Serving Los Alamitos and welcoming patients from Long Beach, Seal Beach, Orange County, Cypress, Cerritos, Lakewood, Huntington Beach, Newport Beach, the greater Los Angeles area, and beyond.
1) What Is Breast Revision Surgery?
Breast revision corrects or improves the results of a prior breast augmentation, lift, or reduction. Reasons include implant rupture, capsular contracture, implant malposition, size dissatisfaction, rippling, asymmetry, or changes after pregnancy and weight fluctuation. Revision is more complex than a first-time augmentation because scar tissue and altered anatomy must be addressed.
Dr. Raman Mehrzad evaluates pocket position, soft-tissue quality, and implant status before recommending exchange, pocket repair, lift, or implant removal with or without fat grafting. The plan focuses on a stable, natural-looking outcome rather than a quick swap alone.
Patients from Long Beach, Seal Beach, Huntington Beach, Newport Beach, Cypress, Cerritos, Lakewood, and across Orange County and Los Angeles come to Ocean Plastic Surgery Center in Los Alamitos for primary revision after surgery elsewhere or for updates years after their original procedure.
2) Who Is a Good Candidate?
- You are unhappy with implant size, shape, position, or firmness after prior surgery
- You have confirmed implant rupture, contracture, or visible rippling
- Your breasts changed after pregnancy, weight loss, or aging around existing implants
- You are in good health and can pause smoking before and after surgery
- You understand revision may require pocket work, a lift, or staged procedures
- You have realistic expectations about scars and the limits of soft-tissue support
3) How the Procedure Works
- Consultation and imaging: Prior records, exam findings, and goals determine whether exchange, removal, or lift is needed.
- Anesthesia: General anesthesia for comfort during pocket revision and implant work.
- Access: Prior incision sites are used when possible to limit new scars.
- Capsule and pocket work: Capsulectomy or pocket adjustment corrects contracture or malposition when indicated.
- Implant exchange or removal: New implants are placed, or the pocket is closed after removal with optional fat grafting.
- Lift if needed: Excess skin is tightened so the breast sits correctly on the chest wall.
4) Recovery Timeline
Week 1: Soreness and swelling are expected, sometimes more than after a first augmentation if extensive capsule work was done. Rest and surgical bra support are important.
Week 2: Many desk workers return. Bruising improves. Avoid heavy lifting and overhead reaching.
Month 1: Implants begin to settle into the revised pocket. Light cardio may resume when cleared.
Month 3: Shape and softness are clearer. Final scar maturation and implant position continue to refine.
5) Risks and What to Expect
- Recurrent contracture or implant malposition
- Changes in nipple or breast sensation
- Asymmetry related to thin tissues or prior scarring
- Need for additional surgery if soft-tissue support is limited
- Infection, bleeding, or delayed healing (uncommon with careful technique)
Serving patients from Los Alamitos, Long Beach, Seal Beach, Orange County, Cypress, Cerritos, Lakewood, Huntington Beach, Newport Beach, and the greater Los Angeles area.
6) Before and After Gallery
Review before and after images on this page for breast revision results from patients in Los Alamitos and Orange County. Every revision plan is unique because prior surgery changes the starting anatomy.
7) Frequently Asked Questions
Can I change implant size during revision?
Yes in many cases. Soft-tissue quality and pocket stability determine how much larger or smaller is safe.
Do I need a lift with implant exchange?
If the breast skin has stretched or the nipple sits low, a lift with exchange often produces a better long-term shape.
What if I want implants removed without replacement?
Removal with or without a lift and fat grafting can restore a natural breast appearance. Dr. Mehrzad will review how much skin and volume remain after explant.