Whether you’re experiencing discomfort, changes in appearance, or a shift in how you feel about your breast implants, breast revision surgery can help restore both comfort and confidence. At Vegas Plastic Surgery Institute, we take a personalized approach to every revision, combining reconstructive expertise with aesthetic refinement to address your concerns with care, clarity, and precision.

Our board-certified plastic surgeons perform breast revision procedures for a wide range of reasons, from correcting asymmetry or capsular contracture to updating implant size or removing them entirely. No matter your motivation, we’re here to help you feel more at home in your body again.

What Breast Augmentation Revision Can Address

Breast revision surgery is highly personalized and can address a wide range of aesthetic or functional concerns, including:

  • Replacing old implants or switching to a different size or type
  • Removing implants altogether (with or without a lift)
  • Correcting breast asymmetry
  • Treating capsular contracture (scar tissue around implants)
  • Addressing implant rupture, rippling, or malposition
  • Improving results from previous breast surgery
  • Relieving discomfort related to implant fatigue or changes in lifestyle
  • Exploring options for concerns about Breast Implant Illness (BII)

Our goal is to create results that feel aligned with who you are today, not who you were when you first chose augmentation.

Why Choose VPSI?

Las Vegas is full of options, but very few practices bring together the cosmetic artistry and reconstructive skill that VPSI does. We offer:

Advanced reconstructive capabilities: Our plastic surgeons routinely handle complex breast microsurgery and revision cases, giving them the depth of experience to correct issues others might turn away.

A no-pressure, supportive approach: You deserve to feel safe and respected. We listen carefully to your goals and design a plan that fits your body, lifestyle, and future.

Long-term thinking: We consider not just how your results look today, but how they’ll hold up years from now.

This Way To Your Best Self.
See Our Results.

VPSI can help you achieve the best version of yourself with plastic surgery options to enhance your face, breasts, and body. View our gallery to see how we are redefining plastic surgery.

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Types of Breast Revision

Breast asymmetry can occur naturally or as a result of previous augmentation. When one breast appears noticeably larger, smaller, higher, or shaped differently than the other, it can affect your overall balance and confidence. Our plastic surgeons tailor your revision to restore symmetry using implant repositioning, implant replacement, fat grafting, or a breast lift, sometimes combining these approaches for the best results.

If you’re unhappy with the size, feel, or appearance of your current implants, or if they’ve changed over time, implant revision allows you to replace them with new ones. Whether you want to go smaller, switch implant types, address rippling, or simply update aging implants, our plastic surgeons will work with you to design a plan that aligns with your current goals and anatomy.

Capsular contracture occurs when scar tissue tightens around a breast implant, leading to discomfort, asymmetry, or changes in shape. At VPSI, we offer advanced capsular contracture treatment, using a capsulotomy, partial capsulectomy, or total capsulectomy to carefully remove the capsule and restore a more natural contour. If desired, new implants can be placed during the same procedure to complete your revision.

If your original implants didn’t deliver the volume you were hoping for, or if you had naturally underdeveloped breasts before surgery, micromastia correction can provide a more proportional and balanced look. Our plastic surgeons may use implants, fat transfer, or a combination of both to help you achieve fuller, more noticeable volume.

When breast implants shift too close together, it can result in a merged or “uniboob” appearance. Our approach to symmastia repair involves carefully redefining the space between the breasts, adjusting implant positioning, and reinforcing internal support to restore natural-looking breasts and contour.

Your Breast Revision Experience

No two breast revision surgeries are alike. Your doctor will design a plan based on your individual anatomy and goals, including implant replacement, removal, a lift, or fat grafting.

You’ll arrive at our Las Vegas surgical center on the day of your procedure. After anesthesia is administered, your doctor will make incisions based on the previous surgery and the planned revisions. Common steps may include removing scar tissue, repositioning or replacing implants, and reshaping the breast pocket.

If you’re having a lift or Resensation® performed during the same surgery, those steps will be incorporated seamlessly into your treatment.

Restoring Sensation with Resensation

For some patients, breast surgery can result in lingering numbness or reduced sensation. At VPSI, we offer Resensation, an advanced technique that uses a nerve allograft to help reconnect nerves and restore feeling to the breast and nipple area. When appropriate, your surgeon may recommend incorporating Resensation into your breast revision for a more complete and satisfying outcome. Read more about how Resensation works and what to expect.

Meet Our Board-Certified Plastic Surgeons

At VPSI, our surgeons distinguish themselves by their excellent technical skills and artistic eye. Both Dr. Brosious and Dr. Goldman have the versatile experience that allows them to say “yes” to nearly every patient who walks through the door. 

Dr. John Brosious is a full-scope plastic and reconstructive surgeon offering head-to-toe surgeries. His background includes experience in Level I Trauma centers and academic institutions, equipping him to take on the most advanced reconstruction cases. Dr. Brosious performs over 200 chest surgeries a year for both transfeminine and transmasculine patients, and he is also the only surgeon in Nevada performing male to female genital gender affirmation surgery. 

Likewise, Dr. Joshua Goldman is a comprehensive plastic and reconstructive surgeon, well-known in the breast cancer community for his specialization in breast microsurgery. He single-handedly has the highest number of microsurgery cases in the State of Nevada and has been named by Vegas Inc’s Las Vegas Weekly as “Las Vegas 40 Under 40” and a “2021 Top Doctor.” 

To Dr. Brosious and Dr. Goldman, you are family, and they are here to help guide you through your journey to enhance your natural beauty.

Meet the Doctor Widget Logos
Meet the Doctor Widget Logos - Dr. Goldman
Meet the Doctor Widget Logos - Dr. Brosious

Josh Goldman, MD

ABOUT DR. GOldman

John Brosious, MD

ABOUT DR. Brosious

Breast Revision Recovery & Results

Most patients return to work and light activities within one to two weeks. You may experience temporary swelling, tightness, or discomfort, which we’ll help you manage with medication and recovery guidance.

Results will gradually reveal themselves as you heal, with full outcomes typically visible by three to six months post-op. Many patients find that revision offers a sense of closure and confidence, especially when previous surgeries left them feeling disappointed or uncomfortable.

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Breast Revision FAQs

Not necessarily. Many patients seek revision simply because their goals or preferences have changed. You might want smaller implants, a different shape, or a more natural feel with fat grafting.

It’s normal for breast implants to take time to settle, a process often called “drop and fluff,” which can take several weeks to a few months. But if your results still feel off after that window, something more might be going on. It could be related to implant position, scar tissue formation, or changes in your natural tissue. At VPSI, our surgeons have extensive experience correcting complex cases and can work with you to identify what’s changed and how revision surgery might help you feel more confident again.

Yes. We can safely remove your implants and perform a breast lift or auto-augmentation to preserve shape and volume using your natural tissue.

It depends on the concern, but generally, we recommend waiting at least six months for full healing and to assess results. If you’re experiencing discomfort or complications, we can evaluate you sooner.

We regularly treat patients who have had several previous breast procedures. Our reconstructive training allows us to navigate complex revision cases and restore symmetry, softness, and comfort.

Resensation is ideal for patients experiencing numbness or sensory loss after implant surgery. We’ll discuss whether it’s a good fit for you during your consultation.

Ready to Feel Like the Best Version of Yourself?

Vegas Plastic Surgery Institute is a full-scope plastic and reconstructive surgery practice, offering both head-to-toe reconstruction and cosmetic surgery. Our doctors and team abide by uncompromising standards to provide you with a high level of care and a positive experience in a judgment-free zone. Schedule a consultation at our Las Vegas office today at (702) 727-8500.