will be noticeable. Meanwhile, if the implant is silicone based and ruptures, it is only seen via an MRI. Whether silicone or saline, when a rupture occurs, a secondary procedure will be required.

Capsular Contracture

This is known as the hardening of scar tissue, occurring when the delicate tissue surrounding the saline or silicone implant becomes thick and hard. Although many implant surgeries do create some internal scar tissue, most women will never see or feel it. In some situations, the hardening tissue could interfere with implant placement, which can change the breast shape and implant functionality, delivering an undesirable outcome. Capsular contracture surgery to clear away scarring would be recommended.


This condition occurs when the implant sizes look disproportionate. This may be due to an incorrect size implant, lack of tissue on one side, or a different condition that may cause asymmetry. An assessment and diagnosis would need to take place to determine what is leading to the asymmetry; then, revision surgery would be needed to resolve the problem, and, finally, a new set of breast implants would be positioned to create a symmetrical result.

Bottoming Out

This problem happens if one or both implants bottom out or drop too low. Sometimes this is a case of a positioning error from the original surgical procedure. To modify this, a different placement method may be needed. For some patients, tissue grafting will likely be needed, in addition to a surgically formed pocket to stabilize the new implant. For many patients, going to a silicone breast implant will solve this issue.


Symmastia is a condition that takes place when breast implants are inserted and placed too closely together. Most often, this is because the breast implant had the incorrect shape and width. A revision treatment will repair this problem by utilizing an implant that fits your frame and looks pleasing to the eye.

Implant Rippling

This condition occurs when you see obvious rippling and wrinkles under the skin. This irregularity typically forms just along the edging of the implant. Rippling is generally found in patients who are of low body weight. Simply switching to a silicone breast implant can often fix this issue.

Breast Size

Sometimes a secondary breast surgery is as straightforward as getting a smaller or larger-sized breast implant. During the first surgery, you may have opted to go too conservative or too large. A different implant size can be switched with the original to reach the desired aesthetic goal.

Jules Walters, M.D.
Meet Our Surgeon

Jules Walters, M.D.

Dr. Walters draws from his exceptional training, experience, and skill to create beautiful, natural-looking results. He is board certified in both plastic surgery and general surgery, and completed extensive training in both aesthetic and reconstructive plastic surgery. His memberships include:

  • American Society of Plastic Surgeons
  • Louisiana Society of Plastic Surgeons, President
  • American Medical Association

His credentials, integrity, and patient-centered approach make him one of the best-rated plastic surgeons in New Orleans.

Meet Dr. Walters

Credentials You Can Trust

Dr. Walters credentials

Credentials You Can Trust

Dr. Walters credentials
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What To Expect

Revision breast surgery is performed using general anesthesia. Recovery from a revision surgery varies depending on the revision type. For example, if a different size is being placed, a breast lift may work if fewer cubic centimeters are used to help remove wrinkled or loose skin. Revision surgery that warrants complex revision techniques will need a longer recovery that could last up to 6 – 8 weeks. Patients will slowly start to see their newly revised outcomes once the bruising and swelling start to disappear. The most important aspect following revision breast surgery is to reach a result that is pleasing to the eye.

In some breast revision procedures, as well as some primary mastopexy procedures, Dr. Walters may recommend the use of the Galaflex Scaffold to help support breast tissue that has lost elasticity. Often referred to as an “internal bra”, Galaflex helps to stabilize and strengthen the soft tissue by creating tissue regeneration in a targeted manner. This unique 3D monofilament scaffold is made from the biologically derived poly-4-hydroxybutyrate (P4HB), which naturally degrades and is non-toxic and well tolerated by the body. The addition of the supportive scaffold helps to insure against “bottoming out” of the implant in patients with thinner breast tissue.

Galatea Surgical logo
Galaflex parts from biologically derived poly-4-hydroxybutyrate

Post-Op Experience

Our care for you continues long after you leave the office. Your recovery experience includes:

  • 24/7 Follow-Up Care: Dr. Walters will call to check on you after surgery. You will also have his personal cell phone number to reach him at any time.
  • Lymphatic Massage: We will refer you to a local massage therapist for a manual lymphatic drainage protocol starting 1 to 3 days after surgery.
  • Post-Op Garments: We will send you home with any post-surgical garments you need.
  • Scar Therapy: We offer scar gel, scar sheeting, and laser treatments to reduce visible scarring.
  • Accommodations & Transportation: We work with certified nurses in the area to provide transportation and overnight care services, if needed.
  • Guidance & Support: Your helpful patient care coordinator and surgical nurse will educate and advise you each step of the way.

Change Your Mind?

Revision surgery for breast implants is a specialized procedure tailored for your aesthetic goals by plastic surgeon Dr. Jules Walters. If you notice a visible defect with your breast augmentation results or desire a different result, we invite you to get in touch with our New Orleans or Metairie, LA, office to make your appointment with Dr. Walters. There are many factors to consider, and Dr. Walters will perform a full physical assessment, create your revision treatment plan, and discuss realistic outcome expectations.

woman lying down
The front desk of the MODERN Plastic Surgery & Medspa

Your Best You Begins Here

If you would like to learn more about attaining your dream curves with breast revision, please request a consultation online or call our New Orleans, LA, plastic surgery practice at (504) 517-6200.

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Our Patients Say It Best

Read what real people have shared about their experiences at the MODERN Plastic Surgery & Medspa, from the results they achieved to the care they received along the way.

"I have had a wonderful experiece with Dr. Walters and his staff. Everyone is welcoming and friendly..."
"I am so happy with my whole experience at the Modern. Dr. Walters reputation and talent is why I made a consult appointment, his kind bed side manner..."
"Dr. Jules Walters is the best plastic surgeon around! I wouldn’t have any cosmetic procedure done by anyone else. He is so professional..."
Dr. Walters is a very talented, skilled and caring person. His staff is absolutely amazing. I am 5 weeks...
Maggie is great! Very thorough and knowledgeable
As a healthcare provider and overall type-A personality, I did hours of research via reviews, social...
I went in to get Botox with Maggie for the first time. She was knowledgeable and walked me through all...