Breast implants are not lifetime devices. While many women enjoy their results for years without issues, changes can occur over time that prompt a need—or a desire—for revision surgery. Whether it’s due to aesthetic preferences, physical discomfort, or medical concerns, breast implant revision is a personal decision that should be made with the guidance of a board-certified plastic surgeon. Dr. Eugene Kim provides breast revision to patients in Beverly Hills, Los Angeles, Santa Monica, West Hollywood, CA, and surrounding communities.
If you’ve had breast augmentation in the past, here are some of the most common reasons women consider breast implant revision surgery:
1. Changes in Aesthetic Preferences
What you loved 10 years ago might not reflect how you feel today. Many women seek revision because their personal aesthetic has changed. This might include wanting smaller or larger implants, a different shape or profile, or even removing implants altogether.
Common aesthetic reasons for revision include:
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Desire for a more natural look
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Implant size adjustment
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Visible rippling or asymmetry
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A desire to return to a more natural chest without implants
2. Capsular Contracture
Capsular contracture occurs when the scar tissue that naturally forms around the implant tightens and hardens, potentially distorting the shape of the breast and causing discomfort. This is one of the most common complications following breast augmentation and often requires surgical correction.
Signs to watch for:
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Breast firmness or hardness
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Pain or discomfort
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Change in shape or position of the implant
3. Implant Rupture or Leakage
While modern implants are more durable than ever, they are still susceptible to rupture over time. Saline implant rupture is usually noticeable as the breast deflates, while silicone ruptures (also known as “silent ruptures”) may only be detected through imaging.
If a rupture is detected or suspected, revision surgery is recommended to remove and replace the implant.
4. Breast Changes Over Time
Pregnancy, weight fluctuations, aging, and gravity all impact the shape and position of the breasts. Even if your implants are intact and complication-free, these natural changes can lead to sagging or asymmetry, prompting the need for a lift or revision.
5. Implant Malposition or Shifting
Over time, implants can shift from their original position due to tissue changes, trauma, or inadequate support. This can result in:
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Implants sitting too high or too low
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Lateral displacement (implants moving toward the armpits)
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Symmastia (implants merging in the center of the chest)
Revision surgery can restore balance and symmetry.
6. Addressing Breast Implant Illness (BII) or BIA-ALCL Concerns
Some women experience systemic symptoms they associate with their breast implants—often referred to as Breast Implant Illness (BII). Others may be concerned about BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma), a rare cancer linked to textured implants. In both cases, removal or replacement may be considered for peace of mind or health reasons.
7. Routine Replacement
While there is no official “expiration date” for breast implants, many surgeons recommend considering replacement around the 10–15 year mark, especially if any complications or concerns arise.
Final Thoughts
If you’re experiencing physical discomfort, aesthetic dissatisfaction, or medical concerns related to your breast implants, it may be time to consider revision surgery. The most important step is consulting with a qualified plastic surgeon who can evaluate your current condition, listen to your goals, and guide you toward the safest, most satisfying solution.
Breast implant revision is not just about correcting complications—it’s about feeling confident, comfortable, and aligned with your body.
Contact the Office of Beverly Hills Plastic Surgeon Dr. Eugene Kim
Click here see more plastic surgery procedures and treatments performed by Board Certified Plastic Surgeon, Dr. Eugene Kim on patients in Beverly Hills, Los Angeles, West Hollywood, Santa Monica, CA and surrounding areas or call 310-271-6996 to schedule a consultation.