Dr. Gregory Albert
The Optimization Centre3010 N Military Trail Suite 200, Boca Raton, FL 33431
(561) 495-2700 · optimizationcentre.com
Surgeons in Florida who list Breast Revision among their services. Paid tiers appear first — Featured, then Enhanced — with ABPS-verified surgeons first within each tier. Paid placement is labeled.
18 listings explicitly name this procedure — 17 ABPS-verified — in Boca Raton, Coral Gables, Delray Beach, Destin, Fort Lauderdale, Jacksonville, Miami Beach, Naples, Miami, Palm Beach Gardens, Ponte Vedra Beach, Tallahassee, Jupiter, Winter Garden. Generic category tags are not counted. Always check the badge on each profile.
Corrects or improves a previous breast augmentation or reconstruction — exchanging, repositioning, or removing implants and refining shape, symmetry, or the implant pocket.
Breast revision, or revision mammaplasty, is not one operation but a family of operations on a breast that has already had surgery. Common reasons include capsular contracture (a tightened scar capsule), implant rupture or leak, implant displacement or bottoming out, rippling, asymmetry, size change, or dissatisfaction with the original result.
Because the surgeon is working through scar tissue and an existing pocket, revision is generally more complex and less predictable than a first augmentation, and the plan is built around what is found at surgery as much as what is planned before it.
The surgeon usually reopens a prior incision, examines the implant and capsule, and then performs the planned correction. That may mean removing the old implant, releasing or removing scar capsule, repairing or re-creating the pocket, repositioning the implant, and placing a new implant of a different size, profile, or type. A lift is often added when skin has stretched. Drains are sometimes used, and surgery is usually outpatient under general anesthesia.
Implant exchange. Same size, larger, or smaller implants; saline to silicone or the reverse; smooth or, rarely today, textured surfaces.
Capsule work. Capsulotomy (scoring or releasing the capsule) for mild contracture, or capsulectomy (removing part or all of the capsule) for severe contracture, rupture with silicone spread, or calcified capsules.
Pocket revision. Tightening a stretched pocket, or enlarging a tight one, sometimes with internal support material to hold the implant in position. Note that no mesh is FDA-approved or FDA-cleared specifically for breast use, so any such use should be discussed as off-label.
Plane change. Moving an implant from over the muscle to under it, or the reverse, to address rippling, animation deformity, or tissue thinness.
Revision with lift, fat grafting, or explant. A lift reshapes stretched skin, fat grafting can soften contours or rippling, and some patients choose removal without replacement.
| option | note |
|---|---|
| Implant exchange | Same size, larger, or smaller implants; saline to silicone or the reverse. |
| Capsule work | Capsulotomy (releasing the capsule) for mild contracture, or capsulectomy (removing part or all of it) for severe contracture or rupture. |
| Pocket revision | Tightening a stretched pocket or enlarging a tight one, sometimes with internal support material. |
| Plane change | Moving an implant from over the muscle to under it, or the reverse, to address rippling, animation deformity, or tissue thinness. |
| Revision with lift, fat grafting, or explant | A lift reshapes stretched skin, fat grafting softens contours or rippling, and some patients choose removal without replacement. |
Revision covers operations of very different scope, so no single benchmark is meaningful: the specific correction needed, whether new implants or support material are used, whether a lift is added, operating time in scarred tissue, and facility and anesthesia fees all move the quote. Insurance rarely covers cosmetic revision, though rupture or severe contracture is sometimes covered — confirm with the plan. Ask for an itemized written quote that states what happens if findings at surgery change the plan.
Recovery is usually similar to a first augmentation but can be longer when capsule work or a lift is added. Expect swelling, bruising, and soreness for the first days to weeks, a surgical bra during healing, a return to desk work in about one to two weeks, and a return to full activity in about four to six weeks, with heavy lifting avoided until cleared. When a pocket is rebuilt, activity limits may be stricter and longer to let the new pocket heal in position. Final shape settles over several months.
Risks include the general risks of breast implant surgery — infection, bleeding, scarring, asymmetry, rippling, and changes in sensation — plus revision-specific risks: recurrence of capsular contracture, implant displacement again, wound-healing problems in scarred tissue, and a result that still does not match expectations, sometimes requiring a further revision. If textured implants are present or were previously used, the rare lymphoma linked to textured surfaces should be discussed. A new implant restarts the implant clock — it is not a lifetime device.
Sources: American Society of Plastic Surgeons patient information and procedure guidance; U.S. Food and Drug Administration guidance where applicable. General information only, not medical advice. Confirm details with a board-certified surgeon at consultation.
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