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Breast Revision

While most breast implants never cause a problem after breast augmentation, some Denver and Colorado Springs women experience changes after surgery that warrant a revision, such as an implant rupture or capsular contracture. Others are simply ready for a cosmetic change. Our surgeons have the knowledge and skill for these more challenging procedures, specializing in revision treatment for patients who are dissatisfied with results from a past breast augmentation.

Because a breast augmentation revision is particularly complex, we invite anyone who is considering the procedure to request an in-person consultation or call us at  (303) 278-2600 to schedule an appointment.

Breast Revision
 Before & After Photos

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Breast Revision
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 35
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Breast Revision Case 784 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (9 months)
Case: 1 of 34

Case #784

This is a 38 year-old woman with 12 year-old saline implants showing asymmetry and ptosis (sagging) after having two children.  Treated with implant downsizing (approximately 50cc) to 425cc smooth, moderate-plus profile silicone gel implants, with mastopexy (breast lift).  If you feel you may want a Denver implant exchange or... Read More
Surgeon: Paul Steinwald
Breast Revision Case 657 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (1 mo)
Case: 2 of 34

Case #657

Surgeon: Paul Steinwald
Breast Revision Case 467 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 3 of 34

Case #467

This is a 52 year old, 5'3", 120 pound woman who underwent a mommy makeover which included a breast implant exchange with scar tissue (capsule) removal, breast lift, tummy tuck, and liposuction to her hips. 26 years prior to this surgery, she had undergone a breast enhancement with a circumareolar breast lift. She presented to Dr. Vath complaining... Read More
Surgeon: Steven Vath
Breast Revision Case 404 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 4 of 34

Case #404

This is a 26 year old, 5'4", 126 pound woman who underwent a breast augmentation 2 years prior by another surgeon. She didn't know her implant size, but felt she was too big and didn't like her shape which she saw as deformed. She decided to undergo an implant exchange with smaller implants, any necessary internal... Read More
Surgeon: Steven Vath
Breast Revision Case 634 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (6 mo)
Case: 5 of 34

Case #634

39 year-old woman who previously had had breast implants removed several years prior, and now wished to have them replaced.  Approximately 330-350cc saline implants placed submuscularly via the IMF bilaterally; photos are from approximately 6 months post-op. Read More
Surgeon: Paul Steinwald
Breast Revision Case 688 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 6 of 34

Case #688

59 year-old woman who had rupture of silicone gel implants from many years prior, and significant capsular contracture/distortion issues.  She underwent gel implant exchange for fresh ones (approx. 300cc), and anterior capsulectomies/scar release.  Her new implants were very soft and well positioned; photos are from approximately 3 months... Read More
Surgeon: Paul Steinwald
Breast Revision Case 836 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (4 months)
Case: 7 of 34

Case #836

This 45 year-old woman had undergone saline breast augmentation via the nipples approximately 20 year prior (and soon after had delivered a child). She had started at a B cup, the 250cc implants brought her to a C cup, but now later in life she was closer to a D/DD cup and felt that she no longer needed her implants. Therefore, since she now had... Read More
Surgeon: Paul Steinwald
Breast Revision Case 876 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 8 of 34

Case #876

This is a 57 year old, 5'7" 140 pound woman who had implants placed more than 20 years prior. She presented with capsular contracture (hardening of the scar tissue around the implants) of both breasts. Not only was this very uncomfortable for her, but it also distorted her breasts causing them to be high on her chest and feel very... Read More
Surgeon: Andrew Wolfe
Breast Revision Case 600 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (9 mo)
Case: 9 of 34

Case #600

\tThis 52 year-old female came to me with some breast firmness and distortion (especially on the left side), having had saline implants placed approximately 13 years prior. Ultimately, she was in need of a Denver-area breast surgery revision, and I advised her that she would be best served by down-sizing the implants slighty, capsular scar excision... Read More
Surgeon: Paul Steinwald
Breast Revision Case 823 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (3 months)
Case: 10 of 34

Case #823

50 year-old woman who presented with 15 year-old saline implants and progressive distortion/capsulization. Underwent implant exchange for slightly larger (500cc) submuscular implants, partial capsulectomies (excision of capsules), and a mastopexy; photos are from approximately 3 months post-op, and incisions are expected to fade. If you are interested... Read More
Surgeon: Paul Steinwald
Breast Revision Case 629 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 11 of 34

Case #629

\t54 year-old patient with implants present for approximately 12 years; developed moderate capsular contractures (but no clear rupture), and desired outright removal of the implants.  She was advised that she of course would be smaller, but that she had relatively mild skin excess or nipple ptosis (drooping), and therefore a formal mastopexy... Read More
Surgeon: Paul Steinwald
Mommy Makeover Case 818 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (2 months)
Case: 12 of 34

Case #818

42 year-old female who had delivered 2 children and then had undergone an abdominoplasty as well as breast augmentation (of indeterminate size) overseas 13 years prior; she had gained and lost some weight and now was asking about improvements over her capsule effects, as well as recurrent abdominal laxity.  She essentially underwent a repeat... Read More
Surgeon: Paul Steinwald
Breast Revision Case 627 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (12 mo)
Case: 13 of 34

Case #627

\t44 year-old female following removal of collapsed saline implants performed elsewhere several years prior, and replacement with gel implants in the 300cc range (photos are from approximately 1 year post-op).
Surgeon: Paul Steinwald
Breast Revision Case 713 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 14 of 34

Case #713

\tThis is a 47 year old, 5'7", 130 pound woman who presented with capsular contraction in both breasts after having had breast augmentation surgery in the past. Capsular contraction is a condition where the scar tissue that forms around the implants becomes thickened and contracted. This creates hard, tight fake appearing breasts. The patient... Read More
Surgeon: Steven Vath
Breast Revision Case 398 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 15 of 34

Case #398

This is a 37-year-old woman with previously-placed 325cc saline implants. Her implants were above the muscle and relatively asymmetric. She underwent a revisionary breast augmentation which placed a new 550 cc silicone implant beneath her pectoralis muscle via an inframammary incision. Her photos were taken 3 months postoperatively. Read More
Surgeon: Andrew Wolfe
Breast Revision Case 874 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 16 of 34

Case #874

This 35 year old, 5'6", 136 pound mother of three had 550cc saline implants placed some 12 years before and now wanted to go larger. She chose  800cc ultra high profile silicone gel implants.After photos are from 3.5 months post op. Read More
Surgeon: Andrew Wolfe
Breast Revision Case 503 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER
Case: 17 of 34

Case #503

\tThis 23 year-old female had undergone a breast augmentation at another local plastic surgeon’s office several years prior, which progressively led to a very bizarre contour irregularity characterized by implants that were too close together, nipples that were laterally displaced, and a bridging effect between the breasts termed “symmastia”. ... Read More
Surgeon: Paul Steinwald
Breast Revision Case 474 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 18 of 34

Case #474

This is a 46 year old, 5'5", 121 pound woman who had breast implants placed and was not happy with her shape and size. After discussing her goals with Dr. Vath to have softer, slightly larger, and prettier breasts, she decided to exchange her 300cc saline implants with 400 cc silicone gel implants and have a mastopexy (breast lift) performed. She... Read More
Surgeon: Steven Vath
Breast Lift Case 797 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (3 months)
Case: 19 of 34

Case #797

This 45 year old mother of 2 is 4'11" and 119 pounds. She had breast implants placed elsewhere a number of years ago that she felt were too big for her frame, and she also wanted to address the post-baby sagging of her breasts. She underwent an explant of her implants and a breast lift to restore her breasts to a more perky position... Read More
Surgeon: Paul Steinwald
Breast Revision Case 666 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (4 mo)
Case: 20 of 34

Case #666

This 22-year-old female had been researching  plastic surgeons because she had significant developmental asymmetry, characterized by an A cup, relatively underdeveloped breast on the right, and a drooping, B cup breast on the left. She was understandably concerned about this asymmetry, and wished to have fuller, balanced breasts bilaterally.... Read More
Surgeon: Paul Steinwald
Breast Revision Case 402 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 21 of 34

Case #402

This is a 33 year old, 5'5", 153 pound woman who previously underwent breast implant surgery. She did not undergo a lift (mastopexy) and, as can be seen in these pictures, her breast implants did not achieve an attractive shape to her breasts because breast implants do not lift sagging breasts. Therefore, in order to achieve a beautiful... Read More
Surgeon: Steven Vath
Breast Revision Case 824 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 year)
Case: 22 of 34

Case #824

56 year-old woman with longer-standing evidence of bilateral silicone gel implant rupture and subsequent capsulization; underwent bilateral extensive capsulectomies, and exchange for smaller saline-filled devices, with mastopexies. Photos are from approximately 1 year post-op. If you may be interested in a Denver breast implant exchange/revision,... Read More
Surgeon: Paul Steinwald
Breast Revision Case 662 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 23 of 34

Case #662

\tThis 48 year-old woman presented with prior placement of submuscular gel implants, but had developed capsular contracture and skin irregularities (especially on the left). She was treated with implant removal/repositioning, and appropriate pocket adjustments; photographs are from approximately 3 months post-op. Read More
Surgeon: Paul Steinwald
Breast Revision Case 656 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 24 of 34

Case #656

\t34 year-old female with gel implant malpositioning, and general asymmetry several years after submuscular implantation. Corrected by implant upsizing, with pocket and skin tightening where appropriate; photos are from approximately 6 months post-op. Read More
Surgeon: Paul Steinwald
Breast Revision Case 904 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 25 of 34

Case #904

34 year-old who had undergone implantation elsewhere only 6 months or so earlier (400 cc-range gel implants) who disliked the shape of her breasts. It was advised she could undergo a secondary lift without disturbing the originally placed, well-positioned implants, which is what she elected to do. Photos here are from approximately 6 weeks post-op.... Read More
Surgeon: Paul Steinwald
Breast Revision Case 831 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 mo)
Case: 26 of 34

Case #831

58 year-old woman who had undergone saline breast augmentation approximately 30 years prior, and developed relatively early capsular contracture/distortion/asymmetry, not addressed until now.  She underwent exchange for similar-sized Sientra 385cc moderate-plus profile gel implants, with fairly extensive capsular excisions.  If you... Read More
Surgeon: Paul Steinwald
Breast Revision Case 395 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 27 of 34

Case #395

This is a 41-year-old woman who presented with significant bilateral capsular contractures (hardening of her breast implants). Her implants were silicone, and had been placed 20 years previously through a periareolar incision into a subglandular plane. At the time of surgery, both of her implants were found to be ruptured. Dr. Wolfe performed a capsulectomy... Read More
Surgeon: Andrew Wolfe
Breast Revision Case 829 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (6 months)
Case: 28 of 34

Case #829

This 48 year-old woman had undergone breast augmentation with (approximately 275cc) saline implants some years prior, and presented with a 2-week history of right implant partial deflation.  She wished to be upsized with silicone gel implants, and indeed underwent bilateral implant exchange with pocket adjustmentsas, utilizing 533cc moderate-plus... Read More
Surgeon: Paul Steinwald
Breast Revision Case 488 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 29 of 34

Case #488

This 29-year-old woman presented after multiple previous breast surgeries done elsewhere.  She originally had saline implants placed beneath the muscle, but these were later changed to a subglandular postion.  Her main concerns were rippling, asymmetry, and poor implant placement.  The revisionary breast surgery consisted of removing... Read More
Surgeon: Andrew Wolfe
Breast Revision Case 830 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (2 months)
Case: 30 of 34

Case #830

39 year-old woman who originally presented with relatively acute right saline implant rupture/collapse; originally a larger (270cc) right one had been placed than on the left (235cc), via the periareolar/nipple approach. She originally had us place similar-sized saline implants via the same approach, but disliked the knuckling/rippling common... Read More
Surgeon: Paul Steinwald
Breast Lift Case 598 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (9 months)
Case: 31 of 34

Case #598

42 year-old woman who wished to have her implants (in the 300cc range, placed elsewhere several years prior) removed, and she wished to be smaller overall.  For her breast surgery revision, I suggested a formal mastopexy following explantation and capsule excision as necessary.She indeed underwent this procedure (which required drains... Read More
Surgeon: Paul Steinwald
Breast Revision Case 448 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 32 of 34

Case #448

This is a 32 year old, 5'3", 131 pound woman who previously underwent a breast augmentation with circumareolar (doughnut or Bennelli) breast lift at another facility. She complained of an unattractive breast shape and large areolae. This is a very common scenario where women seek breast revision surgery. Implants do not help lift breasts... Read More
Surgeon: Steven Vath
Breast Revision Case 626 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (3 mo)
Case: 33 of 34

Case #626

\tThis 47 year-old female from the Chicago area had had 275cc textured saline implants placed in the submuscular position 6 years earlier.  The right side had already ruptured and had been replaced with a smooth round implant 2 years prior, and now she presented with left sided rupture (a problem with older-generation textured... Read More
Surgeon: Paul Steinwald
Breast Revision Case 835 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 year)
Case: 34 of 34

Case #835

39 year-old woman who wished to upsize from saline implants in the mid-300cc range to silicone implants, to increase a cup size. She had 500cc smooth, round high-profile gel implants placed into the same submuscular pocket from underside incisions, and is shown here at approximately 1 year post-op. If you are interested in the best breast implant... Read More
Surgeon: Paul Steinwald

Keep in mind that each patient is unique and your results may vary.

Do I Need a Breast Revision?

There are many reasons a woman might want to revise the results of breast augmentation surgery. Most fall into 2 main categories: elective implant exchange or complications. Explore each below.

Elective Implant Exchange

Sometimes women who have breast implants are not experiencing any problems with them, but they simply want to change their implants for a different type, shape, or projection, or want to increase or decrease volume. Newer breast implant choices have been introduced in the past 5 years, presenting women with more options, and it’s completely understandable to want to take advantage of the benefits they offer.

Another reason a woman may choose to exchange her implants is that they may have looked great in her 30s, but they may not look as good as she continues to age. This is because breast tissue can become less dense or can be redistributed. In this instance, she might be a candidate for a breast implant exchange and a breast lift. Some women even choose to have their breast implants removed completely (called “explantation”). Our breast surgeons have the experience to provide beautiful results in all of these cases for our Colorado Springs, Golden, and Denver patients.

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Complications

In general, you are also a good candidate for a breast augmentation revision if your initial surgery didn’t produce the results you wanted, or if changes such as these have occurred since that initial surgery:

  • Asymmetry
  • Deflation
  • Bottoming out or “double bubble”
  • Implant rippling
  • Implant rupture
  • Capsular contracture

These complications are cosmetic in nature and don’t pose any health risks. In the case of a rupture or capsular contracture, telltale signs include tenderness or pain, a hardening of the breast, and visible deformities in shape or symmetry.

If you are displeased with your initial results, it’s important to wait at least 6 months after your breast augmentation surgery before considering a revision. Your body needs that time to fully heal — and it’s possible that your final results may improve.

Breast Implant Options

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Your Consultation

Your first visit to our practice is our chance to discuss what led you to think about a breast augmentation revision, examine your breasts, and talk through your surgical options and achievable outcomes. In some cases, the best approach may be to replace your implants; other procedures will merely involve shifting the position of the existing implants.

Revision surgery can be a life-changing procedure for our patients, especially if a visible deformity has developed. We take great pride in helping every patient improve the look of her breasts and feel better about her appearance.

We also are happy to use innovative VECTRA® 3-D imaging to show you what your potential results may look like. This process helps us make sure our expectations are aligned with yours, giving you extra peace of mind.

Vectra 3-D Imaging

Preview Your Projected Results

What to Expect

In a breast augmentation revision, your surgeon may need to remedy scar tissue, work with skin that has stretched or thinned out, or repair the chest wall. Every procedure is unique, but they all demand advanced surgical techniques to deal with the complexities that arise.

It’s crucial to choose a board-certified [feature-reviews-testimonials] plastic surgeon with specialized training and expertise in this area. Our surgeons bring decades of experience to each procedure and have a strong history of publishing research and presenting on their surgical techniques to members of the medical community.

While surgical techniques will vary depending on the nature of the corrections you would like to see, your experience will likely be similar to your initial breast augmentation surgery. As much as possible, your surgeon will try to work with the same incision sites as your initial surgery, but it may be necessary to make additional incisions. You will be placed under general anesthesia for the procedure and will be able to return home a few hours afterward.

Meet Our Surgeons

Board-certified plastic surgeons Dr. Steven Vath, Dr. Andrew Wolfe, and Dr. Paul Steinwald lead our patient-centered practice with warmth, honesty, and respect. Their combined expertise and credentials have placed us among Colorado's premier aesthetic centers.

Your Recovery

Preparation for your surgery and recovery should be similar to what you did before your initial breast augmentation. Be sure to avoid alcohol in the weeks prior to surgery, as well as any anti-inflammatory drugs such as aspirin.

After surgery, we generally send patients home with moderate-strength pain medication and a 5-day regimen of oral antibiotics. We encourage patients to rest in the days immediately following surgery, gradually returning to light activity in that first week. Loose-fitting clothing is best during this time — ideally, garments that don’t need to be pulled over the head.

Corrections to scar tissue and the chest wall may increase the recovery time compared to your initial breast augmentation, but you may plan to return to a nonstrenuous job about 7 to 10 days after your procedure. You can resume light exercise after 2 weeks and get back to a normal workout schedule in about 4 to 6 weeks.

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Financing Your Procedure

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