Breast revision surgery can improve the results of a previous breast augmentation or breast implant procedure. Over time, you might decide that you would like to replace your implants with new ones, change implant size, or address issues due to age. At VPSI in Las Vegas, NV, our doctors offer breast revision surgery to alleviate discomfort caused by capsular contracture, address breast asymmetry, and more. 


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The Benefits of Getting a Breast Revision

In many cases, getting breast revision surgery is based entirely on aesthetics. For example, patients who got implants when they were in their 20s or 30s may decide, years later, that they do not wish to have quite so much breast volume after all.

Additional reasons to pursue breast revision include:


Am I a Good Candidate for Breast Revision?

To begin the breast revision process, we invite you to schedule a consultation with one of our doctors. You will receive friendly and welcoming care from the initial phone call through your visit to our office. Our practice is a judgment-free zone, and no matter your body type or your aesthetic goals, we want to ensure that you are a good candidate for a safe, successful procedure.

A Breast Revision is Great If You:

  • Are dissatisfied with your breast implants
  • Have specific health concerns related to your breast implants
  • Have realistic expectations about the breast revision process

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Types of Breast Revision

Micromastia, also referred to as hypomastia, occurs when your breasts do not develop correctly, resulting in the abnormal smallness of the mammary glands. Breast augmentation can address undersized breasts by enlarging the breasts with implants or fat grafting to add volume where it is needed.  

Symmastia is a condition in which both breasts cross the midline of the chest and appear to merge. Breast revision can correct this issue and create more natural-looking cleavage. 

Symmastia repair involves:

  • Expanding the breast implant pocket
  • Repositioning the implants
  • Reconnecting the overlying skin and muscle to create enough space between the breasts

After receiving implants, your body naturally forms a protective scar tissue capsule around the breast implants. If the capsule becomes too firm and tight, it may distort the implants, this is called capsular contracture, and you may require breast revision. Capsulectomy repair involves removing the implants and sometimes replacing them with new ones for a renewed appearance.


What is the Difference Between Breast Revision and Breast Augmentation?

Breast augmentation is a procedure intended to enhance the volume of your breasts with either implants or fat transfer. In comparison, breast revision corrects specific breast issues related to the breast implants themselves, and it often involves replacing older implants with new implants.


Taking the First Steps

The best way to learn more about your breast revision options and verify that you are a candidate for a safe and successful procedure is to schedule a consultation with one of our doctors.

During this appointment, we will ask questions about your medical history, perform a physical examination, and answer any questions you may have about the procedure. We will also walk you through treatment options and design a clinical plan that addresses all of your concerns.


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.

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Josh Goldman, MD

John Brosious, MD


The Breast Revision Process Explained

Every breast revision surgery is unique and based on your specific aesthetic or reconstructive goals. Your surgery will begin with your arrival at our surgery center in Las Vegas, NV where our friendly team will get you prepped and ready. 

The specifics of the procedure vary according to patient needs but will involve a small incision, excess scar tissue removal, and implants extracted. When desired, we will also place new implants after implant removal. Before the surgery, your doctor will discuss anesthesia options to promote your comfort and safety.


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Recovery and Aftercare

We recommend resting and healing for about a week before resuming normal activities and taking a whole month off before continuing strenuous exercise. Swelling and tenderness may occur over the first few days of recovery but should subside on their own. We will provide pain management options to help with any discomfort and offer aftercare instructions to facilitate a smooth and expedient recovery.


Breast Revision Surgery Frequently Asked Questions

Breast asymmetry occurs when one breast is smaller or larger than the other and is one of the most common reasons to seek a breast revision. Revision surgery can correct breast asymmetry and help you achieve a more balanced appearance.

It often takes a few months for implants to settle into place, meaning that the final result can sometimes be different from what you first expected. This period is known as the “drop and fluff” process, which can take from six weeks to six months to complete. If your implants do not look right after this period, you may require a breast revision. Our doctors are board-certified and have unique skills ideal for correcting previously unsuccessful surgeries.

Capsular contracture occurs when the capsule formed around the breast implant is too tight or firm, resulting in implant distortion. A capsulotomy or capsulectomy with implant removal can help relieve the hardening and other symptoms.

A breast lift can correct breasts that droop or sag. Depending on your aesthetic goals, you may benefit from doing this simultaneously with your breast revision. Our doctors can help you determine which treatment option is best for you.

There are always risks involved with surgery, but choosing board-certified plastic surgeons can help mitigate these risks. We are always happy to talk with you about specific risks, including any concerns regarding breast implant illness.

By following the aftercare instructions and maintaining an overall healthy lifestyle, you can extend your breast revision results long term.


You’re In Good Hands With VPSI

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.